CMS is establishing a demonstration program to support innovative state-based “advanced primary care” initiatives. These projects, also called a “patient-centered medical home” model, use a team approach to coordinate a patient’s care. CMS seeks to test whether these arrangements reduce unjustified variations in utilization and expenditure across delivery systems, increase patient safety, increase beneficiary participation in health care decision-making, and decrease expenditures. CMS will begin soliciting applications from states this fall, and the demonstration is slated to begin in early 2010.