Benefits to Practices, Clinicians and Patients

PCSP recognition not only benefits patient care, the PCSP model benefits practices and staff, as well.

Practices can implement quality improvement initiatives to align with payers; clinicians can see enhanced reimbursement, increased efficiency, MOC credits and the ability to focus on patient care.

PCSP Benefits

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For Practices

Promote Quality Improvement

NCQA’s PCMH and Patient-Centered Specialty Practice (PCSP) Recognition programs enable implementation of systemwide processes to increase delivery of high-value care that includes prevention and chronic care management.

Support Revenue Growth

Federal, state and commercial payers offer incentive programs to practices that earn NCQA PCMH/PCSP Recognition— these practices have implemented quality improvement initiatives to improve performance. NCQA PCSP Recognition prepares practices to succeed.

Improve Practice Efficiency and Staff Satisfaction

PCSP promotes distinct processes and standardized procedures. Roles and responsibilities are defined, to improve staff workflow and communication and help staff perform to the top of their abilities.

For Clinicians

Earn Higher Reimbursement

Many payers Partners in Quality offer either enhanced reimbursement for recognized clinicians or support for practices to become recognized.

Succeed in MACRA

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

Earn MOC Credits

Several medical boards award clinicians in NCQA-Recognized practices Maintenance of Certification (MOC) credits, reducing the burden on clinicians to perform additional activities.

For Patients

Better Management of Chronic Conditions

Research shows that the PCSP focus on prevention and chronic disease management helps practices proactively manage patients with complex chronic conditions.

Integrated Care Produces Better Outcomes

Communicating information for shared patient populations results in better patient care.

Better Communication with Practice

NCQA PCSP Recognition promotes effective coordination and communication between specialists and primary care providers. This ensures timely and appropriate referrals and consultations.

Using PCSP Recognition to Shift to Value-Based Care

Read how Gastroenterology Associates of the Piedmont, P.A., improved quality, increased referrals and office visits and moved toward value-based care. Download the case study.

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