Metcare of Florida/Humana Patient-Centered Medical Home

Region Within State: 
Central and South Florida
Project Category: 
Insurer-Based
PROJECT STATUS
Target Start Date: 
Saturday, November 1, 2008
Pilot/Demo Length: 
1.5-2 years

Continue to evaluate the PCMH model of care and the impact on outcomes, quality, and cost for Medicare Advantage members. We will be evaluating the performance and success of the project on key clinical, financial, satisfaction and patient-centeredness measures. The evaluation will focus on comparing quarterly data with baseline data for both the test group and control group.

CONVENING ENTITY/PROJECT CONTACTS
Convening Organization Name: 
Humana
Primary Contact: 
Chris Corbin
E-mail: 
[email protected]
Phone: 
502/580-3820
Additional Contact
Name: 
Jose Guethon, MD, MBA
Phone: 
561/805-8500
Participating Stakeholders: 

Humana, Inc.; Metcare of Florida, Inc.

EXPECTED OR ACTUAL DEMOGRAPHICS OF PARTICIPATING PRACTICES
Number of Practices: 
9
Number of Participating Physicians: 
17
Physicians per practice: 
1-3
Types of Practices: 
Internal Medicine, Family Medicine
Health Plan Lines of Business Included: 
Medicare Advantage
Overall Number of Covered Lives: 
8527
Technology Characteristics at Start of Pilot: 

Estimated % of practices with practice management systems: >95%
Estimated % of practices with electronic medical record: <5%
Estimated % of practices with registry software: <5%

PRACTICE TRANSFORMATION SUPPORT (INCLUDING TECHNOLOGY)
Focal areas of transformation: 

Care Coordination
Increased Access
Information Technology (e.g., registries, patient portals)
Team Approach to Care

Technology that participating practices have added as a result of their participation: 

Development of patient registry and e-prescribing systems

PROJECT EVALUATION
Types of data to be collected : 

Clinical Quality Cost/Efficiency Patient Experience/Satisfaction Provider Experience/Satisfaction

Which of the data types are being shared?: 

Clinical, quality, cost, and satisfaction data

Are the practices involved in the demonstration participating in any data sharing arrangements? If so please describe.: 

Yes

Results to Share: 

Improvement in key diabetes indicators, Metcare’s utilization and financial indicators better than control group.

Relevant links: 

www.metcare.com