The value of taking a patient-centered approach to providing healthcare seems obvious. After all, the patient is the one who ultimately reaps the benefits of good health, so shouldn’t he or she also have the chance to take an active role in his treatment process, guiding his own outcomes? That’s the premise of a Patient-Centered Medical Home. Yet for healthcare organizations that provide a safety need for low-income and high risk populations, getting some of the poorest and sickest patients involved in their own care can be quite challenging.