More than 70% of physicians favor fee-for-service model

A majority of physicians remain unconvinced value-based payment models will result in improved clinical care, suggests Bain and Co.'s 2017 US Front Line of Healthcare Survey.

For the survey, Bain asked 980 physicians in eight specialties, 100 finance officers and 100 procurement officers about care delivery and the changing healthcare environment.

Here are six survey findings.

1. Physicians at physician-led organizations give their organizations a higher Net Promoter Score than physicians in management-led organizations, the study found. These physicians give a higher Net Promoter Score "as a place to work" (36 percent), "feel inspired by the organization's mission" (80 percent) and "feel sufficiently engaged in decisions about strategic direction" (83 percent).

2. In contrast, "physicians in management-led organizations on average are less inspired, less aligned and less likely than peers in physician-led practices to believe that they are sufficiently engaged in making important decisions about strategic direction and operations," Bain said.

3. A vast majority (more than 60 percent) of physicians believe they will face greater challenges in delivering high-quality care in the next two years, the survey found. They cited complex regulations, a growing administrative burden and frustration with EMRs.

4. The survey found physicians in physician-led and management-led organizations have a higher Net Promoter Score when they are actively engaged in decisions at their organization (47 percent), compared with those who are neutral (-14 percent) or disengaged (-61 percent).

5. More than 70 percent of physicians said they prefer a fee-for-service model, even with the higher cost compared to value-based models.

6. More than 80 percent of nonsurgical physicians believe pharmacy benefit managers don't exert a positive effect on drug costs.

Access the full survey here.



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