NEJM October 3, 2023
Preserving and improving the value of primary care — effective services, access for patients, satisfaction for clinicians — will not be an automatic result of value-based reimbursement, but will require redesigning the care paradigm to focus on relationships among the four pillars of primary care: patients and their families, physicians, health systems, and their surrounding communities.
Summary
When health systems enter into at-risk reimbursement agreements, they look to maximize capitated payments and quality incentives and to reduce costs. Health systems view primary care as a key vehicle to achieve these financial goals because primary care clinicians treat the whole person and are the front line for prevention and early detection, which are both key to reducing costs. However, even though...
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