Summary: Social and demographic factors such as chaos in the home or functional status can complicate care coordination for patients as much as clinical factors, explains Jeff Schiff, M.D., M.B.A., medical director of Minnesota Health Care Programs for the Minnesota Department of Human Services. He identifies two key social/demographic factors getting close attention in Minnesota's new primary care reimbursement model and explains how the engagement of patient and family at the clinical level is paying off in improved patient safety, satisfaction and health outcomes. Dr. Schiff examined the risk factors that need to be considered in a risk-adjusted medical home reimbursement strategy during the December 16, 2009 webinar, "Risk Adjustment in the Medical Home: Building an Effective Reimbursement Strategy."
