For the last several years, I have advocated for the State of Connecticut's adoption of the Primary Care Case Management model, “PCCM”, for HUSKY, Connecticut’s Medicaid program that provides health coverage for low-income children and families. PCCM does not involve insurance companies or HMOs. Under it, primary care providers are paid extra to coordinate care and keep their patients out of more expensive settings. This Medicaid model could deliver better quality care at a lower cost.