Keckley Report December 6, 2021
This week, more than 800 will assemble in San Diego for America’s Physician Group’s (APG) 2021 Annual Conference. The group’s 335 member organizations seek to replace “the antiquated, dysfunctional fee-for-service reimbursement system with a clinically integrated, value-based healthcare system where physician groups are accountable for the coordination, cost, and quality of patient care.”
It’s a worthwhile ambition: the $4 trillion U.S. system is largely a fee-for-service. Despite setting an ambitious goal that 25% of payments by Commercial and Medicaid payers, and 50% by Medicare Advantage and traditional Medicare would require physician accountability for quality and value by 2022, results have been lackluster (less than 10%).
The reality is that healthcare system is change resistant: it has rewarded its investors, suppliers,...
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