Paymedics helps healthcare providers create a connected, organized, and patient-centered care experience through our Patient-Centered Medical Home (PCMH) services. We handle the entire process from documentation to accreditation and make sure all steps are done the right way to meet national quality standards. Our goal is to help healthcare providers improve care quality, reduce administrative work, and achieve better results for both patients and care teams.
The Patient-Centered Medical Home (PCMH) is a care model that puts the patient at the center of the healthcare system. It is not just about where care is delivered; it is about creating a more connected, organized, and patient-focused experience. Rather than only attending to patients when they are feeling unwell, PCMH promotes long-term, trustworthy relationships between patients and care teams.
At the core of this model is the primary care doctor, who leads a team of healthcare professionals to make sure patients get the right care at the right time. But for a practice to become officially recognized as a PCMH, it requires careful planning, time, and detailed documentation, and that is where Paymedics plays its part.
We make it a breeze for healthcare providers to follow and apply the PCMH model in real life by managing the complete process for them. From application setup, documentation handling, and policy preparation to team training, mock reviews, and post-recognition support, Paymedics looks after all the complex work. While your care team stays focused on patients, we make sure everything runs smoothly and meets PCMH requirements.
Our experts align your practice with PCMH principles such as easy access, high-quality care, and clear communication, turning the model into a real, working system within your clinic. For us, it is more than just a service, basically it is a commitment to helping providers deliver better care, improve practice efficiency, and create a smoother, more satisfying experience for both patients and providers.
NCQA (National Committee for Quality Assurance) is the most widely adopted PCMH program in the USA. It is basically an official organization that examines and certifies healthcare practices on the basis of quality, safety, and patient-centered care.
Earning NCQA PCMH Recognition is no small task. It requires time, documentation, and complete alignment with national quality standards. But with Paymedics by your side, that challenge turns into a smooth, guided process from start to success. When a practice earns NCQA PCMH recognition it means they have met strict national standards for delivering care that is:
Patient’s care is being well-managed across doctors, specialists, and facilities.
Patients can reach their care team whenever they need to, not just during office hours.
Medical Practices use feedback in a positive manner to continuously improve care outcomes.
All areas of a patient's health such as physical, emotional, and preventive, are addressed.
Care decisions are made by taking patients’ preferences and needs into account.
Earning NCQA recognition isn’t just a badge it’s a proof of excellence that benefits both your patients and your medical practice:
With better communication, follow-ups, and care planning, patient satisfaction and health outcomes naturally improve, creating a win-win for patients and providers.
NCQA PCMH recognition gives a sense of trust to patients that they are receiving care from someone who is officially recognized.
NCQA-recognized practices qualify for higher payments and incentive programs from payers.
PCMH practices saves care team time, simplify workflow and reduce repetitions.
Paymedics makes it simple to get started. We are here to guide you, whether you have a question, want a quote, or need help figuring out where to start.
Focused on individual visits
Long-term, relationship-based care
Mainly provider-focused
Team-based, including nurses, assistants, and more
Often limited
Care that follows the patient
During office hours only
Offers care even after office hours
Reactive, based on patient visits
Proactive, provides ongoing regular support
Usually basic record-keeping
Integrated EHR systems and patient portals
Paid for each visit or service
Payment based on the quality of care and how well patients are doing
We make it easy for healthcare providers to meet PCMH standards with ease. Our team of PCMH specialists takes care of the whole process, from preparing your practice to helping you stay on track after recognition, so you can prioritize care for patients. Here is how we help:
We handle all the planning, scheduling, and steps required to get PCMH recognition. We make sure that everything runs smoothly and complies with NCQA regulations from start to finish.
We work closely with your care team, giving clear guidance, training, and ongoing support. Our experts help your staff understand how the PCMH model works and how to apply it in everyday care.
Our PCMH consultants review your practice’s current policies and help update them to meet PCMH requirements. We make sure your practice aligns with the latest quality care standards.
We organize and prepare all the documentation required for your PCMH application. This saves you time, helps you avoid confusion, and prevents any delays.
Before you officially submit your PCMH application to the NCQA, we perform a practice run, which is like a final check to make sure that everything is complete and correct. We thoroughly review your documents, processes, and policies to spot any gaps or issues.
We stay with you, even after you submit your application. We help you answer any feedback, finalize recognition, and plan the next steps to keep things running smoothly.
Your practice should not just treat patients during their visits but also help them with what comes next, like referring them to the right specialists, making sure they do follow-up tests, keeping track of hospital visits, and checking in after appointments
Your practice keeps patient records digitally, which helps your team share information, coordinate care, and report clearly; all important for PCMH recognition
Your staff works together to support patients, not just during the visits but before or after the appointments too.
Before starting the PCMH process, it is important to know whether your practice meets these key readiness criteria:
Your practice already delivers primary care and is set up to manage long-term patient relationships.
Your practice is open to tracking how things are going, improving workflows, and improving patient care.
Does this sound like your clinic? Then you’re already closer than you think. Paymedics is ready to guide your practice every step of the way. We will handle the complete process, so you can focus on providing great care while we help you achieve PCMH recognition.
Choosing to become a PCMH-recognized practice is a smart step towards more organized, patient-centered healthcare. Here is what makes it worthwhile:
Care works best when it is connected. PCMH helps your care team stay connected and share information, so patients receive comprehensive and well-coordinated care.
The importance of PCMH is acknowledged by many insurance companies. Practices that meet PCMH standards are given bonuses up to $6 for Medicaid Managed Care Plans per member per month and $29 per claim for State Medicaid, as it shows your practice offers high-quality and well-organized care.
When everyone on the care team knows what to do and works well together, job satisfaction improves. Clinics with PCMH recognition often see happier staff and reduced burnout.
Patients feel the difference. They feel more informed, more confident, and more supported in their care. In fact, 83% say their health improved through care received under the PCMH model.
Whether it is heart disease, diabetes, or any other chronic illness, PCMH helps manage it better through structured care plans and regular follow-ups.
Following PCMH standards aligns your practice naturally with the goals of many government healthcare programs, such as Medicaid and more. This helps your practice stay up-to-date and competitive.
Care works best when it is connected. PCMH helps your care team stay connected and share information, so patients receive comprehensive and well-coordinated care.
PCMH helps cut down on emergency visits, repeated tests, and overlooked health issues by focusing on prevention and early care. This leads to lower overall healthcare costs.
With extended hours, telehealth options, and advanced systems, PCMH makes sure patients can reach care more easily, when and where they need it.
From training your team to preparing for mock reviews, we take care of everything under one roof.
We know you are busy caring for your patients. That is why we take care of the time-consuming admin work, so you can stay focused on giving care.
Our team includes NCQA-certified PCMH experts who bring deep experience in PCMH recognition. They guide practices through every step from assessment to submission, maintaining compliance and maximizing success under the latest NCQA standards. We make sure that nothing is being missed and everything is completed correctly, from documentation to policy details.