This article considers numerous methods of reimbursement for patient-centered medical homes (PCMH), including enhanced fee-for-service (FFS) payment for office visits to the PCMH; paying additional FFS for “new” PCMH services; variations of traditional FFS combined with new PCMH-oriented per patient per month capitation; and combined capitation payments for traditional primary care medical services as well as new medical home services.  The study considers both theoretical and practical challenges, concluding that the conceptual strengths and weaknesses of available payment models for medical home functions invoke a complex array of options with varying levels of real-world feasibility. The different needs of patients and communities, and varying characteristics of practices must also be factors guiding PCMH payment reform.

Berenson, R. A., and Rich, E. C. (2010). How to buy a medical home? Policy options and practical questions. Journal of General Internal Medicine 25(6): 619-624. DOI 10.1007/s11606-010-1290-4 http://www.springerlink.com/content/50p1422448n84142/?p=373f39a7c9d14569a37299e348edc314&pi=0 

Authors: Robert A. Berenson and Eugene C. Rich.