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Medical home theory fares poorly

Good intentions do not yield good results

Transforming America’s health system to create “Medical Homes” is a main ObamaCare concept intended to improve care by “actively managing chronic conditions with coordinated medical care.”

Unfortunately, intentions are not results. The best and largest study to date of this unproven idea showed minimal benefit.

A patient-centered medical home (PCMH) demonstration project did little to reduce costs and utilization or improve the quality of care, a 3-year study found.1

The explanation (per the David Myers, head of the coordinating federal agency…and this really is what he said) : “Nobody has figured out everything about primary care yet.”

The proposed reason for lack of improvement in health: They’ve been rewarding docs for achieving NCQA (National Committee for Quality Assurance) recognition in following guidelines. These guidelines for recognition as a Medical Home are the most widely-used way to transform primary care practices into medical homes.

A possible alternative reason: The process of actively managing care in the medical model may now work as well as hypothesized. (after all, according to their website the whole idea behind the NCQA Medical home model is because they “can lead to higher quality and lower costs, and can improve patients’ and providers’ experience of care.”2)

The Opportunity for chiropractors and other motion-based professionals to improve health across the healthcare system: Engage people to move more and better by clinically focusing recognition on improvement in movements, and then leveraging the awareness of functional improvement to exercise more effectively and often. Because of all the interventions, consistent exercise has the best potential for real, long-term health changes.

And all exercise begins with posture.

 

1 Medical Homes May Not Be the Answer http://www.medpagetoday.com/Washington-Watch/Reform/44476

2 NCQA.com Patient-Centered Medical Home Recognition –http://www.ncqa.org/Programs/Recognition/PatientCenteredMedicalHomePCMH.aspx

 

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