Become a BlueCross Patient-Centered Medical Home

Interested in your facility becoming a BlueCross patient-centered medical home? We want to help you succeed!

Benefits for You

We will:

  • Assess your readiness to become a patient-centered medical home.
  • Provide coaching and facilitation services to help you transform your practice to a patient-centered medical home.
  • Help your practice achieve NCQA PCMH Recognition.
  • Create resources for your staff and patients.
  • Give you access to innovation specialists to guide you as your practice transforms.
  • Offer training sessions.
  • Provide opportunities to discuss best practices with your peers.
  • Work with your staff to engage members in managing their own care through programs and activities.
  • Provide a 20 percent National Committee for Quality Assurance (NCQA) application discount code.
  • Point you to helpful resources for:
    • Coordinating care with other providers.
    • Population management.
    • Developing a team-based approach.
    • Teaching patients self-management.
    • Connecting electronically.
    • Expanding access.
    • Quality improvement.
The patient-centered medical home compensation model is a blended payment methodology that recognizes infrastructure changes and enhanced patient services:
  1. Fee-for-service payment.
  2. Per-member, per-month care management fee.
  3. Annual performance-based incentive opportunities.

Benefits for Patients

Patients enjoy:

  • A medical home that puts patients at the center.
  • Enhanced access to a personal physician and care team.
  • Care coordination across a fragmented delivery system.
  • A “whole person” approach to care.
  • Case management support.

Requirements

To become a BlueCross patient-centered medical home, you must:

Participate with BlueCross BlueShield of South Carolina and BlueChoice® HealthPlan.

  • Obtain at least Level II NCQA PCMH Recognition. The program reflects the input of these and other stakeholders:
    • American College of Physicians
    • American Academy of Family Physicians
    • American Academy of Pediatrics
    • American Osteopathic Association
  • Submit clinical data to BlueCross as required by the program.

Take the next step in becoming a patient-centered medical home. Simply submit this form and we will contact you.