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Value-based payment: Not all insurers are on board
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Key Takeaways
- Value-based payment models are primarily driven by government insurers, with limited adoption by commercial physicians.
- Involvement of multiple payers is crucial for broader adoption of value-based payment models among physicians.
A physician researcher discusses why primary care physicians do not participate in value-based payment models.
When government insurers pay physicians through value-based payment models, commercial physicians don’t necessarily follow suit. Having more payers involved would help physicians adopt value-based payment models. Ann S. O’Malley, MD, MPH, a researcher for Mathematica, continues explaining some of the financial findings of the study, “Why Primary Care Practitioners Aren’t Joining Value-Based Payment Models: Reasons and Potential Solutions.”
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