Study: 25 states using medical homes in Medicaid, CHIP   11/06/2012
Twenty-five states have implemented payment changes since 2006 to expand access to patient-centered medical homes in Medicaid or the Children's Health Insurance Program, according to a study in the November Health Affairs journal. The initiatives vary widely, according to the report. For example, 12 states include multiple public and private payers; 19 pay providers a monthly care management fee in addition to the standard fee-for-service payment; 14 provide performance-based payments; and five provide payments to support up-front costs. Although no state has implemented global payments that hold a group of providers at financial risk for the care that patients receive in a given time period, five states are using their experience with medical home initiatives to move toward accountable care payment models, the study notes. The medical home model uses care teams led by primary care providers to coordinate and integrate care for chronically ill and other patient populations in an effort to improve care and lower costs.
Studies find racial disparities in heart disease risk, mortality   11/06/2012
African Americans are about twice as likely to die from coronary heart disease compared with their white counterparts, largely due to higher incidence of risk factors, according to a study in the Nov. 7 Journal of the American Medical Association. African-American women also have a higher rate of nonfatal coronary heart disease than white women, the study found. The findings are based on an analysis of 24,443 men and women enrolled in the Reasons for Geographic and Racial Differences in Stroke study, a federally supported study tracking stroke risk and cognitive health in a diverse sample of U.S. adults. A separate study appearing in the journal, which focuses on cardiovascular disease, found heart disease risk factors widespread among U.S. Hispanic/Latino adults, with 80% of men and 71% of women having at least one risk factor for heart disease.
Reminder: AHA Town Hall webcast tomorrow   11/06/2012
Tune in for the next AHA members-only Town Hall Interactive webcast tomorrow at 4 p.m. Eastern Time. AHA President and CEO Rich Umbdenstock, Executive Vice President Rick Pollack and Senior Vice President of Federal Relations Tom Nickels will discuss the election results and what they may mean for the hospital field. Hosted by AHA leaders, members-only Town Hall Interactive webcasts focus on advocacy and other important developments in the hospital and health care field. For more information, call (800) 424-4301.