Journal Article US Approaches to Physician Payment: The Deconstruction of Primary Care
Robert A. Berenson, Eugene C. Rich
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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 Areas Health and health care
Tags Health insurance Federal health care reform Health care delivery and payment Health equity Medicaid and the Children’s Health Insurance Program  State health care reform Hospitals and physicians Medicare
Policy Centers Health Policy Center