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PCMH Frequently Asked Questions

 

CINA Medical Home Infrastructure Technologies


Guided Care Model



Patient Centered Primary Care Collaborative (PCPCC)

product

The objectives of the PCPCC are to facilitate improvements in physician-patient relations and create a more effective and efficient model of healthcare delivery. The objectives of the PCPCC have resulted in the Patient Centered Medical Home (PCMH) approach to comprehensive primary care.



The Patient Centered Primary Care Collaborative, created in late 2006, is a collaboration of 54 members ranging from large national employers to primary care physician associations, and health benefits companies, among others. The PCPCC has created an open forum where healthcare stakeholders freely communicate and work together to improve the future of the American medical system.

 

PCMH Proposed Reimbursement Model:

  • Pay physicians for the time spent to coordinate care with family caregivers and other health professionals that is separate from--and in addition to--the work included in a face-to-face encounter.
  • Create financial incentives for physicians to acquire and use health information technologies—such as patient registry systems, secure email, evidence-based clinical decision support, and electronic health records--to achieve better outcomes.
  • Result in higher payments to primary care physicians based on achieving better outcomes and reducing total health care spending through a PCMH.
    • Such payments should: recognize the time and expenses incurred in delivering patient-centered care through a medical home, be sufficient to address long-standing payment inequities that undervalue primary care, recognize the potential savings (such as preventing avoidable hospital admissions/ emergency room visits of patients with chronic illnesses) that can be achieved through effective care coordination by physicians, and include rewards based on performance.
  • Provide accountability and transparency for achieving better results by linking a portion of payments to reporting on evidence-based measures of care

 


Contact us to learn how we can help you become a PCMH.

 

For more information on the Patient Centered Primary Care Collaborative, please visit their website.

 



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