For Primary Care practices considering how to invest for success in programs like MACRA and the Legacy Health Partners ACO contracts, certifying as a Patient-Centered Medical Home (PCMH) or increasing your certification level should be a priority.
In addition to facilitating better coordination of care for patients, PCMH certification benefits practices participating in value-based care arrangements with government and commercial payors. Potential benefits include:
- For the LHP 2017 clinical integration performance measures, practices will earn points for having medical home status of any NCQA PCMH level or Oregon PCPCH Tier 3 or higher, resulting in a higher practice level score and a higher incentive payment.
- More broadly, achieving certain levels of PCMH certification may qualify practices for a higher reimbursement rate from some payors.
- There is evidence that the PCMH model results in stronger network performance, which could translate into better results for participants in shared savings arrangements.
* Within the LHP network, PCMH certified practices outperformed non-certified practices in 15 out of 23 of the 2016 clinical integration performance measures.
* A recent report from the Oregon Health Authority to the Oregon State Legislature found that for every $1 increase in primary care expenditures in the PCPCH program, there are $13 in savings. (Oregon’s Health System Transformation Quarterly Legislative Report Q2 & Q3 2016, January 2017.)
Legacy supports LHP members achieving or increasing their Medical Home status by making expert PCMH consulting and coordination available to them. These services are priced to be accessible, with the flexibility to be customizable to the needs of any practice. Legacy’s in-house PCMH experts can support staff training and technical support, application preparation and review, panel coordination, and office workflow enhancement.
Since the launch of the Medical Home service almost a year ago, Legacy has begun engagements with five practices with several others in the process of signing a contract. The feedback on the member experience with the service has been consistently positive.
“We are thrilled with the support we received from the Legacy Health Medical Home team,” said Dr. DeOna Bridgeman, medical director of the Davies Clinic. “Their expert team came in to conduct an in-depth assessment which helped make a daunting process more manageable and enabled us to elevate our practice to better serve our patients.”
If you are interested in learning more about the benefits of PCMH certification and Legacy’s PCMH services, contact Heidi Mahoney, Legacy Population Health Services and Operations Manager.
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