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MemoMemorandumObama · D Quiet signal

Presidential Memorandum

Medicare Demonstration to Test Medical Homes in Federally Qualified Health Centers

This memorandum directs the Secretary of Health and Human Services to implement a Medicare demonstration program testing the 'medical home' model in Federally Qualified Health Centers (FQHCs). The program aims to improve care quality and efficiency by having primary care providers coordinate comprehensive, patient-centered care for underserved populations.

Federal Register Open PDF 74 FR 66207

Impact dates

  1. Implement Medicare FQHC Advanced Primary Care Practice demonstration

Key directives

  • Implement Medicare Federally Qualified Health Center Advanced Primary Care Practice demonstration
  • Publish memorandum in Federal Register

Who is ordered

Timeline

Immediate

  • HHS Secretary directed to implement Medicare FQHC Advanced Primary Care Practice demonstration

Near term (90d)

—

Long term

  • Potential expansion of medical home model based on demonstration results
  • Possible improvements in chronic disease management and reduced emergency/hospital utilization

Risks & tensions

  • No funding mechanism or budget specified beyond prior Recovery Act health center investments
  • Demonstration success depends on voluntary health center participation and ability to meet medical home criteria
  • Unclear metrics or evaluation timeline for determining demonstration effectiveness
Presidential Memorandum: Medicare Demonstration to Test Medical Homes in Federally Qualified Health Centers · Executive Orders