CDPHP, a New York health insurer, has announced that a patient-centered medical home model produced nearly $21 million in savings.
The model — called Enhanced Primary Care (EPC) — moves primary care physicians from fee-for-service to value-based payments, ultimately rewarding physicians for their efforts to keep patients healthy. As the Times Union reports, practices paid under the EPC model receive a set fee per patient per month, with bigger payments for sicker patients. It is an initiative that is beneficial for patients, physicians and the payer.
An essential component of the model, according to the Times Union, is use of a care coordinator:
“A new type of medical staffer known as a care coordinator is more likely to follow up with patients, to ensure they are complying with recommendations and that their health is improving. Doctors are then able to spend more time with the sickest patients.”
In the insurer’s news release, Dr. John D. Bennett, president and CEO of CDPHP, said “EPC has given primary care doctors the freedom to practice medicine in a way that’s innovative, efficient, and more convenient for their patients. This program puts patients at the center of the health care system, and encourages a team-based approach to care, allowing primary care physicians to work together with pharmacists, nurses, cases managers, and mental health experts to better coordinate the care of their patients.”