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Viewpoint |

Structuring Payments to Patient-Centered Medical Homes

Bruce E. Landon, MD, MBA, MSc1,2
[+] Author Affiliations
1Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
2Divisions of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts
JAMA. 2014;312(16):1633-1634. doi:10.1001/jama.2014.9529.
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This Viewpoint discusses the use of structured payments to patient-centered medical homes as a means of optimizing primary care reimbursement.

There is increasing recognition that the prevailing model of primary care practice that evolved in the United States under the current fee-for-service (FFS) reimbursement system is dysfunctional. Models of enhanced primary care such as the patient-centered medical home (PCMH) are being introduced nationally and are considered a foundational element of new global payment arrangements, such as accountable care organizations. Under these types of arrangements in particular, but in primary care more broadly, primary care practices are expected to reorient toward providing enhanced services designed to both optimize patient experiences and health, which requires a fundamental change in the way primary care practices are reimbursed for their services.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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