Figure 3.

Break even analysis, which identified the probability with which key medical home services could be supported by a clinic without achieving negative net revenue.

CC = care coordinator; FTE = full-time equivalent; IFFS = increased fee for service; LPN = licensed practical nurse; MA = medical assistant; P4P = pay for performance; PMPM = per member per month; RN = registered nurse.

Note: We specifically calculated the probability that a clinic would not lose net revenue through the addition of 1 FTE for each type of support staff (CC, RN, LPN, and MA); when adding 5 minutes to each visit; when converting 10% of routine visits to electronic or telephone visits; or when adding 1 full business day (8 evening/weekend business hours) per week in a median practice size of 5 FTE physicians.