Aetna Patient-Centered Medical Home Program - Oregon

Program Location: 
Portland, OR
Payer Type: 
Partner Organizations: 
Oregon Health Authority Patient Centered Primary Care Home program

Aetna is proud to be the first non-Oregon Health Authority contracted plan to offer per-member-per-month payment incentives using the PCPCH tiers. Starting on April 1, 2013, Aetna’s Patient Centered Medical Home (PCMH) recognition program will be available to physician practices in Oregon that meet certain criteria: Directly contracted with Aetna; Received recognition by the NCQA or by the State of Oregon Patient Centered Primary Care Home program as a PCPCH; Have 10 or more attributed Aetna members; and be reimbursed at 100% of the Aetna Market Fee Schedule (AMFS).

Payment Model: 

PMPM based on Patient Centered Primary Care Homes Program tiers

Last updated February 2019
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