Fee-for-service payments still account for most physician practice revenue, AMA finds

Although most physicians reported participating in at least one alternative payment model in 2018, practice revenue still primarily comes from fee-for-service, according to the American Medical Association.

The finding is based on data from the AMA's Physician Practice Benchmark Surveys of physicians conducted in September 2012, 2014, 2016 and 2018. About 3,500 respondents participated in the survey each year.

Nearly all physicians surveyed in 2018 (87 percent) reported that their practice received payment through fee-for-service for care provided. At the same time, many physicians reported receiving revenue through alternative payment models. Forty-two percent of 2018 survey respondents reported at least some payment through pay-for-performance, and 36 percent reported at least some payment through bundled payments.

Overall, 70.3 percent of practice revenue in 2018, on average, was from fee-for-service compared to 29.7 percent from alternative payment models, according to the AMA. These shares are in line with 2016, when an average of 70.8 percent of practice revenue came from fee-for-service compared to 29.2 percent from alternative payment models.

 

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