Ad Directory
All Star X-ray ..............................................40 Athenahealth ...............................................19 Capital Farm Credit ...................................41 Covenant Medical Group .........................17 DSHS HIV/STD Program ..........................18 Humana .......................................................IBC Leichter Law................................................59 Looper Reed & McGraw ...........................18 McDonald’s ....................................................6 Med-Enterprise, LLC ................................43 nVenio Analytics ........................................54 REC — North Texas ................................... 10 Sharp & Cobos, P.C. Attorneys at Law ........................................................34
Texas Health Steps...............................5, 35 Texas Medical Association Anson Jones, MD, Awards ................. 64 Bank of America ....................................49 Be Wise — Immunize............................55 Choosing Wisely ....................................48 Classifieds ..................................................16 Hard Hats for Little Heads .................56 Physicians Benevolent Fund ............ 50 Poster Session .........................................61 Practice Consulting ................................. 3 TexMed 2014 ............................................47 TEXPAC .....................................................56
Texas Medical Association Insurance Trust ......................................................9, BC
Texas Medical Liability Trust ............... IFC Texas Pediatric Society ...................36, 44 West, Webb, Allbritton and Gentry, PC ................................................47
Gauging interest
In exploring new ways to deliver and pay for care in Medicaid, the state surveyed physicians, clinics, hospitals, health plans, and others on what it would take to successfully implement dif- ferent coordinated care models. Below is a sampling of responses:
• Seventy percent said inadequate payment to support ongo- ing coordinated care staff and their activities was a “signifi- cant impediment”; 51 percent pointed to a lack of adequate access to certain specialty providers; and 45 percent indi- cated insufficient levels of dedicated care coordination staff.
• Fifty-six percent said the inability to electronically exchange health information with other providers was a “significant impediment”; 30 percent pointed to a lack of access to an electronic medical or health record system; and 30 percent indicated a lack of access to a patient or disease registry system.
• One respondent directly commented that “direct measure- ment of [individuals’] health status and [population] health outcomes is still so crude that providers would be crazy to go at risk for such measures at this point in the transforma- tion of the delivery system.”
• Seventy-one percent said they were “very interested” in patient-centered medical home models, 53 percent in shared savings arrangements. There was less interest in accountable care-type organizations (37 percent) and bundled or episod- ic payments (32 percent). Surveys showed mostly health plan interest in the latter.
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• More interest was seen in certain “elements” of some of the innovative models mentioned above. Seventy-two percent said they were “very interested” in patient education and accountability. Respondents also expressed high interest in behavioral and physical health integration (69 percent), prevention and public health issues (65 percent), long-term services and supports (54 percent), and health professional workforce shortages (54 percent).
Source: Texas Health and Human Services Commission, State Innovation Models Initiative,
http://bit.ly/1fvBnpf.
60 TEXAS MEDICINE December 2013
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