Multi-Payor Medical Home Programs: Addressing Funding and Organizational Challenges

Summary: A year into the Colorado multi-payor medical home pilot whose practices provide care to 30,000 patients, Julie Schilz, B.S.N., M.B.A., prescribes a single tool that can help transform practices, improve quality and deliver evidence-based care. It's NOT an EHR, says the manager of the Improving Performance in Practice and Patient-Centered Medical Home (PCMH) initiatives for the Colorado Clinical Guidelines Collaborative, who lists this tool's four key functionalities. Also in this interview, Schilz describes the influence of other reimbursement models on the Colorado pilot and identifies two opportunities for NCQA to enhance its PCMH recognition process. Schilz shared Colorado's experience to date in creating this multi-payor initiative --- from the development of the program to the challenges of working with multiple payors --- during the January 20, 2010 webinar, "Multi-Payor Medical Home Programs: Addressing Funding and Organizational Challenges."