The 10 groups participating in CMS’ Physician Group Practice (PGP) demonstration project received a total of $16.7 million for improving quality and efficiency of care during the project’s second performance year, according to CMS. Four groups—Dartmouth-Hitchcock Clinic in Bedford, NH, The Everett (WA) Clinic, Marshfield (WI) Clinic, and the University of Michigan Faculty Group Practice in Ann Arbor—earned a combined total of $13.8 million in performance payments. However, even with that windfall, groups involved in the project say the bonuses do not offset the costs associated with the program.