With our implemented electronic medical records fully, comprehensive patient care coordination and high quality care criteria, the Medical Clinic of North Texas believes that using the medical house model will significantly enhance the general health of our individuals. Ken Phenow, CIGNA’s senior medical director for North Texas. The patient-centered medical home concept is usually a promising strategy for changing these dynamics, and we are very happy to be dealing with MCNT, which is focused on the medical home model deeply. According to Tag McClellan, M.D., Ph.D., director of the Engelberg Center for Health Care Reform at the Brookings Organization in Washington, D.C., and former administrator of the guts for Medicare & Medicaid Providers, this effort is compatible with comparable payment and delivery system reforms being promoted nationally as part of healthcare reform.After displacing the bra-straps, a prominent vascular lesion calculating over 2 cm in maximum size was mentioned over the left spine . On dermoscopy, multiple cherry-crimson dots, globules and lacunes had been noticed . When questioned additional, the patient talked about that the lesion was longstanding. The provisional clinical analysis was angioma serpiginosum. A biopsy had not been considered necessary. The individual was reassured that the lesion was benign rather than requiring treatment..