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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).
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)
Provider overview reports
Member care plans
For more information on Patient-Centered Medical Home recognition and best practice models, visit the following websites: