Which of the following is NOT a PCMH benefit?

• A. Improved patient care with increased coordination
• B. Increased revenue
• C. Maintenance of certification/CME credits
• D. Higher insurance premiums for patients

Answer: (D)

PCMH emphasizes coordinated, patient-centered primary care with a team-based approach, improved access, proactive preventive care, and a continuous focus on quality and outcomes. This setup aims to reduce fragmentation, improve care transitions, and enhance overall patient health, which can lead to cost savings for patients and payers. Because of its emphasis on value and efficiency, practices may see new revenue opportunities through value-based payments and shared savings, and the model supports ongoing professional development and quality improvement activities, which align with maintenance of certification and CME as part of a culture that values learning. Higher insurance premiums for patients do not fit these goals; PCMH is designed to reduce costs, not raise them, so that option is not a benefit of the model.