Open Access. Powered by Scholars. Published by Universities.®

Social and Behavioral Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Massachusetts

Commonwealth Medicine Publications

2013

Articles 1 - 3 of 3

Full-Text Articles in Social and Behavioral Sciences

Implementing Integrated, Interdisciplinary Clinical Care Management In The Patient-Centered Medical Home, Jeanne Z. Cohen, Christine Johnson, Judith Steinberg, Sai Cherala Nov 2013

Implementing Integrated, Interdisciplinary Clinical Care Management In The Patient-Centered Medical Home, Jeanne Z. Cohen, Christine Johnson, Judith Steinberg, Sai Cherala

Commonwealth Medicine Publications

Clinical care management (CCM) of the highest risk, most complex, and costly patients is an integral component of the patient-centered medical home (PCMH) but a new service for many primary care practices. The Massachusetts Patient-Centered Medical Home Initiative (MA PCMHI) is a 3-year, multi-payer demonstration with 45 participating practices. Support for CCM implementation is provided through learning collaboratives and practice facilitation. Techniques for shared learning include developing a CCM interdisciplinary team workflow utilizing process mapping and modeling care plan development. MA PCMHI practices have found these techniques valuable for clarifying what a care plan is and visualizing existing workflows, so ...


Economic Wellbeing And Life Satisfaction Among Working And Non-Working Adults With Disabilities, Alexis D. Henry, Monika Mitra, John Gettens, Jianying Zhang Nov 2013

Economic Wellbeing And Life Satisfaction Among Working And Non-Working Adults With Disabilities, Alexis D. Henry, Monika Mitra, John Gettens, Jianying Zhang

Commonwealth Medicine Publications

Working-age adults with disabilities in the US are more than twice as likely to live in poverty as those without disabilities; poverty rates are greater among non-working people with disabilities compared to those who work. Poverty-associated stress compounds the challenges faced daily by people living with disability.

We examined satisfaction with finances, worries about meeting monthly expenses, and overall life satisfaction among working and non-working adults with disabilities using a 2010 Massachusetts Behavioral Risk Factors Surveillance System (BRFSS) follow-up survey of working-age adults with disabilities (n=882). The MA BRFSS Disability and Employment Follow-Up Survey gathered information on work participation ...


Accountable Care As A Health Reform Tool In Oregon And Massachusetts, Julia Feldman, Rachel Gershon Oct 2013

Accountable Care As A Health Reform Tool In Oregon And Massachusetts, Julia Feldman, Rachel Gershon

Commonwealth Medicine Publications

Over the past few years, Oregon and Massachusetts both established accountable care programs to help improve health care quality and reduce costs. However, some analysts remain skeptical regarding the ability of Accountable Care Organizations (ACOs) or other accountable care entities to rein in costs. Oregon and Massachusetts provide a laboratory for evaluating whether ACOs deliver the outcomes desired, which is especially important as millions of Americans gain access to health insurance under the Affordable Care Act (ACA) next year. This analysis examines each state’s approach.

As the nation grapples with health care policy challenges, accountable care emerged as a ...