What concerns physicians about value-based care?

The majority of physicians are most concerned with getting penalized for factors they cannot control.

Most physicians prefer traditional payment models, according to a recent survey from Deloitte Center for Health Solutions. Unsurprisingly, primary care physicians are more likely than specialists to support value-based care, according to the report.

So what are physicians concerned about in terms of value-based care?

Approximately 560 physicians in a variety of specialties answered, expressing the following concerns regarding value-based care models.

  • 78 percent of physicians are most concerned with getting penalized for factors they cannot control.
  • 78 percent of physicians are concerned value-based care models will overlook quality improvements that do not fall under specific performance goals.
  • 70 percent worry it will limit their ability to make care decisions for the patient.
  • 62 percent of physicians overall are concerned performance goals will be unreasonable in value-based care models. Surgical specialists are less concerned with this (56 percent), as compared to primary care physicians (65 percent) and non-surgical specialists (66 percent).
  • Primary care physicians are most concerned with care innovations, including the incorporation of telehealth (70 percent), while surgical specialists and non-surgical specialists report less concern (45 percent and 51 percent, respectively).
  • Across specialties, physicians were least concerned with achieving performance improvement at work (45 percent).


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