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Patient-Centered Medical Home model

Aetna Better Health® of Illinois is committed to supporting its network providers in achieving recognition as Patient-Centered Medical Homes (PCMHs) and will promote and facilitate the capacity of primary care practices to function as medical homes by using systematic, patient-centered and coordinated care management processes. 

Our mission

Our mission

In alignment with the vision of the U.S. Department of Health and Human Services (DHHS), it is the Aetna Better Health goal to have each one of its primary care physicians recognized as a PCMH by an accrediting agency. We will support providers in obtaining either the National Committee for Quality Assurance (NCQA) Physician Practice Connections®-Patient-Centered Medical Home (PPC-PCMHTM) recognition or the Joint Commission Primary Care Medical Home Option for Ambulatory Care accreditation. The purpose of the PCMH program is to promote and facilitate a medical home model of care that will provide better health care quality, improve self-management by members of their own care and, over time, reduce avoidable costs. We will actively partner with our providers, community organizations, and other groups representing our members to increase the numbers of providers who are recognized as PCMHs (or committed to becoming recognized) and who achieve the meaningful use of health information technology (HIT). 

Our resources

Our resources

Aetna Better Health of Illinois has dedicated resources to help its providers achieve the highest level of PCMH recognition with a technical support model that will include:

  

  • A readiness survey of contracted providers 

  • Education on the process of becoming certified 

  • Resource tools and best practices 

 

We offer several HIT applications for our network providers that are either recognized PCMHs or that are committed to becoming NCQA or Joint Commission accredited medical homes. Our secure Provider Portal offers tools that will help support PCMH accreditation. You’ll have access to: 

 

  • Online care-gap notifications 

  • Member panel rosters (including detailed member information)

  • Health records 

  • Provider overview reports 

  • Member care plans