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Discern, LLC

1501 Sulgrave Avenue, Suite 302

Baltimore, Maryland 21209

(410) 542-4470 phone

(410) 542-9990 fax

 

DISCERN NEWS

 

August 2010

 

Maryland Health Care Commission Selects Discern for Second Phase of Patient-Centered Medical Home Program Development

Discern recently received procurement funding from the Maryland Health Care Commission to continue working on the state's patient-centered medical home (PCMH) pilot program, slated to launch to 50 primary care practices in January 2011. While the first phase of the project involved designing a shared savings payment structure and quality standards for the PCMH, the second phase focuses on medical home implementation.

Specifically, Discern will analyze the PCMH payment methodology further to finalize the incentive formula for participating physicians. Discern will also assist with physician transformation to become a medical home, including providing technical support to practices about NCQA PCMH recognition via outreach sessions and developing a payment calculator to determine a practice's rewards potential. Discern is excited to continue its involvement with this important project.

The Baltimore Business Journal recently featured Discern's work in the article, "Md. outlines payment plan for new patient care model."

 

Guy D'Andrea to Speak at Pittsburgh Business Group on Health's Annual Symposium

Discern President Guy D'Andrea is scheduled to speak about "Chronic Care Management: Framework and Strategies Under Health Care Reform" at the Pittsburgh Business Group on Health's Annual Symposium on September 9. The event will be held at the Pittsburgh Marriott City Center. Click to learn more about the symposium or to register.

 

Discern Welcomes New Operations Manager

Nancy Coon recently joined the Discern team as Operations Manager. She will oversee Discern's day-to-day operations, including general bookkeeping, human resources tasks, internal office operations and vendor relationships. Previously, Nancy worked as an Administrative Assistant at Re/Max 100, where she coordinated marketing and administrative activities for a group of real estate agents. She has also served as a Management Analyst at the U.S. Department of Commerce, Bureau of Export Administration, and a Labor Relations Assistant at the U.S. Internal Revenue Service. Please join us in welcoming Nancy!

 

April 2010

Discern to Support Development of Payment Methods for Patient-Centered Medical Homes

in Maryland

 

Discern has been awarded a contract by the Maryland Health Care Commission (MHCC) to assist in the development of payment methods for patient-centered medical homes. SB 855, unanimously passed by the state legislature and signed by Governor Martin O'Malley on April 13, directs the MHCC and the state's health plans to establish a patient-centered medical home pilot program. The legislation requires that the MHCC develop a methodology for payment to medical homes participating in the pilot program. Discern will support this task by:

 

· Conducting analyses and making recommendations regarding formulae for the per member per month (PMPM) component of the payment

· Examining issues for devising a shared savings payment methodology

 

As part of this project, Discern will analyze the fixed and variable costs that primary care practices incur to operate as medical homes, and the value they create through improved patient health status and reduced hospitalizations.

 

In addition to the patient-centered medical home project, Discern has experience working on a variety of initiatives to develop and implement innovative payment methods that promote better health system performance.

 

 

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