Leveraging PCMH as a Foundation for Succeeding in Value-Based Care Programs

Speakers

Joshua Marx, MPH, PCMH CCE; John P. Metz, MD, CAQSM

ABSTRACT

This session is designed to show how a family medicine residency practice leveraged its six-year PCMH certification journey to prepare them for recent value-based payment opportunities, such as CPC+ and the Medicare Shared Savings Program (MSSP). The session will describe their high-level use of PCMH structure as a foundation for organizing the practice and will also dive into their process of addressing two areas of transformation: risk stratification and care coordination via ED/Hospital discharge management.