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Medical homes and multipayer reform

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The C0mmonwealth Fund looks at the lessons of medical homes for multipayer reform.

The lessons:

  • Involve either the state or the federal government—or both—as a convener, payer, or key stakeholder.
  • Find common ground between payers and providers on a few key issues where there is already some general agreement—for example, common performance measures.
  • When payers are aligned from the start, they are much more likely to collaborate and exert a positive influence on program design.
  • Be cognizant that the local insurance market and policy environment are the primary forces shaping implementation.

 


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