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All responses should be a minimum of 300 words, scholarly written, APA formatted

All responses should be a minimum of 300 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section.
Innovative approaches to primary care, such as the patient-centered medical home (PCMH), attempt to raise overall care quality standards. Consequently, the patient-centered medical home (PCMH), sometimes known as the “future of primary care practice,” is now being offered to potential customers. The goal is to improve the American healthcare system’s quality, effectiveness, efficiency, and safety while keeping it accessible and affordable. PCMH is based on seven guiding principles, each of which must be followed for it to be a resounding success. On the other hand, one of the concepts, in my view, will be significantly more challenging to implement in a clinical context (Grimm et al., 2019). “Payment reform to reflect the improved value that a PCMH gives patients” cannot be implemented in the United States due to the high cost of medical care.
Recently, both Medicare and commercial payers have shown their support for the patient-centered medical home (PCMH) concept by offering financial resources and technical assistance to clinics that are taking part in the initiative. However, the typical cost of a trip to the doctor has been steadily rising over the last several years, most recently increasing by 15.0 percent in 2018 when compared to 2014 (MedicalFind, n.d.). By the year 2021, around one in ten people did not have health insurance, and the percentage of young people who did not have health insurance has increased over the last several years, in addition to this (AMCHP, 2022). Patient-centered medical homes (PCMH) with nurse care coordinators and individualized treatment plans are critical components of a payer-based PCMH program; however, increasing healthcare costs in the United States make it challenging to implement payment changes that are commensurate with the increased value that PCMHs provide to patients. Patient-centered medical homes (PCMH) with nurse care coordinators and individualized treatment plans are critical components of a payer-based PCMH program. PCMHs that my current office are faced with are difficult situations when dealing with patients’ worries regarding the cost of medical procedures like a Hysterectomy. The hospital cost in the United States is roughly $15.0K, which is far more expensive than the $8.4K and $3.2K rates for admission in countries like Australia and South Africa (MediFind, n.d.). Health care costs must be made more reasonable for systems like the PCMH to be effective.

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