This is how socialized medicine works and health care declines even further. Then who is going to listen to a health care coach? This opens the door to poor heatlh care and fraud and corruption. It does nothing to control health care costs and the plan will only feed escalating costs. The only ones this will aid are chronic addicts who needs a pill for every ailment in the books.

The majority of medicaid patients already have a "medical home"-they return to the same provider for follow up visits. I don't see a big change.

Additionally, physicians are trained to treat disease and have negligible training to be social workers/personal trainers/dieticians/mental health therapists/wellness counselors. These are all items that are time intensive,and should be done by those who have the proper training.

To pay a doctors salary for this inappropriate use of a physicians time will drive costs through the clouds above the roof! I hope that those whose services will be cut to fund this pet project are ok with it, because there are no new tax revenues available in this economy.

To "Already There": They have no intention of paying us docs for the work. It is called an unfunded mandate just like COBRA and HIPPA.