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Value-based payment: Or is it fee-for-service? Or both?

Key Takeaways

  • Physicians frequently use both fee-for-service and value-based payment models, each with distinct implications for primary care reimbursement.
  • Fee-for-service models can distort incentives and inadequately compensate primary care services, posing challenges for practitioners.
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A physician researcher discusses why primary care physicians do not participate in value-based payment models.

Do physicians work with a fee-for-service payment model? Value-based payment? Or both? Fee-for-service payment is distorted for primary care reimbursement, and value-based payment models do not eliminate that. Ann S. O’Malley, MD, MPH, a researcher for Mathematica, continues explaining some of the financial findings of the study, “Why Primary Care Practitioners Aren’t Joining Value-Based Payment Models: Reasons and Potential Solutions.”

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© Mathematica - The Commonwealth Fund
© Mathematica - The Commonwealth Fund
© Mathematica - The Commonwealth Fund