What medical home initiatives are currently underway?
Numerous initiatives exist to promote and create medical homes. According to the National Academy for State Health Policy (NASHP), there have been 34 recent medical home initiatives for children covered under Medicaid and CHIP in 31 states. For example, the State of Washington has developed a plan for providing medical homes in compliance with the Healthy People 2010 goal that every child with special needs have a medical home by the year 2010. To further this goal, Washington state legislators signed into law a 2007 Child Health Care bill pendent organizations, such as the National Academy for State Health Policy (NASHP) and the Patient Centered Primary Care Collaborative (PCPCC), have promoted the advancement of medical home models. In particular, a briefing from these organizations (PDF - 110KB) illustrates their focus on promoting medical homes for children in state Medicaid and Children's Health Insurance Programs (CHIP). The 2006 Tax Relief and Health Care Act created a Medicare Medical Home Demonstration Project. This demonstration provides care management fees for primary care providers and promotes the medical home through incentive payments for physicians in participating practices.
A 2008 report from the American Health Information Management Association mentions another demonstration of the medical home, the TransforMED trial. This demonstration was developed by the American Academy of Family Physicians (AAFP) in 2006. In this trial, TransforMED aided providers in the implementation of medical homes in their practices. TransforMED also provides products and services to practices wishing to establish medical homes through various approaches, such as a medical home network, medical home facilitation, a baseline practice assessment, and practice retreats. TransforMED recommends that practices first begin with a baseline practice assessment, to determine where the practice stands relative to TransforMED's definition of the medical home.
Other medical home initiatives are also being established as a result of funding from ARRA. For example, ARRA funding to the Office of Head Start programs providing Early Head Start services is one area in which ARRA is supporting policies that establish medical homes for children. Among these services is assistance for accessing medical homes for children and pregnant women.
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