The passage of the Patient Protection and Affordable Care Act (PPACA) formalized the concept of the medical home and primary care as a vital part of effective health care delivery. The PPACA comes closer to providing universal access to care and seeks evidence-based models to improve maternal child health programs such as home visiting, Emergency Medical Services for Children, and community health teams in support of the medical home system of care. Implemented correctly, the critical components of an integrated system could evolve to improve quality, efficiency, and cost-effective care that allows appropriate payment for a model of optimal health care delivery. It may be instructive to review the roots of the medical home concept and its application over decades as the family-centered medical home (FCMH).
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