RT Journal Article
SR Electronic
T1 Lessons for Primary Care from the First Ten Years of Medicare Coordinated Care Demonstration Projects
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 556
OP 564
DO 10.3122/jabfm.2015.05.140322
VO 28
IS 5
A1 Winston Liaw
A1 Miranda Moore
A1 Chimaraoke Iko
A1 Andrew Bazemore
YR 2015
UL http://www.jabfm.org/content/28/5/556.abstract
AB Over the past decade, Medicare has tested care coordination programs in an effort to achieve the triple aim of improving the patient experience, improving population health, and lowering costs. Although savings from this promising concept have not materialized, private payers are starting to offer blended payments to primary care. From these demonstrations, we propose 5 lessons for practices implementing care coordination: (1) minimize expenses by sharing resources and avoiding cost ineffective interventions; (2) concentrate on high utilizers; (3) foster relationships with both providers and patients; (4) track patients across the medical neighborhood in real time; and (5) extend rather than a duplicate the efforts of primary care practices.