Become a Patient-Centered Medical Home

Interested in your facility becoming a 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.
  • 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:
    • Getting NCQA recognition in diabetes, heart/stroke and hypertension.
    • Coordinating care with other providers.
    • Developing a team-based approach.
    • Teaching patients self-management.
    • Connecting electronically.
    • Expanding access.
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, including payments for some non-traditional services (e.g., electronic visits, pharmacist consultations).
  2. Per-member, per-month care coordination fee.
  3. Bonus adjustments to care coordination fee for quality outcomes.

Benefits for Patients

Patients enjoy:

  • A medical home with NCQA-accredited physicians.
  • Enhanced access to a personal physician and support team.
  • Care coordination across a fragmented delivery system.
  • A “whole person” approach to care with patients and their families as the center of the medical home.
  • Case management support.
  • Onsite wellness and education classes focusing on self-management skills.

Requirements

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

  • Show your ability to support the medical home concept through NCQA’s 2011 Patient-Centered Medical Home recognition program. 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
  • Pass all six standards that measure how you:
    1. Enhance access and continuity
    2. Identify and manage patient populations
    3. Plan and manage care
    4. Provide self-care support and community resources
    5. Track and coordinate care
    6. Measure and improve performance
  • Complete a Web-based data collection tool and validate your response through documentation.
  • Receive at least Level I NCQA 2011 PCMH accreditation within six months of contract execution.
  • Receive Level II accreditation within 18 months of contract execution.
Take the next step in becoming a patient-centered medical home. Simply submit this form and we will contact you.