PT - JOURNAL ARTICLE AU - Winston Liaw AU - Miranda Moore AU - Chimaraoke Iko AU - Andrew Bazemore TI - Lessons for Primary Care from the First Ten Years of Medicare Coordinated Care Demonstration Projects AID - 10.3122/jabfm.2015.05.140322 DP - 2015 Sep 01 TA - The Journal of the American Board of Family Medicine PG - 556--564 VI - 28 IP - 5 4099 - http://www.jabfm.org/content/28/5/556.short 4100 - http://www.jabfm.org/content/28/5/556.full SO - J Am Board Fam Med2015 Sep 01; 28 AB - Over the past decade, Medicare has tested care coordination programs in an effort to achieve the triple aim of improving the patient experience, improving population health, and lowering costs. Although savings from this promising concept have not materialized, private payers are starting to offer blended payments to primary care. From these demonstrations, we propose 5 lessons for practices implementing care coordination: (1) minimize expenses by sharing resources and avoiding cost ineffective interventions; (2) concentrate on high utilizers; (3) foster relationships with both providers and patients; (4) track patients across the medical neighborhood in real time; and (5) extend rather than a duplicate the efforts of primary care practices.