Coordination of medical care among providers and across settings offers clear benefit to patients, particularly those with multiple chronic conditions who are under the care of multiple clinicians. And purchasers of health care services have demonstrated a growing willingness to pay for activities related to care coordination. Team-based care coordination is one of the hallmarks of the patient-centered medical home, a practice model increasingly prevalent in both the public and private sectors. Medicare has proposed payment for non-face-to-face services involved in managing the care of people with multiple chronic conditions. Elsewhere, programs focus on making it easier for primary and specialty physicians to work together to develop and implement patient care plans, communicating with each other and with the patient and family at each step. This Forum session reviewed the rationale for these changes in policy, and the challenges that come with implementation.
Andrew Bindman, MD (bio)
Senior Advisor to the Assistant Secretary for Planning and Evaluation
U.S. Department of Health and Human Services
School of Medicine
University of California, San Francisco
American College of Physicians, The Patient-Centered Medical Home Neighbor: The Interface of the Patient-Centered Medical Home with Specialty/Subspecialty Practices (2010)