<p>The rapid proliferation of medical home initiatives in the United States in the past few years has been marked by experimentation and evolution in both practice transformation strategies and in payment models. One central challenge has been and continues to be how best to structure payment arrangements. Designers of Patient-Centered Medical Home initiatives have typically sought to address two objectives through payment design.</p>

<p>This brief was created to provide a detailed look at the payment arrangements and dollar value of a sample of 12 medical home initiatives. The examples were selected to provide descriptions of a diverse mix of initiatives, including those involving a single commercial payer, multiple payers and a state Medicaid agency acting alone. They were also selected to provide a range of payment models, including some newer payment model designs.</p>

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