The PCMH Model

  • Advanced, comprehensive primary care endorsed as the future of primary care by societies of all relevant clinical professions;
  • Care that is focused on the whole person, not just treating episodic health needs, and one that also sees the bigger picture, supporting all aspects contributing to health and wellness;
  • A team led by the patient's primary care physician where care is comprehensive and coordinated;
  • A great application of health information technology and data to enhance communication, to manage your patient population, and to measure your results;
  • Payment for value: insurance plans rewarding good quality care and improved outcomes instead of volume of visits; and
  • PCMH is not a new set of rules used to limit patients’ access to care; rather, a program designed to break down barriers between patients and clinicians.

Single Carrier PCMH Program Application

On April 13, 2010, Governor O’Malley signed into law the Patient Centered Medical Home Program. The statute authorizes the Maryland Health Care Commission (MHCC, Commission) to approve single carrier patient centered medical home (PCMH) programs. This document  briefly describes the provisions of the law, outlines an administrative timeline for publicizing the single carrier PCMH review process and approving applications, and describes the standards for single carrier PCMH programs.

CareFirst Single Carrier PCMH Program; Summary of the 2013 Annual Report

Why it’s time to transform into a PCMH ?

  • Clear, consistent, and compelling evidence from PCMH initiatives nationwide shows that the investment in being a PCMH benefits patients, clinicians, and the health care system;
  • Quality care from medical homes increases patient satisfaction and improves patient outcomes with fewer patient deaths and hospital ER visits;
  • Physicians who practice in medical homes report much greater satisfaction with their work than in a traditional practice; and
  • Investing in medical home care has improved quality and reduced total cost to the system because of better care and coordination.