Electronic Medical care?
Health care's future may already exist
Insurers are testing a concept called 'medical home' that could transform how health care is delivered.
By
Parija B. Kavilanz, CNNMoney.com senior writer
July 23, 2009: 12:13 PM ET
NEW YORK (CNNMoney.com) -- It's time for your 2015 annual physical.
But your family doctor already knows all your vital readings from the self-tests you administered.
If she sees any problems, she'll send your electronic records to a specialist and coordinate the way you're treated. And the two of them will send periodic e-mail reminders of what you need to do to stay healthy.
This health care concept, called "patient-centered medical homes," could improve the overall quality of care, and save consumers time and money. But skeptics maintain that the financial savings aspect still has to be proven.
The model is already being tested in 44 states -- with such big health insurers as UnitedHealthcare, Aetna and Medicaid taking part -- and utilizes key components of President Obama's reform effort
In medical homes, the family physician is like a personal health coach, responsible for managing all aspects of the patient's health care needs, explained Paul Keckley, executive director of Deloitte Center for Health Solutions, a unit of consulting firm Deloitte LLP.
The doctor also leads a team of coaches -- including nurses, pharmacists, nutritionists and other medical professionals -- with the aim of providing a more "holistic" approach to health care.
Round-the-clock access, electronic health records, use of e-mail and phone communication, patient feedback, fee for service and fee for performance are all central to this concept.
The concept is about meaningfully changing the daily habits in a "population of chronic diseases," Keckley said, and "to do that you have to coach people and constantly manage and track their care through text message reminders, counselors and support groups."
Eventually, a healthier population would reduce the number of medical procedures and costly hospital admissions, potentially lowering consumers' insurance premiums.
Interest grows: Enthusiasm about medical homes is picking up, but only gradually. [more]
http://money.cnn.com/2009/07/23/new...medical_home/index.htm?postversion=2009072312