Coordinated Care
Looking for PCMH activities that you can undertake to apply coordinated care to your practice now? Menomonie’s Red Cedar Clinic and the Medical College of Wisconsin share some of their current successful strategies as well as their frustrations.
or Mayo Clinic Health System in Eau Claire and Menomonie, care management nursing is a key component in reducing costs. The clinics have contracted with Group Health of Eau Claire and will utilize a shared savings model in a new Patient Centered Medical Home joint venture. The clinics will bring in insurance company care coordination nurses, who will become part of the clinic care management nursing staff, following the Geisinger model. The clinics will have access to insurance risk and claims data, with no downside risk.
The Medical College of Wisconsin is in the midst of contract discussions with UnitedHealthcare. Currently, more than 90% of Medicare patients will be eligible for a UnitedHealthcare plan that emphasizes care coordination. However, MCW and UnitedHealthcare discussions are at a standstill over the issue of shared savings. What has your experience been?

