This Viewpoint discusses the implications from data on value-based payments, policy design regarding population- and episode-based payments, and the benefits of
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This Viewpoint proposes payment reforms to incentivize health equity, including setting of national goals, equity audits of payment models independent of qualit
Robert L. Phillips Jr, MD, MSPH; Linda A. McCauley, RN, PhD; Christopher F. Koller, MA
In recent years, public and private payers have been experimenting with new payment methods to drive better care at lower costs, including primary care services. The urgency has been compounded by COVID-19. Over the past 12 months, the pandemic has revealed major weaknesses in a health system built on fee-for-service (FFS) payment tied to face-to-face patient encounters. According to a 2020 survey, more than 80% of 736 primary care physicians (PCPs) surveyed reported finding problems with payment based on volume and extensive documentation.
1 This has left many physicians desiring more financial stability.