title: Learning to fly: building de novo medical home practices to improve experience, outcomes, and affordability.
abstract: While most approaches to improving primary care delivery involve making incremental improvements to existing practices, for the past decade we have been engaged in a different approach-to build new practices from the ground up to demonstrate a vision of what is possible. Our Iora model of care combines a new payment model which does away with all fee for service billing, a new delivery model focused on robust team-based population management, and a new IT system to drive this very different care. We have demonstrated in several pilots improved experience, outcomes, and lower total cost of care.
authors: Iora Health, Cambridge, MA 02142, USA. rushika@iorahealth.com
authors: Rushika
authors: R
authors: Fernandopulle
mesh_terms: D004059:Diffusion of Innovation; D058006:General Practice / Q000191:economics / Q000458:organization & administration*; D005102:Health Expenditures; D006801:Humans; D008962:Models, Theoretical; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000191:economics / Q000458:organization & administration*; D011216:Practice Management, Medical / Q000191:economics / Q000458:organization & administration*; D011320:Primary Health Care; D016896:Treatment Outcome; D014481:United States