The insurance payment model has changed from pay-by-volume to pay-by-value. Insurance companies in turn have realized that PCMH saves healthcare costs while being beneficial to the patient’s health. As a result, incentives are being given to practices who are PCMH-certified in certain states.
- training for the staff of your practice to follow the NCQA PCMH guideline.
- monitor of your practice to see that it is meeting NCQA PCMH requirement on a monthly basis.
- aid in tracking and ensuring reports from specialists’ offices to the primary care provider (PCP).