Although the UNC plan has been touted by Mr. Brad Wilson, Medical Homes have not always been shown to work and I wish BCBS could be honest about this reality.
Minnesota's efforts were met with a lot of criticism about the process. The medical home was started in multi-specialty, highly functioning areas, similar to UNC Chapel Hill. What about the rest of the state / rural areas?
To claim the medical home concept is so great, ignores the fact that large areas of the country cannot reasonable develop such an intense program.
Why not try the simple things first? Try a few modified rural programs first, and see how they work or don't work.
I really see no need for the medical home concept if primary doctors were allowed to spend more time with their patients, and be compensated for these efforts.