Patient Centered Primary Care Collaborative以病人为中心的初级保健合作.ppt

Edwina Rogers Executive Director Patient Centered Primary Care Collaborative 601 Thirteenth St., NW, Suite 400 North Washington, D.C. 20005 Direct: 202.724.3331 Mobile: 202.674.7800 erogers@pcpcc.net  * On September 16, 2009 HHS Secretary Sebelius, along with Director of White House Office of Health Reform Nancy-Ann DeParle and Vermont Governor Jim Douglas, announced that the Centers for Medicare and Medicaid Services (CMS) will establish a demonstration program that will enable Medicare to join Medicaid and private insurers in innovative state-based advanced primary care initiatives. New Medicare Demonstration Design will include mechanisms to assure it generates savings for the Medicare trust funds and the federal government Private insurers work in cooperation with Medicaid to set uniform standards for “Advanced Primary Care (APC) models” Provide incentives for doctors to spend more time with their patients and offer better coordinated higher-quality medical care States Wishing to Participate in the New Demonstration Must: Certify they have already established similar cooperative agreements between private payer and their Medicaid program; Demonstrate a commitment from a majority of their primary care doctors to join the program; Meet a stringent set of qualifications for doctors who participate; and Integrate public health services to emphasize wellness and prevention strategies. MEDICARE-MEDICAID ADVANCED PRIMARY CARE DEMONSTRATION INITIATIVE PCMH - HOUSE OF REPRESENTATIVES ACTIVITY The House Tri-Committee Health Reform Proposal Funding of $350 million for PCMH Pilot Programs, which include Independent PCMHs and Community-based Medical Homes. The Secretary shall establish a medical home pilot program (in this section referred to as the ‘pilot program’) for the purpose of evaluating the feasibility and advisability of reimbursing qualified patient-centered medical homes for furnishing medical home services (as defined under subsection (b)(