MACRA rule deals blow to Medicaid docs – ModernHealthcare.com

Most patient-centered medical homes serving Medicaid patients will not count as an alternative pay model under the final MACRA rule. The efforts, which target beneficiaries with chronic conditions or serious mental illness, aim to improve outcomes and lower costs of treatment by coordinating care. However, the models, now operating in 22 states, have shown mixed results.Providing Medicaid patients with primary care via a medical home was shown to cut costs of their care by as much as $4,100 a year and lowered their number of doctor visits and hospitalizations, according to a study published in June in the Journal of General Internal Medicine that looked at Medicaid beneficiaries in Pennsylvania. That might not seem like much until knowing that more than 1 million Medicaid beneficiaries are signed up in medical home models around the country, according to the CMS.The models have also shown to reduce unnecessary ER use.In the proposed …
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