Illinois

As early as 2001, efforts began in the State of Illinois to improve access to medical homes, beginning with children with special health care needs. The Title V Children with Special Health Care Needs Program, Division of Specialized Care for Children (DSCC) partnered with the Illinois Chapter of the American Academy of Pediatrics to begin paying primary care physicians for care coordination services. A statewide medical home learning collaborative was implemented that expanded from pediatrics to physician practices serving adult Medicaid patients with multiple chronic conditions.

In 2006, the Illinois Department of Healthcare and Family Services (HFS) implemented a Primary Care Case Management Program founded on the Medical Home concept called Illinois Health Connect. A study conducted by the Robert Graham Center showed that between 2007 and 2010, Illinois Health Connect saved the state $531 million in healthcare costs with a reduction in emergency department visits and hospitalizations. In June 2012, the Illinois Legislature passed a series of Medicaid reforms known as the SMART Act resulting in sweeping changes to the Medicaid program. Roled into the SMART Act was the 2011 act (PA96-1501) that requires that 50% of Medicaid recipients be enrolled in care coordination programs by 2015. As a result of this ambitious comprehensive care delivery reform, the Department of Healthcare and Family Services (HFS) has incentivized the development of different models of care coordination including: Coordinated Care Entities (CCEs)Managed Care Community Networks (MCCNs)Managed Care Organizations (MCOs), and Accountable Care Entities (ACEs). The newest model for integrated care delivery is the Accountable Care Entity, created by Public Act 98-104 in July of 2013.  

CHIPRA: 
Yes
MAPCP: 
No
Dual Eligible: 
Yes
2703 Health Home: 
Yes
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
12,797,300
Uninsured Population:
11%
Total Medicaid Spending FY 2013: 
$15.7 Billion 
Overweight/Obese Adults:
64.7%
Poor Mental Health among Adults: 
38.5%
Medicaid Expansion: 
Yes 
CPC+: 

Integrated Health Homes

In 2018, Illinois's State Plan Amendment was approved to create a Severe Mental Illness (SMI) Health Home. The Integrated Health Home (IHH) program is a new, fully-integrated form of care coordination for all members of the Illinois Medicaid population.

Emergency Rooms Run Out of Vital Drugs, and Patients Are Feeling It

CHICAGO — George Vander Linde tapped a code into the emergency room’s automated medicine cabinet. A drawer slid open and he flipped the lid, but found nothing inside.

Mr. Vander Linde, a nurse, tried three other compartments that would normally contain vials of morphine or another painkiller, hydromorphone. Empty. Empty. Empty.

News Author: 
Katie Thomas

AMA Report Shows National Progress Toward Reversing Opioid Epidemic

CHICAGO – The American Medical Association (AMA) issued a new report today documenting  how physician leadership is advancing the fight against the opioid epidemic.

AAFP Urges Swift Passage of Primary Care Patient Protection Act

Bill Would Cover Primary-care Visits That Patients Often Skip

The AAFP this week called on Congress to pass the recently introduced Primary Care Patient Protection Act, which would make it easier for patients with high-deductible health plans (HDHPs) to see their primary care physicians.

Primary Care Patient Protection Act Makes Necessary Health Services Affordable

“Americans will have access to essential primary care and preventive health services under the Primary Care Patient Protection Act of 2018, introduced this week by U.S. Representatives Brad Schneider (D-Illinois) and Elise Stefanik (R-New York). The American Academy of Family Physicians applauds the introduction of this bill. Requiring high-deductible health plans to include a set of primary care visits independent of cost for patients will bring necessary health services within the financial reach of millions of Americans.

2018 American Academy of Home Care Medicine (AAHCM) Annual Meeting

2018-10-25 09:00 to 2018-10-27 15:00

Save the date for the 2018 AAHCM Annual Meeting! The AAHCM Annual Meeting will be an independent standalone conference for the second year, building on our previous success of providing leading edge clinical and practice administration content. We are pleased to tell you that the Annual Meeting will take place October 25-27. A preconference session is planned for October 25 followed by a day and a half of engaging, current and though-provoking content.

Announcement Type: 

Trying to Put a Value on the Doctor-Patient Relationship

In October 2014, my father was startled to receive a letter announcing the retirement, in a month’s time, of our family physician. Both he and his doctor were in their late 60s by then, and their relationship went back about 30 years, to the early 1980s, after my father followed his father and paternal grandparents, all from the Midwest, to Southwest Florida. How they began seeing the doctor is beyond memory, but as my father’s grandparents grew increasingly frail, his father frequently drove them to their doctor for checkups.

News Author: 
Kim Tingley

Immigration With three months left in medical school, her career may be slipping away.

MAYWOOD, Ill. — Rosa Aramburo sailed into her final year of medical school with stellar test scores and high marks from professors. Her advisers predicted she’d easily land a spot in a coveted residency program.

Then President Trump announced the end of the Obama-era program that has issued work permits to Aramburo and nearly 700,000 other undocumented immigrants raised in the United States.

“Don’t be surprised if you get zero interviews,” an adviser told her.

North Arlington Pediatrics

Practice Type: 
Primary care practice
Practice Setting: 
Suburban
Practice Address: 
1430 N Arlington Heights Rd
Arlington Heights, IL 60004

CAPG Educational Series 2016: April's Symposium

2016-04-22 09:00 to 16:00

Join CAPG on April 22 in Chicago, IL, for a one-day symposium on implementing risk-based alternative payment models.  This event will include a session by 2.0 Healthcare on primary care practice transformation.  Registration and the full agenda available 

Announcement Type: 

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