Aetna launched its patient-Centered Medical Home (PCMH) program in New York in May of 2013. The program recognizes primary care physicians (PCPs) who more actively coordinate and manage their patients’ care across the health care system. By strengthening the role of PCPs, the PCMH program aims to improve patient health outcomes.
Primary care providers who participate in Aetna’s networks, who have been recognized by the National Committee for Quality Assurance (NCQA) as a PCMH, and who are not participating in other quality incentive programs with Aetna were considered for the PCMH program in New York. Recognized providers will receive a quarterly Coordination of Care payment for each commercial (non-Medicare) Aetna member in their care. The NCQA-recognized PCMH practices are recognized for providing a number of services, including:
Recognized providers will receive a quarterly Coordination of Care payment for each commercial (non-Medicare) Aetna member in their care.
WESTMED Medical Group outcomes (year 1):
WESTMED Medical Group outcomes (year 1):
WESTMED Medical Group outcomes (year 1):
For the first year, WESTMED earned over $300,000 in incentive payments for achieving targets such as: