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...

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Topics: CMS, Govt Agencies, Insurance, Medicaid, Medicare, Payment Models, Physician, Provider, Value Based
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