Medical Economics February 20, 2025
Richard Payerchin

Key Takeaways

  • CMS aims for full Medicare and most Medicaid participation in accountable care by 2030, but physician engagement is low.
  • Financial, workforce, and documentation barriers hinder primary care participation in value-based models, with fee-for-service still prevalent.
  • Practitioners support value-based care goals but face challenges in implementation, requiring prospective payments and reduced quality metric emphasis.
  • Solutions include enhancing primary care incentives, training, and resource allocation to improve participation and care quality.

Physicians are excited about the concepts of value-based payment models. So why do so many doctors stick with fee-for-service care?

Value-based programs have a triple aim: better care for patients, better health for populations and lower cost of health care, according to the U.S. Centers for Medicare...

Today's Sponsors

Venturous
Got healthcare questions? Just ask Transcarent

Today's Sponsor

Venturous

 
Topics: CMS, Govt Agencies, Insurance, Medicaid, Medicare, Payment Models, Physician, Provider, Value Based
Marathon Health CEO Jeff Wells on lessons learned 1 year post-merger
The North Star of Behavioral Health: Aligning Payer, Provider Goals in Value-Based Care
Beyond fee-for-service: How practice groups are evolving in the age of value-based care
Bridging Care Gaps With a Systemwide Value-Based Care Strategy
Recent Medicaid Managed Care Policies And Safety Net Accountable Care

Share This Article