If not, here's your update in two words:  they aren't.  Interestingly, the latest report on this new system indicates that cost savings and quality delivered don't measure up...at least not yet.  Remember, after all, how Medicare was rolled out years ago:  first everyone signs up, and then, over time, reimbursement is ratcheted down.  Should you expect anything different here?  Recommendation:  get on board early and good at delivering care in this model sooner rather than later because it's coming.  Even better:  develop organizational competence in how to pivot quickly when new directives and care models are pushed out by the government.  After all, the Patient Centered Medical Home won't be the last!