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Colorado Multi-Payer Medical Home Pilot Reports Reductions In Emergency Visits & Hospitalizations

A preliminary analysis of the three-year Colorado Multipayer Patient-Centered Medical Home (PCMH) Pilot reported a significant reduction in emergency department visits and hospital admissions among the group of 100,000 patients involved. However, the pilot participants—six health plans, the state’s high-risk pool carrier, and 16 family or internal medicine practices—also reported numerous reimbursement obstacles. The Colorado Multipayer Patient-Centered Medical Home Pilot ran from May 2009 through April 2012. The health plan participants were UnitedHealthcare; Anthem, WellPoint; Aetna; Cigna; Humana; and Cover Colorado, the state’s high-risk pool carrier. The payers agreed to . . .

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