Medical Home Models - The Family Network on Disabilities of Florida
Medical Home Models - The Family Network on Disabilities of Florida
Medical Home Models - The Family Network on Disabilities of Florida
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Community Care <strong>of</strong> North Carolina• Uses $3 PMPM to cover costs <strong>of</strong> network management activities• <str<strong>on</strong>g>Network</str<strong>on</strong>g>’s management fees are competitive with those chargedby disease management vendors• Physicians are paid FFS at 95% <strong>of</strong> Medicare rates, plus a $2.50PMPM for medical home/populati<strong>on</strong> management activities• Web-based based case management informati<strong>on</strong> system to coordinatecare <strong>of</strong> enrollees. Can be used to ID high risk patients for chr<strong>on</strong>icdisease management• C<strong>on</strong>tracts with AHEC for chart reviews• All CCNC networks work together with state to track and reportperformance measures.• Outcomes have been excepti<strong>on</strong>al• CCNC clinical i l directors developed d a voluntary drug list. used toencourage the use <strong>of</strong> less expensive meds