Complex and Rapidly Changing Payment Models Challenge Physician Practices
Oct 24, 2018
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The American Medical Association asked RAND Corporation researchers to examine how alternative payment models (APMs) — payment models other than fee for service — have affected physician practices. Researchers interviewed and surveyed physicians and other staff in 31 practices in six markets, including a variety of practice sizes, specialties, and ownership models. The work was a follow-up to a 2014 study that also examined APMs' effects on physician practices.
Researchers found that these results have persisted since 2014:
Researchers also identified new findings regarding APMs:
Taken together, these findings suggest that physician practice engagement with APMs would be enhanced by simpler APMs (to help practices focus on improving patient care); a more stable, predictable, and gradual pace of change; greater support for new capabilities and timely data; and reexamination of how practices might respond to APMs that involve downside financial risk.
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