The Patient-Centered Medical Home

Coordinated preventive care for better outcomes


Medical homes

Medical homes emphasize preventive and team-based coordinated care, patient engagement and cost containment for improved outcomes and population health. They also help prepare practices for advancement into value-based medicine, accountable care and alternative payment models.

New incentive programs, greater participation

While the medical home has a long history in healthcare, the concept has recently grown in prominence as payers embrace new recognition and accreditation programs.

The National Committee for Quality Assurance (NCQA), for example, now recognizes more than 7,000 PCMH programs, leading an increasing number of payers to incentivize

  • Quality measure reporting
  • Preventive and chronic care benchmarks
  • Reductions in emergency department (ED) visits and hospital readmissions

Medical homes have typically focused on primary care; however, today’s expanded medical home recognition programs now offer the same opportunities in specialty medicine.

Patient-centered strategies for financial health

Running parallel with the growth of patient-centered care is the rise of patient consumerism, which itself can affect the financial health of provider organizations.

Medical homes emphasize care plan adherence and patient retention and growth strategies through engagement, similar to the multiple patient education and engagement measures in meaningful use Stage 2, but the need for sophisticated, consumer-oriented strategies goes further. For example, although a sizable majority of surveyed patients are willing to explore group visits and virtual care, their number far surpasses that of family physicians offering such services.

As increasingly savvy and cost-conscious patients seek alternative care, shop by price and expand their use of mobile technologies and applications, medical homes will continue to advance engagement and retention strategies.

How to build a patient-centered medical home

Healthcare organizations seeking medical home recognition must assess a variety of personnel and operational elements, such as care team members, levels of interoperability and clinical goals to meet patients’ needs, all as medical home programs continue to evolve.

The American College of Physicians (ACP), for example, has been articulating an Advanced Medical Home structure, and healthcare delivery organizations are expected to meet the growing demands of remote monitoring and telemedicine as home-based care and ambulatory ICU concepts also take hold.

Greenway and PCMH

Greenway offers auto credits toward NCQA PCMH recognition, a wealth of educational and strategic resources and award-winning customer support.

Visit our PCMH Resources page to learn more.