Pilot participants include health care providers in more than 40 practices (representing 120 physicians and 96 physician assistants and nurse practitioners), five hospitals, seven commercial health plans, the New York State Department of Health, the Medical Society of the State of New York, and the New York State Association of Counties.

Participating primary care providers include CVPH and physicians in the Plattsburgh/Malone area, Elizabethtown Community Hospital, the Adirondack Medical Center and the Trudeau Health System, Alice Hyde Medical Center and the physicians in Malone, Hudson Headwaters Health Network, Inter-lakes Health, and the Smith House Health Care Center.

Participating payers include both public (New York State via Medicaid and its civil service program) and private insurers (Blue Shield of Northeastern New York, CDPHP, Empire Blue Cross, Excellus, Fidelis Care, MVP Healthcare, and United Healthcare).

Patients of participating primary care practices are automatically considered part of the pilot if they have had an office visit within the past two years. Immediate family members in the household of active patients are also included. However, these family members must see their primary care physician within one year of the start of the pilot to continue to be included.