Physicians cautiously optimistic about new payment models

Though only 55 percent of physicians participate in an alternative payment model, 80 percent would consider participation in the future, according to a survey of 500 physicians from Fidelity Investments and the National Business Group on Health.

These alternative payment models — such as pay-for-performance, patient-centered medical homes and accountable care organizations — are designed to create efficiency and control costs more than the current fee-for-service reimbursement model. The survey indicated most physicians are on board with this shift away from fee-for-service. In fact, only 41 percent of physicians surveyed felt fee-for-service was an optimal way to deliver positive patient outcomes. Among physicians under age 35 confidence in fee-for-service dropped to just 28 percent, according to the report.

Meanwhile, the survey indicated physicians rank "positive impact on patient health" as the top benefit of alternative payment models.

"At the end of the day, physician buy-in and support are crucial to the success of these new delivery models," Brian Marcotte, president and CEO of NBGH, said in a statement. "We are asking physicians to change how they engage their patients, manage their practice and get paid. The right resources, technology and analytics have to be in place to help physicians make this transition to deliver on the promise of improved patient outcomes and lower costs."


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