The investigators are conducting a prospective analysis of the Alternative Payment
Methodology (APM) demonstration project sites. The investigators' goal is to conduct a cross
project analysis of findings. The investigators propose to use mixed methods to study
processes and outcomes associated with the APM natural experiment in payment reform. The
investigators hypothesize that Community Health Centers (CHCs) participating in the APM
demonstration project will redesign their workflows to better focus on patient and population
health needs, resulting in reallocation of financial resources, lower overall costs, changes
in utilization patterns, and improved quality.