Patient-Centered Medical Home (PCMH) recognized practices receive enhanced per patient per month
(PPPM) payments in addition to fee-for-service reimbursement. PPPM
payments vary based on level of National Committee for Quality assurance PCMH recognition; in 2012 insurers
made payments averaging $2.00 PPPM (including both adult and pediatric
populations).
This payment structure promotes increased access to care, improved
communication, enhanced preventive health services, better-coordinated
care, and population management. In addition to PCMH payments, all
insurers contribute to the costs for Community Health Teams (CHTs). The current rate to support
CHTs is $70,000 (about 1 FTE) for every 4,000 patients (including both
adult and pediatric populations).