Will the new “patient-centered medical homes” be too much like the capitated, risk-tasking group medical practices of the 1990s — or too little? An Avalere consultant calls the accountable care organizations aiming to use the medical homes “HMO wannabes.” Others are hoping new patient-tracking technology and better quality-based incentives will help the ACOs and the medical homes really become what the HMOs once wanted to be.

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