Making Medical Homes Self-Sustaining

Organizations participating in the pilot receive a $3 per member fee from all but one payer in Maine.

"Maine has always been a state that's collaborative in nature. So when we started we had the right people come to the table with that collective, collaborative spirit. Naturally, there are expectations for this pilot. The payers have expectations too, they aren't doing this and not expecting anything in return," notes Butts-Dion. "But the good thing about the pilot is we are able to support these programs and help them get the funds they need."

Next week I'll take a look at how Penobscot Community Health Care in Maine is approaching its medical home and where it's finding opportunities to improve and change care without disrupting the bottom line.