The Patient Centered Medical Home (PCMH) is a model of care that strengthens the Physician-Patient relationship by replacing episodic care with coordinated care. It places the patient in the core of the healthcare system.
Since 2010, PCMH Quality Consulting Group has successfully transformed primary care practices into PCMH. These included Federally Qualified Health Centers, Private Practices and Medicaid Organizations ranging in size from a single physician to larger physician groups of over 20. 100% success rate!
- The Medical Home concept improves quality, equity and staff/provider satisfaction and has the potential to reduce overall health care costs.
- PCMH Recognition can allow your practice to benefit from health plan incentives. Numerous plans in more than 30 states have launched projects to recognize physician practices as medical homes.
- PCMH will enable practices to establish the fundamental infrastructure neccesary to promote quality in all programs.
- Once PCMH framework is in place, practices tend to excel in all quality payment programs, including Advanced Payment Models, MIPS, Medicare Star, HEDIS, and various payer specific Pay for Performance programs.
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Insurance Health Plans may:
-Pay rewards/incentives for achieving recognition.
-Identify top quality physicians in provider directories with recognition seals.
-Support data collection efforts necessary for recognition and required for entry into high-performance networks. - PCMH recognition can improve Medicaid reimbursement for patient services. Several State Medicaid programs have begun to make additional payments if the practice is recognized by National Committee of Quality Assurance (NCQA).
- PCMH recognition may help attract new business, as well as help maintain or strengthen your status as a recognized leader among your peers.
PCMH Transformation
The PCMH model is truly a win-win-win for practices, patients, and insurers..
Practice Process Support
PCMH Quality Consulting Group gives you the transformation support you need!..
Customer Service Training
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Primary Care Practice Startup Services
Developing a practice involves many areas of expertise. It will develop quickly and if the elements are all orchestrating in harmony..
Case Management Program Development
Assessing Social Determinant of Health, empowering patients on their health care, focusing on preventive care and reducing…
Medicare Advantage CMS Star Rating Program Support
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