The document summarizes Maine's Patient-Centered Medical Home (PCMH) pilot program. Key points: - The 3-year multi-payer pilot aims to support practice transformation for improved outcomes and lower costs. It includes 26 primary care practices across the state. - Practices are required to meet core expectations like team-based care, same-day access, and incorporating patient/family input. They receive learning supports and ongoing data feedback. - The pilot is evaluating changes in clinical quality, patient experience, and cost/utilization measures like hospitalizations. Early lessons indicate the importance of leadership, teams, and external coaching support for change. - Opportunities exist to spread le