NEJM October 5, 2023
A new primary care delivery model relies on clinician influence to obtain better health outcomes.
Summary
The U.S. health care system’s revenue structure includes payment models that are incompatible with each other and the needs of consumers: the transactional fee-for-service model and variations of value-based and outcome-based care models. While provider organizations struggle to function in these environments, physician leaders at ChenMed contend delivery systems can move beyond these confusing and ineffective models of care and embrace a transformative care model. Transformative care combines a capitation payment model and a primary care delivery approach that emphasizes care team accountability for patient care and requires care team members to develop the trust-building and influencing skills necessary to modify patient behavior and...
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