Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Evolution of and Trends in Health Care in the U.S.
Lecture:Patient-Centered Medical Home and Other Models of Care Coordination
Slide content:Payment - 2 Additionally, the PCMH payment model Recognizes case mix differences in the practice patient population Allows for additional payments when quality improvements are achieved Covers enhanced patient communication access to clinicians Supports adoption and use of health information technology 13
Slide notes:So, the payment model associated with the patient-centered medical home recognizes the value of physician work that is not necessarily delivered in a face-to-face environment with the patient. For example, if the physician remotely assesses patient clinical data, then there is a methodology of payment for these services. There is also a methodology for payment reimbursement for enhanced patient communication access to clinicians, including secure email, telephone consultations, and consultations between an interdisciplinary team that provides care. Additionally, the model also recognizes case mix differences in the practices patient population. A practice that has a larger number of more complex patients has payment options that are weighted to reflect the complexity of their population. The model also allows for additional payments when measurable and continuous quality improvements are achieved and surpassed. It also covers enhanced patient communication, access to clinicians, and supports the adoption and use of health information technology for quality improvement. 13