Titled The Medicare MAPCP Medical Home Demo: CMS Kicks Sands in the States’ Faces, Vince and the DMCB co-author a critical examination of the much heraldedMulti-Payer Advanced Primary Care Practice Demo.
As regular DMCB readers will recall, one of the stumbling blocks to widespread adoption of the Patient Centered Medical Home (PCMH) has been the reluctance of multiple insurers to simultaneously include it in their benefit designs. There is little incentive for a primary care practice to redesign itself for only one insurer. The Sept. '09 announcement that CMS would pilot paying for the medical home and work with other insurers to develop a uniform approach was welcome news to the PCMH community. This was just the ticket. The catalyst. The breakthrough. The tipping point.
Or is it?
Now that the details of the MAPCP Demo are out, the news may not be all that good. In fact, some of it is downright scary. You can find out why here .