Yes, I heard about it. Betsy McCaughey had an article about it in yesterday's Wall Street Journal:
"What the Pelosi Health-Care Bill Really Says"
http://online.wsj.com/article/SB10001424052748704795604574519671055918380.html?mod=WSJ_hps_sections_opinion
"Sec. 1302 (pp. 672-692) moves Medicare from a fee-for-service payment system, in which patients choose which doctors to see and doctors are paid for each service they provide, toward what's called a 'medical home.'
"The medical home is this decade's version of HMO-restrictions on care. A primary-care provider manages access to costly specialists and diagnostic tests for a flat monthly fee. The bill specifies that patients may have to settle for a nurse practitioner rather than a physician as the primary-care provider. Medical homes begin with demonstration projects, but the HHS secretary is authorized to 'disseminate this approach rapidly on a national basis.'
"A December 2008 Congressional Budget Office report noted that 'medical homes' were likely to resemble the unpopular gatekeepers of 20 years ago if cost control was a priority."