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A Medical Home (Sometimes referred to as a Patient Centered Medical Home) is an approach to providing comprehensive primary care in a setting that helps facilitate partnerships between individual patients and their personal physicians. Within a Medical Home, care is often facilitated by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in an appropriate manner.
Physician practices that achieve Medical Home status have demonstrated a commitment to: patient access to care, the systematically tracking of care gaps, and a pursuit of improved performance.
In 2009, Blue Cross and Blue Shield of Alabama, with input from employer groups and medical professional societies, launched a pilot program. Click here to view the Medical Home Pilot Program summary.
NCQA Medical Home recognition is now included as a criteria measure in the Blue Cross and Blue Shield of Alabama primary care value based payment program. All primary care physicians that meet basic requirements are eligible to participate and earn reward payments. Physicians are notated on our Doctor Finder tool using the NCQA medallion if they achieve recognition. Physicians that meet program requirements and attain the highest medical home designation are eligible to receive an additional 5% payment increase.
Please contact NCQA for specific details about the criteria that must be achieved in order to become a recognized medical home.
Contact NCQA Customer Support at 888-275-7585 to:
Visit NCQA web site at www.ncqa.org to: