Payment Reform to Support Lasting Practice Reform in Primary CareGoroll, Allan H. MDThe Journal of Ambulatory Care Management: January/March 2011 - Volume 34 - Issue 1 - p 33–37 doi: 10.1097/JAC.0b013e3181ff9325 Issue on the Medical Home: Original Article Abstract Author Information Establishing and sustaining patient-centered medical homes will require new investments in primary care. The Payment Reform Task Force of the Patient-Centered Primary Care Collaborative consensus statement recommends a blend of different payment strategies for the majority of patients in a practice along with risk adjustment. It also recommends shifting focus to value, ensuring that the working environment for primary care is improved, optimizing administrative practicality and relying on pilots with systematic evaluation and review to evolve the best strategy. Massachusetts General Hospital, Harvard Medical School, Boston. Corrrespondence: Allan H. Goroll, MD, Massachusetts General Hospital, 15 Parkman St. Suite 645, Boston, MA 02114 (firstname.lastname@example.org). The recommendations included in this article are the work of the Payment Reform Task Force of the Patient-Centered Primary Care Collaborative of which Dr. Goroll is the chair. © 2011 Lippincott Williams & Wilkins, Inc.