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The neurologist as a medical home neighbor
Daniel B Hoch1, Mark C Homonoff, Heidi Moawad
1Massachusetts General Hospital (DBH), Boston; Beth Israel Hospital and Mt. Sinai School of Medicine (MCH), New York, NY; Children's Hospital Medical Center of Akron (HM, BHC), Akron, OH; Emory University (GJE), Atlanta, GA; American Academy of Neurology (AB), Minneapolis, MN; and UPMC Shadyside (NAB), Pittsburgh, PA.
Abstract:
Recent health policy initiatives designed to improve care coordination have stimulated the resurgence of the patient-centered medical home (PCMH) model. The details of how primary and specialty care are coordinated within the PCMH model are of interest to specialists. A good medical home "neighbor" must adhere to principles that complement the PCMH team-based approach and personal relationship to the patient. One issue for neurologists considering participation in this model is whether they will function as the principal physician for some patients, only in the role of a consultant, or take some new role. It is too early to suggest any one payment method as superior, or establish the appropriate capitation fees for practicing neurologists. Recommendations are provided for neurologists considering participation in a PCMH neighborhood.
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