The Michigan Primary Care Transformation Project (MiPCT) was a five-year multi-payer project aimed at improving health in the state, making care more affordable, and strengthening the patient-care team relationship. MiPCT was state-wide in scope and ithe largest Patient-Centered Medical Home (PCMH) project in the nation. Approximately 355 primary care practices and 1900 primary care physicians and mid-level providers affiliated with one of 37 physician/physician hospital organizations (POs/PHOs) participated.

Assistance and support for practice transformation took place through a collaborative network of POs/PHOs and shared learning opportunities facilitated by the MiPCT administrative staff. Focus areas for transformation under the demonstration include care management, self-management support, care coordination and linkages to community services.

The Project worked toward a common incentive model across health plans, and provided clinical models, resources and support aimed at avoiding emergency room and inpatient use for ambulatory sensitive conditions, reducing fragmentation of care among providers and involving the patient in decision-making.