Massachusetts Patient-Centered Medical Home Initiative (MA-PCMHI)

The Patient Centered Medical Home Initiative (PCMHI) is a three-year public-private partnership to support primary care practice transformation. PCMHI began in April 2011 with 46 competitively selected primary care practice sites from across the Commonwealth and a multi-payer group of Massachusetts health plans working collaboratively in the three year demonstration support primary care practice transformation. The project concluded on March 31, 2014. 
 
The overall goals include: 

• Support primary care practices in the transition to a patient centered medical home model of care in anticipation of alternative payment arrangements that reward high quality, efficient and integrated care 
• Conduct an evaluation of the transformation’s impact on quality and health expenditures at the completion of the three year demonstration 

The key objectives for practice participation include: 

• Establish Care Teams to learn and implement PCMH concepts 
• Participate in all Learning Collaboratives 
• Attend in-person learning sessions, webinars, and conference calls 
• Establish and maintain patient registries 
• Apply for and achieve NCQA Recognition as a medical home that meets certain standards 
• Provide Clinical Care Management to chronically ill and high-risk patients 
• Provide Care Coordination services to all patients 
• Report monthly on a set of clinical and process measures 

The 46 participating practices care for adults and pediatric patients. The size and demographics of the practices range from single practice providers to large multi-site practices in urban, suburban and regional areas of the state. There are 178,000 patients in the demonstration. Private payers participate in supporting the model, and the participating health plans include some of the largest plans in Massachusetts including BCBSMA, Harvard Pilgrim, Tufts Health Plan, Health New England, and Fallon Health. Three MassHealth managed care plans also participate. 

** This program is no longer active.