The pilot is organized as three geographic “pods,” the Northern Adirondack (Plattsburgh and surrounding communities), Tri-Lakes (Saranac Lake and surrounding communities), and Lake George (Lake George and surrounding communities).

A governance committee of participating payers and providers, chaired by an official of the New York State Department of Health, has the following responsibilities:

• Monitoring the progress of practices and making initial and continuing participation decisions when necessary
• Making decisions regarding new applications for participation from providers/practices
• Resolving attribution disputes (if necessary)
• Enforcing terms and conditions
• Assessing overall pilot performance
• Clinical/quality performance
• Financial performance
• Developing process and procedures for data access
• Ensuring regulatory compliance
• Managing grants/funds
• Meeting logistics
• Communications/education
• Internal (participants)
• External (press, interested parties, employer groups, etc.)
• Compensation and participation requirements (terms and conditions)
• Oversee any changes or revisions needed
• Pay for performance
• Acting as liaison with other governance entities or projects including (but not limited to) Rural Health Networks and HEAL 10
• Creating and defining subcommittee activities