US Approaches to Physician Payment: The Deconstruction of Primary Care

Journal Article

US Approaches to Physician Payment: The Deconstruction of Primary Care

Abstract

The purpose of this paper is to address why the three dominant alternatives to compensating physicians (fee-for-service, capitation, and salary) fall short of what is needed to support enhanced primary care in the patient-centered medical home, and the relevance of such payment reforms as pay-for-performance and episodes/bundling. The review illustrates why prevalent physician payment mechanisms in the US have failed to adequately support primary care and why innovative approaches to primary care payment play such a prominent role in the PCMH discussion.

Research Area: 

Centers

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