A Medicaid project in North Carolina is using a dose of technical ingenuity to enable physicians who lack an electronic health record to successfully launch the medical home model.

About 800,000 of the 1.2 million Medicaid recipients in the state are assigned to a primary care physician who uses the medical home model, says C. Annette DuBard, M.D. She's director of informatics, quality and evaluation for North Carolina Community Care Networks Inc., Morrisville, which provides technical support to 3,000 participating physicians organized into 14 networks.

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