First and foremost, the PCMH model is about better patient care. NCQA states, “Evidence shows that the PCMH model of care can result in reduced costs and healthier and more satisfied patients.” It is a model that works especially for patients with chronic and complex conditions. But we see the question about “Why PCMH?” and “Why PCMH recognition?” as being separate. Implementing the PCMH model of care doesn’t necessarily require you to get the “stamp of approval” from NCQA or another agency. Choosing to implement patient-centered care concepts – and foregoing recognition – in your practice may be the right fit for your organization’s size, patient population, staff capacity, and funding model.
Pursuing PCMH recognition – through NCQA, Joint Commission or another agency – should be a deliberate, informed decision by staff at all levels of an organization. Recognition takes time and resources that would otherwise be allocated in other areas. That is not to state a case against PCMH recognition, but rather that there should be a clear value proposition for the organization. For example, some organizations would have enhanced payment, funding opportunities, or partnerships that would be available if they received PCMH recognition. NCQA states, “The redesigned  process focuses more on performance and quality improvement, and aligns with many other major national initiatives that impact practices, such as MACRA.”