The Medical Home: Disruptive Innovation for a New Primary Care Model

May 2008 The analysis conducted by the Deloitte Center for Health Solutions compares the current state of chronic care management to the Medical Home model. System wide adoption would require that primary care physicians cut annual net costs by between $148,347 and $163,347 to break even. If these costs were spread among 1,000 patients who need care coordination, the net costs for health services would need to be reduced by $150 per month per patient to break even. The return on investment analysis considered primary care physicians with a panel size of 5,000 to 7,000 . . .