Journal Article Structuring Payment for Medical Homes
Katie Merrell, Robert A. Berenson
Display Date

Despite widespread interest in the medical home model, there has been a lack of careful assessment of alternative methods to pay practices that serve as medical homes. This paper examines four specific payment approaches: enhanced fee-for-service payments for evaluation and management; additional codes for medical home activities within fee-for-service payments; per patient per month medical home payments to augment fee-for-service visit payments; and risk-adjusted, comprehensive per patient per month payments. Payment policies selected will affect both the adoption of the model and its longer-term evaluation. Evaluations of ongoing demonstrations should focus on payment design as well as on careand cost.
Research Areas Health and health care
Tags Health insurance Federal health care reform Health care delivery and payment Health equity Medicaid and the Children’s Health Insurance Program  State health care reform Hospitals and physicians Medicare
Policy Centers Health Policy Center