Detroit-based Health Plan of Michigan Monday announced its new Patient Centered Medical Home (PCMH) Incentive Program. This program encourages providers to become PCMH designated by providing financial assistance during the practice certification phase. It also rewards providers who have already received PCMH designation.
The concept of a Patient Centered Medical Home is an approach to providing comprehensive primary care which improves access to health care, increases patient satisfaction and improves health outcomes.
The new program is available to all contracted HPM primary care physicians who are open to and accepting new HPM members, and have a current HPM membership of 100 or greater. The incentives are based on HEDIS quality scores; reimbursements will increase as quality increases. Reimbursements include payments above the current Medicaid fee schedule and the HPM HEDIS Bonus Program. An additional per member-per month payment is also available for participating providers.
Said Sean Kendall, director of network development for Health Plan of Michigan: “This is a great opportunity for us to support providers who want to become PCMH certified, and an equally good way for us to provide continued incentives to our providers who have already made the move to PCMH.”
Health Plan of Michigan is the state’s largest managed Medicaid program, with more than 285,000 members. The HPM network consists of more than 3,300 primary care providers, 8,200 specialists and 98 hospitals in 64 Michigan counties.