While there are some 100 public and commercial medical home pilot programs in the United States, no systematic process exists to quantify, monitor, or describe the features of these programs so that others can understand this important evolution in primary care delivery and financing. Findings from a national survey of medical home demonstrations published in 2009 helped identify common themes in medical home recognition, provider payment, technical assistance, and measures of patient outcomes. This project will support a second, follow-up survey to monitor changes in provider payment methods, the growth of multipayer efforts, support for medical home transformation, evaluation designs, and the relationship between medical homes and accountable care organizations. The results will provide a better understanding of the extent to which medical homes have spread, gaps in medical home activity, and the sustainability of the model.
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President and Fellows of Harvard College
Bruce Landon, M.D., M.B.A., M.Sc.