Putting the focus on the patient To read more…
Blue Cross Blue Shield of Michigan’s patient-centered medical home • Health care providers can go
program is transforming primary care across Michigan. The PCMH model to BCBSM’s PGIP Web site
was developed to strengthen the doctor-patient relationship and improve at bcbsm.com/provider/
health care quality by helping primary care doctors and their health care value_partnerships.
teams more effectively manage their patients’ care. – Click on Physician Group
To accomplish this goal, PCMH practices use such features as Incentive Plan.
e-prescribing, chronic disease management, 24-hour access to a clinical – Click on the Initiatives
decision-maker and development of patient registries to track and tab.
monitor care. Health care teams also work closely with patients to help
them set individualized health goals and encourage them to take a more – Click on Patient-Centered
active role in their own health management. Medical Home.
In 2009, more than 1,200 primary care physicians — representing • Members, customers and
approximately 300 primary care practices from across Michigan — have others can access the PCMH
been designated by BCBSM as PCMH primary care physicians. This section of the new Value
means they have made tremendous strides in implementing PCMH tools Partnerships Web site at
and processes. valuepartnerships.com/
The Blues will provide PCMH-designated physicians with increased fees programs/home.shtml.
for office visits, consultations and preventive visits in recognition of the
additional time they invest in managing their patients’ total care.
What they’re saying
“The key elements of the
questions about PCMH
patient-centered medical home
model have been addressed Q. What’s so significant about the Michigan
in the BCBSM initiative. More
Blues’ patient-centered medical home
specifically, BCBSM is exploring
how this model affects the delivery program?
of care to our patients. With It is the largest PCMH program in the country and one
this knowledge, we can spread of the components at the core of national health care
systems that truly create value with reform discussions.
improved quality, lower costs and
greater patient and health care Q. What professional medical associations have
provider satisfaction.” endorsed PCMH?
Kevin Taylor M.D., M.S. It has been formally endorsed by several major
Chief Medical Officer, St. Joseph Mercy professional associations, including the American
Medical Group Academy of Pediatrics, the American College of
Medical Director, Huron Valley Physicians Physicians, the American Academy of Family Physicians
Association and the American Osteopathic Association.
“It’s invigorating to see so Q: What are the benefits to BCBSM members?
much accomplished across the
Members will enjoy an enhanced relationship with
state as part of a collaborative their doctor and extended health care team, more
payer/provider relationship. The coordinated care, expanded access to necessary health
participating physicians have care services and better health outcomes.
eagerly embraced PCMH because
they truly believe it’s the right
approach for patients, providers
Q: Will the program result in increased costs
The PCMH program will not result in increased
Paul D. Ponstein D.O. premiums for groups or individuals, although a small
Medical Director, Lakeshore Health portion of members who have percentage copays
(as opposed to flat-fee copays) may notice a slight
increase in the cost of their next office visit.
“Physicians practicing in a patient-
centered medical home take Q: How can someone determine if a physician
a holistic and comprehensive is designated as a PCMH doctor?
approach to patient care. They
work with their health care Go to bcbsm.com and click on Find Doctor at the top
of the home page. Then, click on Patient-Centered
team to coordinate a patient’s
Medical Home Designated Physicians to access a
prescriptions, therapies, tests and
visits to specialists. They also keep
track of the services recommended For more answers to frequently asked questions, visit
to patients to promote improved BCBSM’s PGIP Web site.
health and outcomes.”
Thomas Simmer, M.D.
Senior Vice President and Chief
Medical Officer, BCBSM
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