Heeding the Call for Urgent Primary Care Payment Reform: What Do We Know about How to Get Started?
J Am Board Fam Med
; 34(2): 424-429, 2021.
Article
in English
| MEDLINE | ID: covidwho-1175522
ABSTRACT
The COVID-19 pandemic has added further urgency to the need for primary care payment reform. Fee-for-service payments limit the flexibility of practices to respond to crises and leave practices without sufficient revenues when visit volumes decrease. Historic fee-for-service payments have been inadequate, and prior implementations of prospective payments have encountered challenges; there is a need to bring forward the best available evidence on how to design prospective payments for payers and policymakers. Evidence suggests setting primary care investment at 10% to 12% of the total cost of care, approximately translating to an average $85 per member per month, with significant variation based on age and adjustment for medical and social measures of risk. Enhanced investment in primary care should be aligned across payers and support practice transformation to advanced models of care.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Primary Health Care
/
Prospective Payment System
/
Health Care Reform
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
J Am Board Fam Med
Year:
2021
Document Type:
Article
Similar
MEDLINE
...
LILACS
LIS