The medical home has been hailed as the savior for primary care. Specialists have yet to hop on board, likely because of the threat the increased payments have on their salaries.

Emergency physicians aren’t that enthused either. They seem pretty bitter with EMTALA, and want primary care to take on all comers as well:

According to the ACEP, primary care sites should promise to continue to offer medical home services even if a patient loses their insurance (which would help keep the uninsured away from emergency rooms by making the primary care physicians provide a service for free?).

One point I do agree with. Small practices are going to have trouble meeting the criteria for the medical home. Most can’t even get a functional EMR running, yet alone meet the enhanced requirements the medical home demands.