The management of cardiovascular conditions involves complex care protocols and extensive multidisciplinary input. As a result, cardiologists often find themselves serving in a dual primary care/cardiology role. This places more responsibility on the cardiologist to find effective ways to ensure care coordination among all of the patient’s core providers and to balance the level of medical management and procedural care needed for each cardiology patient’s particular condition. To address this, one approach gaining traction in the cardiology care arena is Patient-Centered Specialty Practice (PCSP) program, or the specialist medical home model. This column discusses the PCSP model and the potential benefits for cardiovascular care.