The C0mmonwealth Fund looks at the lessons of medical homes for multipayer reform.

The lessons:

• Involve either the state or the federal government—or both—as a convener, payer, or key stakeholder.
• Find common ground between payers and providers on a few key issues where there is already some general agreement—for example, common performance measures.
• When payers are aligned from the start, they are much more likely to collaborate and exert a positive influence on program design.
• Be cognizant that the local insurance market and policy environment are the primary forces shaping implementation.