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Learning to Fly: Building De Novo Medical Home Practices to Improve Experience, Outcomes, and Affordability

Fernandopulle, Rushika MD, MPP

Journal of Ambulatory Care Management: April/June 2013 - Volume 36 - Issue 2 - p 121–125
doi: 10.1097/JAC.0b013e3182871fac
Original Articles

While most approaches to improving primary care delivery involve making incremental improvements to existing practices, for the past decade we have been engaged in a different approach—to build new practices from the ground up to demonstrate a vision of what is possible. Our Iora model of care combines a new payment model which does away with all fee for service billing, a new delivery model focused on robust team-based population management, and a new IT system to drive this very different care. We have demonstrated in several pilots improved experience, outcomes, and lower total cost of care.

Iora Health, Cambridge, Massachusetts; and Department of Medicine, Harvard Medical School, Boston, Massachusetts.

Correspondence: Rushika Fernandopulle, MD, MPP, Iora Health, The American Twine Building, 222, 3rd St, Ste 3100, Cambridge MA 02142 (

Rushika Fernandopulle is cofounder and chief executive officer of Iora Health.

The author reports no conflict of interest.

© 2013 Lippincott Williams & Wilkins, Inc.