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Medical Home & Patient-Centered Care

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Development and ongoing updates of this webpage would not be possible without the generous support of The Commonwealth Fund

 

Since 2007, NASHP has been tracking and supporting state efforts to advance medical homes for Medicaid and CHIP participants. NASHP’s medical home map allows you to click on a state to learn about its efforts. Our work is supported by The Commonwealth Fund. A medical home is an enhanced model of primary care that provides whole person, accessible, comprehensive, ongoing and coordinated patient-centered care. First advanced by the American Academy of Pediatrics in the 1960’s, the concept gained momentum in 2007 when four major physician groups agreed to a common view of the patient-centered medical home (PCMH) model defined by seven “Joint Principles.” (For more information on the “Joint Principles” please go to www.pcpcc.net.)

 

Most states have adopted policies and programs to advance medical homes. Medical home activity must meet the following criteria for inclusion on this map: (1) program implementation (or major expansion or improvement) in 2006 or later; (2) Medicaid or CHIP agency participation (not necessarily leadership); (3) explicitly intended to advance medical homes for Medicaid or CHIP participants; and (4) evidence of commitment, such as workgroups, legislation, executive orders, or dedicated staff.

 

Over the past few years, there has been a notable increase in the number of states that are implementing medical home programs. NASHP has fostered a great deal of this work, directly providing technical assistance to 23 states. A few of our current medical home projects include:

  • NASHP is supporting 14 states to strengthen, expand and sustain current medical home programs, using the resources provided by the Affordable Care Act through The Commonwealth Fund 3rd State Consortium to Advance Medical Homes in Medicaid and CHIP, 2011-2012.
  • NASHP will track and analyze how policies may influence outcomes in and across the eight states participating in the Centers for Medicare and Medicaid Services (CMS) Evaluation of the Multi-Payer Advanced Primary Care Practice (MAPCP) Five-Year Demonstration.
  • NASHP will provide summary analyses of each approved state plan amendment outlined in the 2014 Interim Report to Congress of Affordable Care Act Section 2703 Health Homes for Enrollees with Chronic Conditions funded by the Centers for Medicare & Medicaid Services.

 

For more information, please contact Charles Townley