Table 1.

Payment Models to Support the Patient-Centered Medical Home

Payment	Description
Enhanced Fee-for-service (FFS)	FFS payments augmented to practices recognized as PCMHs.
FFS with PCMH-specific billing codes	Practices able to bill for new PCMH-related activities.
Pay for Performance	Practices paid for meeting process measures (HEDIS), utilization targets (ED use, generic prescribing), or patient experience.
Per-member-per-month	Practices paid capitated monthly fee in addition to typical FFS billing, often adjusted for PCMH recognition level.
Shared Savings	Practices rewarded with portion of savings, if the total cost of care for their patient panel increases more slowly than a preset target.
Comprehensive Payment	Complete risk for cost of care with primary care practice.