House Health-Care Bill Would Establish 'Medical Homes' for the Elderly and Disabled: NO Doctors required!

- The House health-care reform bill proposes to decrease hospital visits by establishing a “medical home pilot program” for elderly and disabled Americans.
- Such a medical home would not require a physician to be on the staff,and therefore could be run solely by nurse practitioners and physician assistants
- Medical homes also would practice “evidence-based” medicine, which advocates only the use of medical treatments that are supported by effectiveness research.
- But physicians’ groups say the legislation could lead to restrictions on which treatments may be used for certain conditions, despite the fact that some patients might require a unique or unconventional approach
- It also may lead to dumping Medicare/Medicaid patients in facilities that are not required to have physicians on staff.
- The pilot program targets Medicare beneficiaries who have a high medical “risk score” or who require regular monitoring, advising or treatment. This currently applies to more than 22 million Americans,according to Kaiser Family Foundation statistics.
- “Demonstration projects being conducted by the Centers for Medicare& Medicaid Services must be carefully evaluated. There should be proven value in health care outcomes for patients and reduced costs to the healthcare system before there is widespread implementation of this model.”
Thursday, July 30, 2009
By Marie Magleby

Such a medical home would not require a physician to be on the staff,and therefore could be run solely by nurse practitioners and physician assistants. Medical homes also would practice “evidence-based”medicine, which advocates only the use of medical treatments that are supported by effectiveness research. <<<MORE>>>


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