What do patient-Centered Medical Homes include?

What do patient-Centered Medical Homes include?

The patient-centered medical home (PCMH) is a model of care in which patients are engaged in a direct relationship with a chosen provider who coordinates a cooperative team of healthcare professionals, takes collective responsibility for the comprehensive integrated care provided to the patient, and advocates and …

What is BCBS Pcmh?

Blue Cross Blue Shield Association. The PCMH is a model of healthcare based on an ongoing, personal relationship between a patient, a primary care physician and the patient’s care team that aims to assure comprehensive, coordinated care across all aspects of the healthcare system.

How are patient-centered medical homes paid?

Periodic lump sums are paid to qualifying practices; lump sum payment often covers pre-work and/or recognition of NCQA PPC®-PCMH™ achievement. PMPM fee is often referred to as a “monthly care coordination payment” and can cover care management, care coordination, and/or Rx consultations paid to PCPs or PCP networks.

What is the goal of a patient-centered medical home?

The goal of the PCMH model is to provide safe, high-quality, affordable, and accessible patient-centered care by promoting stronger relationships with patients, addressing care needs more comprehensively, and providing time to coordinate care across all sectors of the healthcare system.

What are the benefits of a patient-centered medical home?

Patient-Centered Medical Home Benefits

  • Improved efficiency and lower practice costs. PCMH guidelines can be used to help streamline care coordination and care management.
  • Enhanced reimbursement support.
  • Additional recognition.
  • Streamlined participation in other value-based care models.

What does it mean to be a Pcmh provider?

Patient-Centered Medical Home
The Patient-Centered Medical Home (PCMH) is a care delivery model whereby patient treatment is coordinated through their primary care physician to ensure they receive the necessary care when and where they need it, in a manner they can understand.

How do you provide patient-Centred care?

Patient-centred care is about respecting your individual preferences and diversity. Patient-centred care involves recognising your needs and respects your right to make health decisions and choices. Patient-centred care includes your right to comment, ask questions and make complaints about your healthcare.

What is a Level 3 Patient-Centered Medical Home?

Level 3 Patient-Centered Medical Home The designation recognizes Memorial Physician Services for using evidence-based, patient-centered processes that focus on highly coordinated care and long-term relationships.

What is the Patient Centered Medical Home program?

READ ME FIRST: THE ESSENTIAL FAQS ABOUT THE PATIENT- CENTERED MEDICAL HOME AND PATIENT-CENTERED MEDICAL HOME-NEIGHBOR PROGRAM 1. What is the Patient-Centered Medical Home and Patient-Centered Medical Home- Neighbor?

Who is Blue Cross Blue Shield of Michigan?

Blue Cross Blue Shield of Michigan is a nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association BCBSM Physician Group Incentive Program Patient-Centered Medical Home and Patient-Centered Medical Home-Neighbor Interpretive Guidelines 2019-2020

What are the interpretive guidelines for BCBSM PCMH?

BCBSM PCMH and PCMH-N Interpretive Guidelines 2019-2020 4 PCMH domain of function and defines the set of capabilities that will enable practices to achieve the PCMH vision for that domain of function. Initially, a 13th initiative was developed for electronic prescribing (domain 8), but then a separate e-

What is the BCBSM physician group incentive program?

Each initiative focuses on a BCBSM PCMH and PCMH-N Interpretive Guidelines 2019-2020 4 PCMH domain of function and defines the set of capabilities that will enable practices to achieve the PCMH vision for that domain of function.