CHQPR July 24, 2022
Harold D. Miller

How to Pay for Primary Care

There is almost universal agreement that the current fee-for-service payment system does a poor job of supporting high-quality primary care, but what should replace it? Is “population-based payment” the best way to pay for primary care, as many people have proposed?

Payments Must Support Three Different Primary Care Services

A good payment system should enable a primary care practice to deliver care to all types of patients in the most effective way. Primary care consists of three distinct types of services: (1) wellness care, (2) acute care, and (3) chronic condition care. To achieve the best outcomes for patients, each of these services must be delivered in the right way by the most appropriate members of the...

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