Navigation Links
Health reform: How community health centers could offer better access to subspecialty care
Date:8/30/2012

FINDINGS:
The Affordable Care Act will fund more community health centers, making primary care more accessible to the underserved. But this may not necessarily lead to better access to subspecialty care.

In a new study, researchers from the David Geffen School of Medicine and Robert Wood Johnson Foundation Clinical Scholars program at UCLA and colleagues investigated the ways in which community health centers access subspecialty care. They identified six major models and determined which of those six offered the best access:

Tin cup
Center providers rely on personal relationships with informal networks of subspecialists (the most prevalent model).

Hospital partnership
Center has a contract with a community hospital for subspecialty care.

Buy your own
Center hires subspecialists.

Telehealth
Telecommunications equipment is used to connect patients with subspecialists.

Teaching community
Centers train primary-care resident physicians and integrate subspecialists as faculty.

Integrated system
Centers are integrated with local government health systems or safety-net hospitals having subspecialist networks.

Of the six, the researchers found that the "integrated system" model offered the most comprehensive access to subspecialty care.

IMPACT:
Payment reform is needed to move community health centers toward becoming part of integrated systems. Two new initiatives of the Centers for Medicare and Medicaid Services (CMS) can help. First, the State Innovation Models initiative will provide $275 million for states to plan, design and test new payment and delivery system models that aim to involve all payers and providers in the state. Also, the CMS has issued guidance describing pathways for how states can design and implement integrated care models for Medicaid populations. The new research offers guidance for states in creating such models.


'/>"/>
Contact: Enrique Rivero
erivero@mednet.ucla.edu
310-794-2273
University of California - Los Angeles Health Sciences
Source:Eurekalert

Related medicine news :

1. You Survived Cancer: Now Pay Attention to Your Overall Health
2. NIH awards $20 million over 5 years to train next generation of global health researchers
3. Weill Cornell Medical College establishes Center for Healthcare Informatics and Policy
4. Esophageal Cancer Surgery Can Leave Lingering Health Problems, Study Says
5. Climate Change Could Be Tough on Seniors Health: Study
6. Supporting LGB children may influence their long-term health, BU study finds
7. U.S. Spends Too Little on Public Health Initiatives: Report
8. Optimal care of bariatric surgery patients vital for long-term health and well-being
9. Timing pregnancy an important health concern for women
10. Unique approach needed to accurately assess health of young adult cancer survivors
11. Social ties have mixed impact on encouraging healthy behaviors in low-income areas
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/25/2017)... ... July 25, 2017 , ... ... announced it will be exhibiting and providing demos of its smart journaling platform ... Washington Convention Center in Washington D.C. from August 3-6, 2017. , The APA ...
(Date:7/25/2017)... Jacksonville, Fla. (PRWEB) , ... July 25, 2017 , ... ... employee and father Ezra Clark is taking advantage of a new benefit for employees ... “It really means a lot that the company supports me and other employees as ...
(Date:7/24/2017)... Florida (PRWEB) , ... July ... ... Division Marketing Director,      (407) 916-7235, kklaproth(at)robinsmorton(dot)com , Robins & ... joined together to celebrate the structural topping out of the new Destination ...
(Date:7/24/2017)... , ... July 24, 2017 , ... ... federal Substance Abuse and Mental Health Services Administration’s (SAMHSA) State Targeted Response to ... Department of Health Care Services, will facilitate the development of a hub and ...
(Date:7/24/2017)... ... ... The International Essential Tremor Foundation (IETF) will host a free educational forum in ... take place on Saturday, Aug. 26 at the Embassy Suites by Hilton Cleveland Rockside ... a.m. to 12 p.m., with check-in beginning at 8 a.m. The event is sponsored ...
Breaking Medicine News(10 mins):
(Date:7/11/2017)... Md. , July 11, 2017  The global ... estimated revenues of approximately $394.1 million in 2016.  Although ... trend of solid growth, in particular as a result ... clinical practice, and the recent introduction of a significant ... need for less-invasive testing of tumor biomarkers to guide ...
(Date:7/11/2017)... 11, 2017 Oramed Pharmaceuticals Inc. (NASDAQ: ... company focused on the development of oral drug delivery ... Administration (FDA) has agreed to schedule an End-of-Phase II ... trial of its oral insulin capsule ORMD-0801 in the ... met primary and secondary endpoints by indicating a statistically ...
(Date:7/10/2017)... , July 10, 2017  BDI Group ... and patient support services organization serving specialty pharmacies, ... the launch of four significant, value-added member programs ... insights, better manage reimbursement and improve access and ... factor therapies. ...
Breaking Medicine Technology: