Why would physicians not be interested in cost reductions?

$$ How should the program have been framed to align the goals of CareFirst and physicians?

$$ How did including Medicare beneficiaries change incentives?

$$ The Medicare grant added infrastructure to the program. Was that important?

$$ Have other PCMH programs become more effective as they have become more mature?

$$ What should have been done to improve physicians$$ knowledge of current clinical protocols?

$$ How could one improve physicians$$ knowledge of best$-$practice clinical protocols?

$$ Why were most physicians unwilling to change their practices to claim incentives?

$$ Most PCMH programs pay care coordination fees per patient per month for patients with chronic illnesses. How do the incentives differ from those of the CareFirst program?

$$ Would care coordination fees would have been a better strategy than higher visit fees?

$$ Many of the practices were small. Do you expect they could carry out performance improvements projects?