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The patient-centered medical home (PCMH), a team-based model in which patients’ primary physicians direct and coordinate all care to improve continuity and outcomes, is making its way into the practice environment. Scores of pilots are under way in environments ranging from solo practices to integrated health systems. The Centers for Medicare and Medicaid (CMS) will soon begin making monthly payments to eligible practices, both primary care and subspecialty, that demonstrate their ability to deliver coordinated care to “high need” patients. The CMS pilot and similar insurer-sponsored programs likely will propel adoption of the PCMH, which could transform not only primary care delivery but also working relationships among PCPs and specialists.
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