RUC Medicare Medical Home Demonstration Project Recommendations
On April 29, 2008, the RUC submitted work relative value and direct practice expense input recommendations to CMS on the Medicare Medical Home Demonstration project. The project was initially intended to be implemented on January 1, 2009.
The Medical Home Demonstration project is mandated by Congress through the Tax Relief and Health Care Act of 2006 (TRHCA). Section 204 of the TRHCA directs CMS to conduct a three-year demonstration project of the medical home concept of patient care. This demonstration is to occur in rural, urban, and underserved areas in up to eight states. The legislation describes the medical home as large or small medical practices where a physician provides comprehensive and coordinated patient centered medical care and acts as the “personal physician” to the patient. Further, the Act specifically requests that CMS use the RUC process to develop a case management fee and valuation.
In a letter dated May 29, 2008, CMS Administrator Kerry Weems thanked the RUC for providing its recommendations for the Medicare Medical Home Demonstration project and for the RUC's support of the demontration project. The AMA has also been congratulated for its efforts by both the American College of Physicians and the American Academy of Family Practice.