Providers receive benefits when enrolling in community care.

Benefits include:

  • Per Member Per Month (PMPM) Management Fee
  • Care Management Services linked to every practice for high-risk patients with emphasis on transitions in care
  • Access to P4HM multidisciplinary team, including Behavioral Health specialists
  • Access to comprehensive patient data and care alerts through Community Care’s Provider Portal
  • Free patient education and disease management tools
  • Free educational meetings offering Level I CME credits
  • Access to practice Performance Reports for cost, utilization, and adherence through Community Care’s Informatics Center

Primary Care Providers help Community Care by…

  • Providing a Medical Home to manage and coordinate patient care
  • Implementing evidence-based treatment guidelines
  • Utilizing Community Care’s Informatics Center and other data to implement continuous quality improvement
  • Referring eligible patients with chronic medical conditions for care management
  • Collaborating to resolve medication discrepancies and other health concerns
  • Utilizing the Preferred Drug List (PDL) and prescribing Medicaid covered OTC medications
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