Effects of Health Care Payment Models on Physician Practice in the United States

Mark W. Friedberg ; Peggy G. Chen ; Chapin White ; Olivia Jung ; Laura Raaen ; Samuel Hirshman ; Emily Hoch ; Clare Stevens ; Paul B. Ginsburg ; Lawrence P Casalino ; et al.

RAND Corporation

RAND Corporation

关键词: Health Economics;    Medical Professionals;    Bing Center;    Health Care Reform;    Health Care Pay for Performance;   

DOI  :  10.7249/RR869
ISBN  :  9780833088949
RP-ID  :  RR-869-AMA

学科分类：自然科学（综合）

美国|英语

来源: RAND Corporation Published Research

【 摘 要 】

The project reported here, sponsored by the American Medical Association (AMA), aimed to describe the effects that alternative health care payment models (i.e., models other than fee-for-service payment) have on physicians and physician practices in the United States. These payment models included capitation, episode-based and bundled payment, shared savings, pay for performance, and retainer-based practice. Accountable care organizations and medical homes, which are two recently expanding practice and organizational models that frequently participate in one or more of these alternative payment models, were also included. Project findings are intended to help guide efforts by the AMA and other stakeholders to make improvements to current and future alternative payment programs and help physician practices succeed in these new payment models — i.e., to help practices simultaneously improve patient care, preserve or enhance physician professional satisfaction, satisfy multiple external stakeholders, and maintain economic viability as businesses. The report provides both findings and recommendations.