State Multi-Payer Medical Home Initiatives and Medicare’s Advanced Primary Care Demonstration

In September 2009, the U.S. Secretary of Health and Human Services announced that Medicare will join selected state-based, multi-payer medical home initiatives in an Advanced Primary Care (APC) demonstration. States have welcomed this announcement viewing Medicare as a valuable potential strategic stakeholder, yet are concerned that the proposed APC criteria may be too narrow to fit many current initiatives.  This paper builds from a December 2009 research scan and webcast that looks at a broad range of state multi-payer initiatives and compares some of these criteria against the proposed APC criteria.