TY - JOUR AU - K. Merrell AU - R. A. Berenson A1 - AB - 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 care--and cost. BT - Health affairs (Project Hope) C5 - Financing & Sustainability; Medical Home CP - 5 CY - United States DO - 10.1377/hlthaff.2009.0995 IS - 5 JF - Health affairs (Project Hope) N2 - 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 care--and cost. PP - United States PY - 2010 SN - 1544-5208; 0278-2715 SP - 852 EP - 858 EP - T1 - Structuring payment for medical homes T2 - Health affairs (Project Hope) TI - Structuring payment for medical homes U1 - Financing & Sustainability; Medical Home U2 - 20439871 U3 - 10.1377/hlthaff.2009.0995 VL - 29 VO - 1544-5208; 0278-2715 Y1 - 2010 ER -