Medical home model

Advocacy and practice for family physicians

Doctor and her team member work in a positive environment

New payment mechanisms are needed to support family physicians to position their practices as medical homes.

The medical home is a care delivery model based on the Joint Principles of the Patient-centered Medical Home, the Shared Principles of Primary Care and the five key functions of advanced primary care. These five functions are:

  1. Access and continuity

  2. Planned care and population health

  3. Care management

  4. Patient and caregiver engagement

  5. Comprehensiveness and coordination

Through implementing the medical home functions, practices seek to improve the quality, effectiveness and efficiency of the care they deliver while responding to each patient’s unique needs and preferences.


Why we advocate for the medical home initiative

The medical home represents a unique, critical opportunity to center U.S. health care on primary care, and the Academy is working to implement this vital initiative.

To fully achieve its potential, the AAFP believes that the medical home model requires fundamental reform of the payment system. The Academy therefore advocates for new payment mechanisms that can support family physicians in their efforts to manage, direct and monitor high-quality preventive, acute and chronic care.

The AAFP also has consistently backed congressional actions aimed at bringing features of the medical home to beneficiaries of federally supported health care programs, including Medicare, Medicaid, TRICARE and the Federal Employees Health Benefits Program.


Recent AAFP communications


Joint communications with other organizations