Oncology Medical Home Benefits to Practices, Clinicians and Patients


NCQAs Oncology Medical Home program builds on the success of the PCMH and patient-centered specialty practice (PCSP) programs. Oncology Medical Home Recognition not only benefits patient care, the model benefits practices and staff. Practices can implement quality improvement initiatives to better align with payers, and clinicians can see benefits like enhanced reimbursement and increased efficiency.

For Practices

Promote Quality Improvement

NCQA’s PCMH, PCSP and Oncology Medical Home Recognition programs enable implementation of system-wide processes to increase the use of high-value care. This includes prevention and good chronic care management. Review latest evidence report.

Support Revenue Growth

Federal, state and commercial payers  offer incentive programs to practices that achieve NCQA PCMH/PCSP Recognition—since they can show they have implemented quality improvement initiatives to improve performance. NCQA Oncology Medical Home Recognition prepares practices to succeed.

Improve Practice Efficiency and Staff Satisfaction

The Oncology Medical Home Recognition program promotes well-defined processes and standardized procedures. Roles and responsibilities are defined, to improve staff workflows and communication and help staff perform to the top of their abilities.

For Clinicians

Earn Higher Reimbursement

Many payers offer enhanced reimbursement for recognized clinicians.

Succeed in MACRA

The Centers for Medicare & Medicaid Services (CMS) acknowledges NCQA’s PCMH and PCSP Recognition programs as ways to receive MACRA credit. Clinicians in NCQA-Recognized PCMHs/PCSPs automatically earn full credit in the MIPS Improvement Activities category, and are likely to do well in other MIPS categories.

For Patients

Increased Access

Patient and clinicians can access care, retrieve important information and get clinical advice, when and where they need it, to ensure that symptoms are managed effectively and unnecessary ED visits or hospitalizations are avoided.

Patient and Family Orientation

The oncologist and the care team collaborate with patients and their families to understand patient preferences and facilitate shared decisions. The oncology care team provides education and guidance about the costs of treatment choices. Materials are used that are designed for the language and health literacy of the individuals and the population served.

Personal Oncologist

Each patient has an ongoing relationship with a personal oncologist who treats the whole person, not just the illness. The personal oncologist maintains a continuous relationship with patients in active treatment and provides first-contact support and care coordination throughout their care journey.

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