![]() ![]() The different needs of patients and communities, and varying characteristics of practices must also be factors guiding PCMH payment reform. We conclude that the conceptual strengths and weaknesses of available payment models for medical home functions invoke a complex array of options with varying levels of real-world feasibility. ![]() Each of these overarching policy issues invokes a substantial subset of policy relevant research questions that collectively comprise a robust research agenda. These consist of paying for the basic medical home services, rewarding excellent performance of medical homes, incentivizing medical home connections to other community health care resources, and overcoming implementation challenges to medical home payments. Through this discussion we identify key dimensions to provider payment reform relevant to promoting enhanced primary care through the patient centered medical home. We also highlight some of the practical challenges that can complicate reimbursement reform for primary care and the PCMH. In discussing options for PCMH payment reform we consider issues in patient severity adjustment, performance payment, and the role of payments to community service organizations to collaborate with the PCMH. These include enhanced FFS payment for office visits to the PCMH paying additional FFS for "new" PCMH services variations of traditional FFS combined with new PCMH-oriented per patient per month capitation and combined capitation payments for traditional primary care medical services as well as new medical home services. In this paper, we describe a range of payment options to support the PCMH, identifying their conceptual strengths and weaknesses. How to buy a medical home? Policy options and practical questions. The various fuel types and their environmental footprints will be the focus of this month's column.… Heating your home seems like a simple subject to tackle, but there are many heating systems available, requiring different fuels, installations, and costs. When winter rolls around, keeping yourself and your home warm is of the utmost importance. In the Hot Seat-Analyzing Your Heating Options A major emphasis of this report is saving energy by utilizing the most suitable, recommended lighting option. Rooms and types of fixtures are shown on a matrix with watts saved by using the recommended type lighting for that room and room location. There is one section giving tips for various situations in specific rooms. Color, strategies for efficient lighting, and types of lighting are discussed. A light source selection guide gives the physical characteristics of these, design considerations, and common applications. Types of light sources described include natural light, artificial light, incandescent lamps, fluorescent lamps, and high intensity discharge lamps. ![]() This report covers many aspects of various lighting options for homes. This study aims at providing more rational criteria for selection between these options.The options considered are insulation of the walls, regeneration of the heat in the waste air, double glazing, attached sunspace at theĮnergy Technology Data Exchange (ETDEWEB) In the field of energy conservation many options are presently competing. (a) Grantees implementing a home-based program option must: (1) Provide one home. PROGRAM HEAD START STAFFING REQUIREMENTS AND PROGRAM OPTIONS Head Start Program Options § 1306.33 Home-based program option. ![]() 45 Public Welfare 4 false Home-based program option. ![]()
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