ATLANTA and TAMPA, Fla., June 9, 2016 /PRNewswire/ -- Today there are more than 53,000 clinicians and 11,000 practices across all 50 states with Patient-Centered Medical Home (PCMH) recognition. Understanding that PCMH has become an endorsed model of primary care, WellCare of Georgia, a subsidiary of WellCare Health Plans, Inc. (NYSE: WCG), is integrating new supports, tools and processes into its Enhanced PCMH Initiative to assist physician groups seeking National Committee for Quality Assurance (NCQA) recognition.
WellCare established its Enhanced PCMH Initiative to assist primary care practices in Georgia in becoming recognized as a PCMH to increase the number of practices committed to fostering strong physician-patient relationships and encouraging proactive care coordination while improving the quality of care provided for its members.
PCMHs foster ongoing partnerships between patients and their personal clinicians. Each patient's care is overseen by clinician-led care teams that coordinate treatment across the health care system. Research conducted by NCQA shows that PCMHs can lead to higher quality and lower costs and can improve patient and provider reported experiences of care.
"As our program has grown so has our need to increase both support capacity and management processes," said Gwen Wyles, WellCare of Georgia's director, product operations, and manager of WellCare's Enhanced PCMH Initiative. "We partnered with BizMed Solutions for its integrated web-based platform, which is designed to assist us in achieving our goals by monitoring and assessing best practices that meet state requirements, sharing ideas and information, and reducing the cost and time of provider quality improvement initiatives."
Health care practitioners who are in WellCare's Georgia Medicaid network and interested in obtaining NCQA PCMH recognition are eligible to sign up for a free WellCare-sponsored account with BizMed at www.bizmedtoolbox.com/wellcare. In addition to the BizMed platform, WellCare of Georgia also offers consulting assistance during the recognition process as part of its Enhanced PCMH Initiative. This assistance includes reviewing documentation, monitoring progress, and educating and interpreting the PCMH requirements.
In addition, WellCare of Georgia and NCQA have partnered to provide a discount to smaller health care practices in Georgia that seek recognition as an NCQA PCMH. Participating Medicaid providers can contact WellCare of Georgia's PCMH team at PCMH_GA@wellcare.com for more information about the Enhanced PCMH Initiative and to learn more about receiving the discount.
Visit http://recognition.ncqa.org to find clinicians and practices with NCQA PCMH Recognition.
As of March 31, 2016, WellCare serves approximately 583,000 Medicaid and PeachCare for Kids® plan members, 37,000 Medicare Advantage plan members and 24,000 Medicare Prescription Drug Plan members in Georgia. To learn more about how we care for Georgians watch Gloria's story at http://youtu.be/qyn-nywze04.
About WellCare Health Plans, Inc.
Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, to families, children, seniors and individuals with complex medical needs. WellCare serves approximately 3.7 million members nationwide as of March 31, 2016. For more information about WellCare, please visit the company's website at www.wellcare.com or view the company's videos at https://www.youtube.com/user/WellCareHealthPlan.
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SOURCE WellCare Health Plans, Inc.