Home visits by physicians improve care, reduce utilization, cut costs under Medicare risk.

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Abstract

Bringing back the doctor house call: Only 1% to 3% of your seniors are probably homebound frail elderly, but they're responsible for exorbitantly high costs. Unable to make office visits, they're at high risk for ER visits and hospitalization. The answer to improving their care and reigning in their costs are regular doctor house calls, say two physicians who practice in-home primary care. Here's why, plus details on their innovative program.

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医生的家访改善了护理,降低了利用率,降低了医疗保险风险下的成本。
把医生带回家:只有1%到3%的老年人可能是身体虚弱的老人,但他们要为过高的医疗费用负责。由于无法去办公室就诊,他们去急诊室和住院的风险很高。两位从事家庭初级保健的医生说,改善护理和控制费用的答案是医生定期出诊。以下是原因,以及他们创新项目的细节。
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Reach out to community to develop culturally sensitive patient care. CA study finds some challenges in Medicaid may be universal. Troubled PHO reveals Medicare risk contracting strategy. Model for PCP contracts offers right incentives for Medicare, Medicaid providers. Collect data, monitor claims receipts to ensure prompt Medicare, Medicaid payment.
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