Patient-Centered Medical Home (PCMH)

NCQA PATIENT-CENTERED MEDICAL HOME (PCMH)

PCMH iconResearch confirms Patient-Centered Medical Homes (PCMH) can lead to higher quality and lower costs, and can improve patients’ and providers’ experience of care. The National Committee for Quality Assurance (NCQA) PCMH model is the most widely adopted model for transforming practices into ones that emphasize care coordination and team communication in primary care delivery.

Download NCQA’s PCMH Evidence Report, outlining how the medical home inspires quality in care, cultivates more engaging patient relationships, and captures savings through expanded access and delivery options that align patient preferences with payer and provider capabilities.

Formal recognition as a PCMH has many benefits. The majority of PCMH practices recognized by NCQA the receive financial rewards from their state Medicaid agencies or commercial insurance companies. PHA has subject-matter experts who can guide you through the process by providing:

  • a review to determine PCMH eligibility;
  • guidance in transforming your practice using PCMH standards and guidelines; and
  • assistance with preparing your submission for recognition to the NCQA or other recognizing body.

 

PCMH PROGRAM REDESIGN

On March 31, 2017, NCQA is launching its redesigned PCMH Recognition program, sustaining an ongoing recognition status with annual check-in and reporting rather than the current 3-year recognition cycle. This redesigned process, based on feedback from practices, policymakers, payers, and other key stakeholders, offers practices flexible, personalized service with a user-friendly approach that aligns with the current changes in healthcare and focuses on continuous improvement.

Click here to access a detailed activity graph for each phase of the new recognition process.

 

PATIENT-CENTERED SPECIALTY PRACTICE (PCSP) RECOGNITION

While PCMH may be geared toward primary care practices, NCQA has adapted the model to specialists! Specialty practices that are just as committed to patient access, communication, and care coordination as their primary care “neighbors” can be recognized as a PCSP.

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