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July 4, 2012

Financial Implications of the Patient-Centered Medical Home

Author Affiliations

Author Affiliation: Group Health Research Institute, Seattle, Washington.

JAMA. 2012;308(1):83-84. doi:10.1001/jama.2012.7661

In these early years of the 21st century, a clear consensus has emerged on 2 points: primary care in the United States is in disrepair, and reinvigorating it is critical to improving the nation's health and reining in burgeoning health care costs. Ample evidence now exists that countries that lead in primary care—by providing accessible care that is person-centered, comprehensive, and coordinated—achieve better health outcomes for their citizens at a lower cost.1 The World Health Organization, in the its 2008 report Primary Health Care Now More Than Ever, prompted all countries to strengthen their primary care systems.2 The United Kingdom, the Netherlands, and others are doing just that by building on their already solid foundations with innovative practice models, funding mechanisms, and new methods to integrate primary care with specialty and community health services.3