FROM THE FOUNDATION

All Over the Map

Newly updated to include breast cancer, prostate cancer, and spine procedures, this CHCF-sponsored research shows that practice patterns vary dramatically from place to place.

Medi-Cal Transforms

Medi-Cal is the main source of health insurance for one in five Californians. An updated report gives an overview of the program's key features, describes how the program is evolving, and examines the challenges ahead.

Obama Care in the Second Term

CHCF is a long-time sponsor of the UC Irvine Forecast Conference. A webcast of this year's conference on health policy in President Obama's second term is now available.

Chronic Disease Care

Tuesday, March 06, 2012

S.F. Bay Area Medical Home Pilot Program Sees Positive Results

San Francisco Bay Area's John Muir Health has seen positive results from a patient-centered medical home pilot program that aims to rein in the cost of treating patients with chronic diseases, Contra Costa Times reports.

Background on Patient-Centered Medical Homes

Across the U.S., health providers are experimenting with patient-centered medical homes, which are designed to lower the cost of treating the 1% of patients with chronic illnesses who account for more than 20% of health spending.

The programs often are based in an office or clinic where physicians work with nurses and other health care providers to coordinate care.

Participating providers have regular contact with patients to educate them about managing their health and make sure they are receiving the proper medical treatments.

Some health systems receive funds from CMS for operating patient-centered medical homes, while other organizations finance the programs on their own.

John Muir Program Results

John Muir Health's patient-centered medical home program -- based in Concord -- began in 2010 and has reported a 43% drop in hospitalizations and a 14% drop in emergency department visits among its patients.

John Muir funds the program on its own.

Michael Kern -- senior vice president and medical director of the John Muir Physician Network -- said, "We probably save twice what [the program] costs us." He added, "These are very complex patients and if they're in the hospital, they're using a lot of resources" (Kleffman, Contra Costa Times, 3/5).



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