This Week's Challenge: A primary care-focused pay-for-performance program at Florida Blue has transitioned into a statewide patient-centered medical home (PCMH) initiative. We wanted to learn the four steps that Florida Blue took to make this transition.
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What We Learned: "We consider any patient that goes in to see a PCMH physician as part of that PCMH, and eligible for all the benefits that physician offers. A PCMH is that center where the physician is the coordinator of all of the patient's care, from birth to death. That includes if they need hospice care, nursing care, physical therapy, to see a specialist, and if the family needs to be involved. It's the coordination and the understanding of the patient as a whole."
Barbara Haasis, RN, CCRN, senior clinical lead of quality reward and recognition programs at Florida Blue
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Excerpted from The Patient-Centered Medical Home: Lessons from a Statewide Rollout, a 45-minute webinar, during which Barbara Haasis shared how Florida Blue transitioned from the Rewarding Physician Excellence (RPE) program into a medical home model.