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Editorials |

Is There Room for Specialists in the Patient-Centered Medical Home?

Robert A. Berenson, MD
Author and Funding Information

From the Urban Institute.

Correspondence to: Robert A. Berenson, Institute Fellow, The Urban Institute, 2100 M Street, Washington, D.C. 20037; e-mail: rberenson@urban.org


Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;137(1):10-11. doi:10.1378/chest.09-2502
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Extract

The Patient-Centered Medical Home (PCMH) is one of the new ideas being proposed as a transformative health system innovation. More than 30 states are testing medical homes in Medicaid and State Children’s Health Insurance Programs, which is sensible given the medical home’s long-standing use by some pediatrics practices.1 But medical homes are also now being broadly tested in practices serving adults; more than 20 multistakeholder demonstration projects are underway in 14 states, and the Centers for Medicare and Medicaid Services are prepared to initiate PCMH demonstrations in 400 practices in eight sites, pending possible expansion of the demonstration as a result of health-care reform legislation.2

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