Internists group advocates greater use of prospective payment models, less reliance on fee-for-service in primary care
The American College of Physicians (ACP) wants to prioritize the needs of underserved patient populations and reduce disparities in health outcomes by overhauling how the U.S. pays for and delivers primary care.
In a position paper published Monday in Annals of Internal Medicine the ACP outlines six policy recommendations designed to provide more care access to underserved populations, increase focus on care value, and achieve greater equity in health outcomes.
Underlying many of the recommendations is a call for greater use of population-based prospective payment models, including hybrid models combining fee-for-service (FFS) and prospective payments. Such models, the paper says, “not only have the potential to achieve high-value care but can also be designed in a way to adjust for the social drivers that impact health outcomes.”
CMS currently ties 90% of its payments to value and 40% through some form of alternative payment model, according to the paper. Nevertheless, “FFS remains an underlying component of most physicians’ compensation, even with the greater adoption of such models.”
The ACP’s recommendations are:
With 161,000 members, the ACP represents internists, internal medicine subspecialists, medical students, residents, and fellows.