Which of the following is the most common reimbursement model for patient-centered medical homes?

The most common reimbursement model for patient-centered medical homes (PCMH) is a mixed payment model. This approach combines various payment methods, including capitation, fee-for-service, and performance-based incentives, to promote comprehensive and coordinated care for patients.

In a mixed payment model, healthcare providers receive a base payment, which might be a per-member-per-month fee, along with additional reimbursements tied to the volume of services provided or the quality of care delivered. This structure encourages providers to focus not only on the quantity of services rendered but also on the quality and efficiency of care. It aligns incentives among providers, improving patient outcomes by supporting preventive care and chronic disease management.

By utilizing a mixed payment model, payment structures can adapt to the complex needs of patients within a PCMH, ensuring that providers are compensated for their efforts to coordinate care effectively across different healthcare settings. This model fosters better patient engagement and often leads to improved healthcare utilization and outcomes, making it an effective choice for PCMHs.