Queen City Physicians/Humana Patient-Centered Medical Home

Region Within State: 
Cincinnati
Project Category: 
Insurer-Based
PROJECT STATUS
Target Start Date: 
Monday, December 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 members in commercial and Medicare Advantage products. We will be evaluating the performance and success of the project on key clinical, financial, satisfaction, and patient-centeredness measures. The evaluation focuses on a comparison of quarterly data with baseline data for both the test group and the 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: 
Pamela Coyle-Toerner
Phone: 
513/246-8030
Participating Stakeholders: 

Humana, Inc; Queen City Physicians.

EXPECTED OR ACTUAL DEMOGRAPHICS OF PARTICIPATING PRACTICES
Number of Practices: 
4
Number of Participating Physicians: 
18
Physicians per practice: 
4-5
Types of Practices: 
Internal Medicne
Health Plan Lines of Business Included: 
Commercial, Medicare Advantage
Overall Number of Covered Lives: 
5200
Technology Characteristics at Start of Pilot: 

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

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

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

Services participating practices have added as a result of their participation: 

Diabetes education and clinical pharmacist.

Payment Model: 

Additional care coordination payment.

PROJECT EVALUATION
Types of data to be collected : 

Clinical Quality Cost/Efficiency Patient Experience/Satisfaction Patient Centeredness

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, Health insurance providers involved in the demonstration

Results to Share: 

Improvement in key diabetes indicators, reduction in key and overall medical expenses.

Relevant links: 

www.queencityphysicians.net