Over time, and with increasing experience, the partners experimented with various performance-based payment incentives, including a “bed-day incentive” fund, pay for performance, pooled professional risk, and a budget model for high-impact specialty services, and others. Data analysis and reporting, managerial capabilities, and clinical enhancements were developed synchronously, allowing the assumption of more financial risk. We now operate under global capitation, under which PPP bears financial responsibility for all Medicare-covered services for 16,000 Medicare Advantage patients. PPP (not the individual physician) is paid a percentage of the monthly risk-adjusted global capitation fee using the Centers for Medicare & Medicaid Services (CMS)-Hierarchical Coexisting Category methodology1 for each of the enrolled patients served by its member physicians. The global capitation fee excludes transplants, behavioral health, and part D benefits.