Giving Away Dollars, Does it Make Sense
Obama Announces New Incentive Program for Healthcare Innovation
The Money Is On the Table
The Obama Administration announced yesterday that they will be kicking off an initiative to provide funding for “innovations” in federal healthcare programs which cut costs and improve patient outcomes. As reported by Devin Dwyer the initiative will “reward the most “compelling new ideas” for lowering costs and improving care through the utilization of lucrative federal grants. Specifically the money will be utilized to award projects that conduct testing and/or utilize new payment and delivery models. The government is looking to discover programs which are able to quickly and effectively cut healthcare costs. But many are questioning the efficacy and rationale behind this initiative.
- The Application period will run from June 14 to August 15
- Projects must be able to be implemented within six months to qualify for funding
- Special consideration will be given to project which generate jobs
- Selected Projects will be announced in March 2013
This Isn’t the First Time, and the Results are Questionable
In fact this isn’t the first round of federal grants awarded for Healthcare Innovation. A round one kick off of Health Care Innovation Awards occurred in May and June 2012 with 107 organizations receiving between $1 million dollars and $30 million dollars per “innovative” initiative. But some of the initiatives, while aimed at improving healthcare, do not appear to be expected to yield savings. Here is a snapshot of entities who received grants which are in excess of the expected savings they are going to produce
| Organization | Funding Received | Estimated Savings |
| Christiania Care Health System | $9.9 million | $376,327 |
| Denver Health and Hospital Authority | $19.7 million | $12.7 million |
| Family Service Agency of San Francisco | $4.7 million | $4.2 million |
| George Washington University | $1.9 million | $1.7 million |
| Lifelong Medical Care | $1.1 million | $1.1 million |
| YMCA | $11.8 million | $4.2 million |
| South County Community Health Center | $7.3 million | $6.2 million |
| Trustee of the University of PA | $4.8 million | $2.7 million |
| University of Arkansas | $3.6 million | $1.2 million |
There are many projects which do anticipate yielding large savings vs. the amount invested, but an overall look at the viability of this largely experimental incentive plan warrants examination. In fact, according to CMS in their project profile document “project data (e.g. gross savings estimates, population served, etc.) are three year estimates provided by each organization…[and] while all projects are expected to produce cost savings beyond the three year period, some may not achieve net cost savings until after the initial three year period..”
Though certainly the data does not reflect a net savings for each project vs. what the initial funding amount was (click here for the full CMS report) and some opponents of the initiative question the efficacy and the aims.
Is the Issue about Healthcare Innovation or Job Creation?
Some have questioned whether the incentives are around Healthcare Innovation, or a governmental push for job creation. Indeed, those applicants who address job creation are favored during the submission phase for round two, but let’s take a look at the amount awarded and the jobs created. In fact, the announcement of the upcoming initiative was couched as part of Obama’s “Can’t Wait” campaign, and slated an emphasis on job creation, though round one of the Innovations in Healthcare grants produced less than stellar results, and even these are tentative based on estimates.
Funding Granted in Round One: ~$893 Million Dollars
Estimated Jobs Created Through Funded Projects: 2,723.82 (thousand)
Cost per created job: $327,947
The verdict is out on whether this push for federal funds marked toward improving efficacy, efficiency, and care in the newly shaped healthcare arena will prove beneficial, or, is just as one republican critic called it, a “$1 billion dollar experiment”
We would love to hear what you think, send us an email at newideas@bhmpc.com or connect with us on Linked In!
BHM Consultants Cover On Trend Topics Through Quality Contribution
Summary: BHM has recently formed guest blog and publication relationships. Guest blogging provides a wonderful way to 
network with our peers, while contributions to the leading healthcare newsletters and journals work toward sharing BHMs knowledge of the healthcare industry.
BHM Healthcare Solutions (BHM) is excited to announce our recently formed publication partnerships. These partnerships are extending across a variety of media and allow experts in their fields to share content and knowledge with a broader audience. In addition to this BHM consultants are frequent guest bloggers, allowing for virtual networking by expanding beyond the boundaries of one’s own site, and allowing expert content to reach a broader audience.
BHM is pleased to share our recently formed professional writing partnerships.
Dorland Health is “a leading integrated media publisher in the healthcare business information industry”. Dorland Health provides publications, directories, webinars and business information services. BHM was fortunate to partner recently with Dorland Health to present a webinar titled Newsflash: CMS Now Reimbursing for Care Coordination. This webinar explained the new medical home codes which became effective January2013. Additionally, BHM published an article titled The Cause-Effect Relationship of Substance Abuse and Depression, a valuable read with the latest news on depression and its associated impacts, which appeared in Dorland Health’s Case in Point
Medical Home News is a newsletter dedicated to the topic of Medical Homes, sometimes referred to as Patient Centered Medical Homes or 
Patient Centered Health Care Homes. BHM has shared their expertise by publishing Overcoming Barriers to Medical Home Implementation. Another publication that BHM consultants recently appeared in was Accountable Care Today which featured an article entitled Pitfalls for Managed Care Organizations- A Cautionary tale for the ACO. Another article is due to be released related to ACOs in late summer 2013.
Advance Magazine is a national healthcare magazine with a mission to “enhance the careers of healthcare professionals everywhere by publishing a series of free news magazines”. Advance was created in 1985 and serves as a wonderful healthcare resource. BHM is releasing in May 2013 an article regarding ICD-10 code changes entitled ICD-10: Understanding the Financial Ramifications.
M2 Multimedia Communications “creates award-winning videos, animation and internet platforms for science and technology-oriented companies, organizations and agencies”. BHM has been fortunate to be guest contributors for M2Inspired. The most recent contribution was an excellent article titled Quantified Self – Self Knowledge through Numbers. This article explored the use of personal data to track health and fitness goals and measures. Additionally, we posted an article titled 2012’s Nobel Prize Winners in Chemistry which talked about the accomplishments and the many years of research attributed to both Robert Lefkowitz and Brian Kobilka for their discovery in G-Protein Couple Receptors.
Telvox is a company that provides “high tech human touch” to clients such as dentists, doctors, hospitals and health plans. Televox was created in 1992. Scott Zimmerman is the President of Televox and has published articles on our BHM site such as Reducing Healthcare Costs with Increased Communication and Digital Disclosing is Saving Lives.
The Profitable Practice is a blog which is associated with Sound Advice. Brittany Richards published a wonderful article on our BHM site titled 4 
Best Practices for Collecting Out Of Pocket Patient Fees.
Finally, two of BHMs consultants, Linda Ringquist, and Danyell Jones have been selected as frequent contributors to HealthworksCollective, one of the best healthcare blogs online which highlights “the world’s best thinkers in healthcare.” Frequent contributions from both authors can be found on the site, and we encourage you to visit and join this fast growing community.
About BHM Healthcare Solutions
BHM is a healthcare management consulting firm whose specialty is optimizing profitability while improving care in a variety of health care settings. BHM has worked both nationally and internationally with managed care organizations, providers, hospitals, and insurers. In addition to this BHM offers a wide breadth of services ranging including managed care consulting, strategic planning and organizational analysis, accreditation consulting (i.e. URAC accreditation, NCQA accreditation), healthcare financial analysis, physician advisor/peer review, and organizational development.
Managed Care: Eat or be Eaten
The Movement to Managed Care (MCO) Creates Merger Mania
In the environment of Accountable Care and Healthcare Reform, more and more states are driving care of the Medicaid recipients to Managed Care Companies. These companies are to ensure that appropriate care is provided to “enrollees” through a network of qualified providers. They are also in charge of ensuring that care which is provided is done so in a fiscally responsible manner and have to balance the provision of the highest quality care, with the best outcomes, in the least cost intensive manner. It is an enormous undertaking which is being driven at the state level, and one in which an environment of “eat or be eaten” is emerging as mergers and acquisitions are ramping up for both Managed Care Organizations and Healthcare Providers.
MCO Mergers and Acquisitions
With the entrance of the Affordable Care Act, which calls for major investments in infrastructure, and expansion of larger covered populations, many of the smaller Managed Care Organizations are struggling to determine how they will cover all of the costs on the horizon. The stakes are raised more for those organizations who will be looking to cover dual eligibles- those who are eligible for both Medicaid and Medicare. Currently the state and federal government spend roughly $300billion dollars per year on 9 million dual eligibles. With a fixed population to care for, and a limited amount of funds, smaller MCOs are expected to see a struggle in containment of costs.
This began to lead to speculation of mergers in 2012, which is already coming to fruition. Mergers will allow larger organizations to take a bigger piece of the financial pie to take care of recipients and allows for the division of administrative costs over many facilities. Implementation costs are expected to prove challenging from a financial viability standpoint for the smaller MCOs which may not see enough cost savings to implement some of the called for modifications of the Affordable Care Act. Additionally, larger MCOs will have the benefit of expanding their provider networks, and with massive consolidated power may be able to leverage this to their advantage when negotiating contract rates for hospitals and physicians, especially those who are largely dependent upon Medicaid/Medicare for their practice revenue.
Large MCOs currently may additionally be hampered. With a saturated market and stagnant growth, the only future growth opportunity may lie in the acquisition or consolidation of other smaller MCOs which often target a small, localized, or specialized market. Of course potential mergers are not limited to the larger MCOs. There is a decided move toward consolidation of MCOs of smaller size who are taking into account the potential impact of Waiver 1115, an experimental Waiver which some have predicted may leave opportunity for the unwinding of mid sized MCOs. The basic thought for some of the smaller MCOs is that mergers and consolidation now will put them in a position where they are “too big to be unraveled” with the implementation of Waiver 1115, and is leading to the consolidation of many smaller organizations hoping to boost their numbers for added stability and a stronger bargaining stance in the face of further reform uncertainty.
Predictions Bearing True
In 2012 Barron’s Financial Magazine predicted a frenzy of mergers and acquisitions and listed the following companies as “tasty acquisitions” for larger groups:
Providers Rush to Go Big or Go Home
with the emphasis on MCO consolidations, there is a trickle down effect impacting providers who realize that in order to position themselves from a negotiating standpoint with these large organizations, they have to become larger themselves. The MCOs are contracted to administer Medicaid funds, and while they are not directly responsible for setting payment rates for providers, they can control who is included in their provider network. Additional concern is popping up related to an “all products” clause. The “all products” clause basically necessitates that a provider participate in all of an insurers networks if they want to be included in any of them at all. This give enormous power to MCOs and insurers and leaves Providers and Physicians at the mercy of large organizations. Failure to gain inclusion into a state run Mediciad MCO Network, for a provider group that has relied upon Medicaid patients as their primary population can spell financial doom for small practices. Both physicians and hospital groups are now looking to merge and consolidate in order to gain more effective collective bargaining power in the face of enormous MCOs.
BHM Welcomes New SVP, IRO Division Mike Forrester, PhD
Summary: BHM Healthcare Solutions is pleased to announce the appointment of Mike Forrester, PhD to the position of 
Senior Vice President of IRO (Physician Advisor Services). Dr. Forrester brings a wealth of expertise from both a clinical and business perspective.
BHM Healthcare Solutions (BHM) is excited to announce the appointment of Mike Forrester, PhD to the position of Senior Vice President of IRO Services. Dr. Forrester is a clinical psychologist who has been a leader in the managed care and disease management organizations for several years. Dr. Forrester received his PhD in clinical psychology from Kent State University. Dr. Forrester’s most recent experience includes working with Optum Health, Health Integrated and Magellan Behavioral Health.
Dr. Forrester will lead BHM’s Physician Advisor/Peer Review Division also referred to as Independent Review Organization (IRO). BHM’s IRO division has a panel of physician advisors who perform independent reviews of health insurance claim denials. BHM has received URAC accreditation for our IRO services. As such, this division is growing at a rapid pace more than doubling in one year in terms of reviews completed, number of clients, and number of physician advisors. BHM has a state of the art portal which enables clients and physicians the ability to collaborate in an efficient manner through an online portal which meets all of the standards of quality and excellence set forth by URAC. Dr. Forrester has stated, “BHM Healthcare Solutions is full service healthcare management consulting organization. The organization provides support to providers, integrated delivery systems, Health Plans, and others in effectively managing the delivery of behavioral health and other related areas.”
BHM’s IRO division is experiencing tremendous growth. Enhancements are continually being made on the automated portal system. Dr. 
Forrester’s background will provide the leadership and guidance needed to continue to expand our IRO division.
About BHM Healthcare Solutions
BHM is a healthcare management consulting firm whose specialty is optimizing profitability while improving care in a variety of health care 
settings. BHM has worked both nationally and internationally with managed care organizations, providers, hospitals, and insurers. In addition to this BHM offers a wide breadth of services ranging including managed care consulting, strategic planning and organizational analysis, accreditation consulting, financial consulting for healthcare, physician advisor/peer review, and organizational development.
BHM Participates in CMS Now Reimbursing for Care Coordination Webinar
Summary: BHM Healthcare Solutions recently participated in Newsflash: CMS Now Reimbursing for Care Coordination 
webinar which was hosted by Dorland Health. The webinar featured information about the new transition codes which provide additional reimbursement opportunities for physicians and other healthcare professionals.
BHM Healthcare Solutions is a healthcare management consulting firm providing a full range of healthcare services, including: managed care consulting, strategic planning and organizational analysis, accreditation consulting, financial management of health care, physician advisor/peer review, and organizational development.
Cynthia Young is a Senior Consultant with BHM. Cynthia has years of healthcare administration, medical practice development, practice transition experience, and management experience. For the last 10 years, she has provided quality healthcare management consulting services to the medical community and assisted physicians, healthcare facilities and ancillary providers with developing and optimizing their practice efficiencies. Ms. Young’s 12 years of primary source verification and credentialing experience, including TJC, NCQA, AAASC & AAAHC facilities, has enabled her to differentiate herself in the healthcare industry. Additionally, she has led successfully six TJC accreditation surveys, including Office-based Surgery, with each facility granted approval accreditation during the first survey.
Dorland Health recently hosted a webinar entitled Newsflash: CMS Now Reimbursing for Care Coordination Webinar. Cynthia Young was one of four panel experts who presented the advantages of the new TCM codes, which became effective January 1, 2013. Cynthia spoke from the perspective of the advantages to a physician’s practice. Transitional Care Management Services (TCM) is the transition from an inpatient hospital setting (including acute hospital, rehabilitation hospital, long-term acute care hospital), partial hospital, observation status in a hospital,
or skilled nursing facility, to the patient’s community setting (home, domiciliary, rest home, or assisted living) in order to prevent re-admissions. They involve one office visit, plus care coordination, in the 30-day transition period when certain patients are discharged from an inpatient hospital or nursing facility to their home, community setting, or assisted living facility. The webinar explained the new codes, provided insight as to who can bill for the new codes, which patients are eligible, and when they should be billed. Care coordination has been an important aspect of healthcare, but up until January 1, 2013, these services were not eligible for reimbursement.
About BHM Healthcare Solutions
BHM is a healthcare management consulting firm whose specialty is optimizing profitability while improving care in a variety of health care settings. BHM has worked both nationally and internationally with managed care organizations, providers, hospitals, and insurers. In addition to this BHM offers a wide breadth of services ranging including managed care consulting, strategic planning and organizational analysis, accreditation consulting, financial consulting for healthcare, physician advisor/peer review, and organizational development.
BHM Healthcare Solutions Assists Eastpointe in the Transition to MCO
Summary: Eastpointe, a local management entity (LME) officially transitioned to a live and operational Managed Care Organization on Jan. 1st 2013. At this time the organization became responsible for the authorization and management of services for mental health, substance use, and intellectual and developmental disabilities for Medicaid recipients in a 12 county region of North Carolina.
The state of North Carolina has been leading the way in healthcare delivery redesign with the transition of care provided for Medicaid enrollees being designated by newly formed Managed Care Organizations (formerly Local Management Entities). The goal of these organizations, as stated on the NC Department of Health and Human Services website “is to create community health networks to achieve long-term quality, cost, access, and utilization objectives.” This is achieved through the provision of services by a network of providers who are contracted with the Managed Care Organization.
BHM consultants began working with Eastpointe on the transition to managed care back in 2010 when they assisted the organization in 
submitting an application to be chosen as one of the Managed Care Organizations. This work continued after selection, when BHM consultants worked with individuals at Eastpointe in a consultative and supportive role to ensure that the organization was able to be operational as an MCO by Jan. 1st 2013. This work included assistance with IT architecture, provider relations, quality management, clinical operations, URAC Accreditation, and financial advisory and analysis.
Eastpointe was one of five organizations who were selected to “go-live” Jan. 1st and successfully met the standards to become an MCO. “We believe that this is a fantastic success for our clients” stated Mark Rosenberg, CEO of BHM Healthcare Solutions. “Eastpointe is led by a phenomenal team of people, and it has been our pleasure working with them. We are excited to see their success in achieving this important milestone.”
About BHM Healthcare Solutions
BHM is a healthcare management consulting firm whose specialty is optimizing profitability while improving care in a variety of health care settings. BHM has worked both nationally and internationally with managed care organizations, providers, hospitals, and insurers. In addition to this BHM offers a wide breadth of services ranging including accreditation, healthcare financial analysis, clinical operations, physician advisor services, quality improvement, and denial management.
BHM – Top 100 Health Care Organizations to Watch for 2013
Summary: BHM Healthcare Solutions has been named by MHA as one of the “Top 100 Health Care Organizations to Watch for 2013”. The Top 100 includes hospitals and clinics, health management and administration, and health information technology categories.
BHM Healthcare Solutions (BHM) is appreciative of the inclusion as one of “The Top 100 Health Care Organizations to Watch for 2013.” It is a credit to the healthcare management consulting industry as a whole and stresses the fact that sometimes healthcare organizations need assistance deciphering and complying with the dynamic healthcare industry. The categories included in MHA’s Top 100 list are: hospitals and clinics, health management and administration, and health information technology. It is an honor to be recognized in the same class of organizations as: Kaiser Permanente, Health Management Associates (HMA), Healthcare Information and Management Systems (HIMSS), American Society for Healthcare Human Resources Associates (ASHRA), AAPC, and Healthcare Financial Management Association (HFMA).
BHM is currently working on many strategic initiatives including assisting organizations and providers in transitioning to managed care, assisting medical homes in achieving accreditation, and most recently assisting organizations in locating healthcare experts for litigation. We are actively involved in social media including Linkedin, Google +, Twitter, and Facebook. We have established a Linkedin group called Healthcare Insider and five communities on Google + including: Healthcare Insider, Healthcare Accreditation, Healthcare Integration, Managed Care, and Healthcare Reform. Recently. We have expanded beyond our company borders to form reciprocal blogging relationships which is such a wonderful way to network with other healthcare organizations.
BHM’s website contains a wealth of information to assist organizations with unraveling the complexities of healthcare. Included on our website 
is a healthcare blog which is updated daily, free presentations on Medical Necessity Criteria, Mental Health Parity, Electronic Medical Records, and Denial Management, and case studies. We are currently in the process of finalizing additional free information regarding healthcare accreditation as well. Additionally, BHM has achieved URAC accreditation for our IRO services as well as PCHCH Auditor Certification which allows us not only to assist with the accreditation process but also allows us to perform the official audit for URAC. BHM is one of only 6 organizations in the country to have achieved this designation.
The healthcare industry is dynamic in nature. Health care organizations experience great difficulty in remaining current and complying with the ever-changing legislation while trying to avoid enormous penalties associated with non-compliance. Some of the current issues include: changing technology (such as electronic medical records), aging population, HIPAA compliance, ICD-10 coding, medical homes and the accreditation thereof, Accountable Care Organizations, Health Insurance Exchanges, transitioning to Managed Care Organizations, and changes to Medicare/Medicaid.
The Masters of Health Administration Programs (MHA) http://www.mhaprograms.org is an organization which offers a wide variety of topics 
relating to health administration. Some of these topics include: salary and job advancement opportunities, types of degree programs, and a listing of accredited online institutions. A Masters of Health Administration allows a student to specialize in health administration which is a great compliment to the traditional MBA, as it combines the fundamental aspects of both medical and business. An MHA gives healthcare professionals a competitive advantage.
BHM would like to thank MHA programs for the inclusion in the Top 100 Health Care Organizations to Watch for 2013. Congratulations to the remaining 99 companies! The full article may be found: http://www.mhaprograms.org/organizations-to-watch.html.
Company Info
BHM is a healthcare management consulting firm whose specialty is optimizing profitability while improving care in a variety of health care settings. BHM has worked both nationally and internationally with managed care organizations, providers, hospitals, and insurers. In addition to this BHM offers a wide breadth of services ranging including accreditation, financial risk management, denial management, revenue cycle, clinical operations, quality improvement, physician advisor services and denial management.
We would like to offer a free presentation on Mental Health Parity as a token of our appreciation for visiting our site. Please click the gift box below.
BHM Healthcare Solutions Celebrates the Medical Home
Summary: BHM Healthcare Solutions is proud to help celebrate the Medical Home as this is our main emphasis for the
month of February. PCMH is the wave of the future and expanding daily in terms of numbers, recognition, and acceptance.
A Medical Home is a patient-centered model of health care which centers around the patient (including in all healthcare decisions) and delegates the responsibility to the Primary Care Physician to coordinate care with laboratories, radiology and other specialists. Medical Homes are often referred to as Patient Centered Medical Homes (PCMH) or Patient Centered Health Care Homes, depending upon organizational preference. The terms are, however, synonymous.
BHM Healthcare Solutions is celebrating Medical Homes during the month of February by writing a blog post series entitled Patient Centered Medical Home: What it Takes to become PCMH Accredited, writing press releases, providing status updates for Linkedin, Google +, Facebook, and Twitter, actively posting in BHM’s social media groups/communities, and engaging in other social media groups which focus on Medical Homes and Patient-Centered Care.
Once an organization has become a Medical Home, there are several options to achieve patient centered health care home accreditation: URAC PCHCH Accreditation, TJC Accreditation (Primary Care Medical Home Certification), NCQA Accreditation (Patient Centered Medical Home 2011), AAAFC Accreditation (Medical Home Accreditation and Medical Home Certification) and the newly added CARF Accreditation (Health Home).
The Medical Home concept is a result of the Affordable Care Act (ACA), which was enacted in 2010. The ACA focuses a lot of attention on the patient, being the center of his care and going as far as incentivizing organizations which properly create and maintain a Medical Home. BHM is proud to celebrate the Medical Home.
Company Info
BHM is a healthcare management consulting firm whose specialty is optimizing profitability while improving care in a variety of health care settings. BHM has worked both nationally and internationally with managed care organizations, providers, hospitals, and insurers. In addition to this BHM offers a wide breadth of services ranging including accreditation (i.e. PCHCH Auditor), financial risk management, denial management, revenue cycle, clinical operations, quality improvement, physician advisor services and denial management.
BHM Healthcare Solutions Assists Western Highlands Network with URAC Accreditation
Summary: Western Highlands Network (WHN) in collaboration with senior consultants at BHM Healthcare Solutions was
recently awarded URAC Accreditation in Health Utilization Management, Health Call Center and Health Network. The 3-year accreditation is a testament to WHN’s commitment to quality and efficiency of healthcare service provision and management.
Western Highlands Network (WHN) was recently awarded a 3-year URAC Accreditation for Health Utilization Management, Health Call Center, and Health Network. BHM Healthcare Solutions, a comprehensive healthcare management consulting firm, provided assistance to WHN that was pivotal in reaching accreditation success. URAC is the largest accrediting body for healthcare organizations and is recognized nationwide. URAC Accreditation is a symbol of excellence and commitment to the responsible provision of quality care.
Western Highlands Network connects the population it serves with mental health, substance abuse, and developmental disability care providers. This organization needed to become a Managed Care Organization (MCO) as specified in the Affordable Care Act. To make this transition, WHN first had to attain URAC Accreditation or it would not be permitted to continue delivering services.
Preparation for the accreditation process began with a comprehensive gap analysis to determine how the organization’s existing standards and practices compared to URAC specifications for the three modules. Using the results of this analysis, BHM’s URAC Accreditation Assistance Team developed a well-defined project plan and worked with the organization’s human resources team to assign specific tasks to a selected team of the organization’s staff members. BHM consultants prepared WHN’s team by conducting similar question and answer sessions they would encounter in the actual URAC surveys. “We are so pleased to have assisted Western Highlands Network reach their goal of accreditation,” states Mark Rosenberg, President of BHM. “WHN has long been committed to excellence,” he continued, “and we know that the new URAC Accreditation corroborates their promise to continue to provide the highest quality behavioral healthcare services.”
Company Info
BHM is a healthcare management consulting firm whose specialty is optimizing profitability while improving care in a variety of health care 
settings. BHM has worked both nationally and internationally with managed care organizations, providers, hospitals, and insurers. In addition to this BHM offers a wide breadth of services ranging including accreditation, financial risk management, clinical operations, quality improvement, and denial management.
BHM Healthcare Solutions Congratulates Patient Point-Florida on Accreditation Success
Summary: BHM extends sincere congratulations to Patient Point-Florida on their recent accreditation success. One of Patient Point’s 
multi-site providers in New York was awarded NCQA accreditation for Patient Center Medical Home.
BHM Healthcare Solutions would like to extend its sincere congratulations to Patient Point-Florida on their recent accreditation success. One of Patient Point’s multi-site providers in New York was awarded NCQA accreditation for Patient Center Medical Home.
Patient Point is committed to providing ‘solutions and services which streamline the coordination of care.’ Your organization offers solutions to providers, health plans, and pharmaceutical companies that improve patient outcomes and enhance quality measures across the care continuum. BHM, a comprehensive healthcare management consulting firm, understands the both difficulty and the importance of pursuing accreditation and commends Patient Point for the commitment to excel in the delivery of safe, effective and quality care.
The Patient Point provider achieved NCQA accreditation for Patient Centered Medical Home which identifies clinician practices 
functioning as medical homes by using systematic, patient-centered and coordinated care management processes. A Patient-Centered Medical Home is a healthcare setting focused on the patient: the whole person, their history and symptoms. The intention is to provide better, more personal, more comprehensive care to individuals, delivered not at a home, but by a team led by a general practitioner and comprised of nurses, pharmacists and specialists. PCMHs not only focus on care that is customized to each individual, encompassing family history and a preventive care plan, but also concentrate on supporting the emotional side of the patient as well as the physical.
Given the relevance in today’s healthcare reform landscape, BHM again applauds Patient Point on this success and affirms that this accreditation will better position the provider as the ACA continues to be implemented.
Company Info
BHM is a healthcare management consulting firm whose specialty is optimizing profitability while improving care in a variety of health care settings. BHM has worked both nationally and internationally with managed care organizations, providers, hospitals, and insurers. In addition to this BHM offers a wide breadth of services ranging including accreditation, financial risk management, HIPAA compliance, physician advisor services, clinical operations, quality improvement, and denial management.