But, aren’t you taking away the individual’s freedom of choice through a Patient-Centered Medical Home?
The short answer is no. In the medical home model, the primary care physician and the patient decide together which path to take. If they decide that the patient would benefit from a particular treatment provided only by a subspecialist, then the primary care physician would work with the patient to make that happen. Importantly, however, the primary care physician would stay involved, i.e., after a particular treatment, both physicians would discuss next steps, in conjunction with the patient.