At this point, certification is only a means to an end—perhaps we're still in the early innings of healthcare transformation. Certification, again, means that the tools are in place. Now practices have to figure out how to use them most effectively.
So PCMH designation is a necessary, but not a sufficient contribution to value and quality improvements in healthcare.
Anyone who's tired of the physician's responsibility to their care ending at the threshold of the office door or with the payment of a fee-for-service-based bill would have to root for adoption of the PCMH. It passes the common sense test. Fee-for-service, clearly, does not.
4. You have to do it anyway.
Big business is a big believer in patient-centered care, and many large employers and their insurers or third party administrators are as well. They see patient-centered medical home certification as an important first step toward forcing healthcare to take responsibility for outcomes. And many of the new risk-bearing contracting structures that health plans and government payers are debuting now and in the near future require PCMH designation as table stakes.
Healthcare organizations are rapidly ramping up their investment in achieving the designation. Last September's HealthLeaders Media Intelligence Report on physician alignment shows that 52% of healthcare organizations achieved or are involved in achieving PCMH certification, up from just 39% in 2012, and 58% expect to do so within three years.