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Aetna Launches Patient-Centered Medical Home Program in N.Y.

Story Content Provided by Aetna on 7/2/13

The Patient-Centered Medical Home Program: Helping primary care physicians improve coordination of care

Rewarding quality over quantity

We recently launched our Patient-Centered Medical Home (PCMH) program in New York. The program is part of our ongoing efforts to move towards a health care system that rewards quality of outcomes over quantity of procedures.

Taking an active role in coordinated care

The PCMH program recognizes primary care physicians (PCPs) who take a more active role in coordinating and managing their patients' care across the health care system

Focused on improved patient outcomes

This program is designed to make a higher level of care available to your customers. By strengthening the role of PCPs, the PCMH program aims to improve patient health outcomes. When PCPs are encouraged to focus on a patient's entire health needs rather than a single condition, your customers' employees are more likely to experience:

  • Better health
  • Fewer hospitalizations
  • Improvements in transitions of care
  • Greater engagement

Service driven by new standards of quality

In order to be considered for the PCMH program in New York, primary care providers who participate in Aetna's networks must be recognized by the National Committee for Quality Assurance (NCQA) as a PCMH provider.

Recognized PCMH providers will receive a quarterly Coordination of Care payment for each commercial (non-Medicare) Aetna member in their care.

Currently, more than 200 physician practices participate in the growing PCMH program. Practices recognized by the NCQA provide services including:

  • Improved access to care, such as the ability to reach health professionals outside normal business hours
  • Proactive and planned preventive care (screenings, physicals, labs and more)
  • Improved access through e-mail, web and or telephone visits
  • Access to nurses and other health care professionals, allowing more focused physician visits

Improving health outcomes for 880,000 members in New York

Patient-centered care is something we always advocate. We are proud to offer the PCMH program as something that aims to improve the health outcomes of the 880,000 commercial members we serve in New York.