This document discusses the Medical Home model of primary care that aims to improve healthcare quality and reduce costs. Key points: - The Medical Home model shifts primary care from episodic visits to long-term patient-physician relationships and holistic care management using technology like electronic health records. - Early pilots show promise with cost savings of up to 11% and improved quality of care. - Widespread adoption faces challenges of transforming medical practice culture and gaining insurance reimbursement changes, but advocates hope the new Obama administration will advance this model.