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Patient-Centered Medical Home

A Patient-Centered Medical Home, or PCMH for short, isn’t a place and it isn’t an insurance plan. A PCMH coordinates your health care needs, and helps ensure that you receive quality care, in the right setting and at the right time. The patient-centered approach provides personalized and comprehensive care that enables you to become engaged and empowered in your health care.

By receiving health care from a patient-centered practice:

  • The focus is on you — helping you get the care you need, when you need it.
  • The doctor directs a team of health professionals, including a nurse care coordinator, who can offer support, information and assistance.
  • Frequent communication within the team about care will allow your doctor to closely monitor your health conditions and respond immediately to you.
  • You have more ways to be in touch with the care team by phone, email and in person.

Your role includes honestly sharing your health concerns, needs and issues with your doctor and PCMH team. The team can then work closely with you to create a care plan that’s right for your health and wellness goals. This is great news, especially for those with chronic health conditions.

Read real-world success stories of how practices that are part of New Jersey’s largest PCMH program are delivering more coordinated and effective care for Horizon BCBSNJ’s members.

Out Patient-Centered Pediatric Program

Recognizing that the health care needs of our youngest members require care designed just for them, Horizon BCBSNJ also has our Patient-Centered Pediatric Program. The program emphasizes preventive and developmental goals, and focuses on children with chronic conditions, such as asthma and diabetes.

Steven R Peskin, MD, MBA, FACP, Senior Medical Director, Clinical Innovations at Horizon BCBSNJ, recently published an article in the American Journal of Managed Care. He highlighted the transformation of patient-centered practices and the success of our program. Through collaboration, payment reform and improved health plan design we have seen the delivery of care transform.