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July 2, 2008

Physician Roles, Payment Models, and Partnerships in Primary Care—Reply

JAMA. 2008;300(1):44. doi:10.1001/jama.300.1.44-b

In Reply: We apologize for not having accurately represented the governance and operational structure of the pilot program we referred to in our Commentary, and we appreciate Mss Gilbertson and Belfield correcting our error. The full description of the structures that they provide makes several important points about what it might take to actually develop these models. First, it is critical to have the involvement of employers, who have been very active in national efforts to support redesigned primary care, such as the IBM-led Patient Centered Primary Care Collaborative (PCPCC). Second, integrated delivery systems with dominant market positions and clearly defined community service missions may be promising places for these models to develop. Most importantly, we share Gilbertson and Belfield's confidence that new, strengthened models of primary care will lead to “improved and more affordable health care for employees and employers alike.”