Why Primary Care Practitioners Aren’t Joining Value-Based Payment Models: Reasons and Potential Solutions

Commonwealth Fund July 17, 2024
Ann S. O’Malley, Rumin Sarwar, Cindy Alvarez, Eugene C. Rich

TOPLINES

Although numerous value-based payment models for primary care have been tested, most primary care practitioners do not participate in them

To encourage participation, practitioners say upfront payments, investment in the primary care workforce, and less emphasis on simplistic quality measures are needed, as well as more support for practices to provide accessible, comprehensive care

Abstract

• Issue: During the past 14 years, the federal government and states have fielded numerous value-based payment (VBP) models for primary care to move away from a fee-for-service payment model that incentivizes the delivery of more services over better-quality care. However, most primary care practitioners (PCPs) do not participate in VBP models, and the reasons are largely unknown.
• Goals: Learn the barriers PCPs face...

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