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Patient Centered Medical Home Pilot Programs Launched

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Blue Cross of Northeastern Pennsylvania (BCNEPA) recently joined with 2 area medical groups to launch patient centered medical home (PCMH) pilot programs:

  • Susquehanna Health Medical Group (SHMG) doctors in Lycoming and Clinton counties
  • Guthrie Medical Group primary care physician practices in Bradford county

The programs will help improve quality and better manage health care costs for local patients. The PCMH model strives to meet the following Institute for Healthcare Improvement Triple Aim goals:

  • Improve the health of the population
  • Improve the patient experience
  • Reduce the cost of health care

These pilot programs will also help make sure that patients receive childhood immunizations, cancer screenings, diabetes testing and cholesterol management.

As part of the pilot programs, BCNEPA will support primary care physicians in making necessary office and technology improvements, including the integration of care coordinators into the practices.

“It is exciting to follow the transformation of the practices, particularly the addition of care coordinators,” said Nina M. Taggart, MD, vice president of Clinical Operations and chief medical officer for BCNEPA.  “They help mobilize the overall care team and engage patients in new ways, which in turn leads to even better outcomes for our members and providers.”

BCNEPA’s Blue Health Solutions℠ care managers will also have access to the tools and reports provided to on-site medical staff.  This means they can work together to manage the patient’s care needs.  This will allow for better care management of all patients, regardless of health status, including those patients with chronic diseases such as diabetes, asthma and heart disease.

The pilot programs will run through 2015 and will be reviewed every 6 months.