Patient-centered medical homes are valuable because they allow insurers to look at the cost of all of the patient’s treatments, services, and physicians throughout the continuum of care, explained Kim Eason, manager at Horizon Blue Cross Blue Shield of NJ.
Patient-centered medical homes are valuable because they allow insurers to look at the cost of all of the patient’s treatments, services, and physicians throughout the continuum of care, explained Kim Eason, manager at Horizon Blue Cross Blue Shield of NJ.
Transcript (slightly modified)
How can innovative programs like patient-centered medical homes improve cancer outcomes and care quality, while managing costs?
So the patient-centered medical home looks at the total cost of care and all the types of services and physicians that a patient may be seeing. Horizon was one of the first in the state of New Jersey, we partnered with the New Jersey American Academy of Family Physicians and 8 primary practices under our healthcare innovations division about 6 years ago to look at a patient-centered medical home model.
Since we were on the forefront with that, we understand that putting those integral pieces together and then looking at the cost along the continuum of care allows for that patient-centered medical home, or patient-centered medical neighborhood, to work. Because you’re bringing everyone together, and you’re looking at all the services that the patient’s having, and all of the physicians that can impact them as they’re going through their care treatments and along that care continuum.
Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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