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Designing a Successful Primary Care Physician Capitation Model


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. ....

Cleveland Clinic , United States , National University , University Of Pennsylvania , Ezekielj Emanuel , Blockley Hall , National University Health System , Commonwealth Fund , Recovery Partners , Ministry Of Health , Perelman School Of Medicine , Robert Wood Johnson Foundation , Donaghue Foundation , Healthcare Transformation Institute , Maine Health Accountable Care Organization , Services Inc , Oscar Health , Agathos Inc , Pennsylvania Department Of Health , Hawaii Medical Service Association , Human Services , Cigna Corporation , Maine Department Of Health , Medicare Payment Advisory Commission , Department Of Medical Ethics , Anthem Public Policy Institute ,