Both the government and private payers are changing just how they pay physicians and other health professionals, moving to innovative models intended to improve quality and keep your charges down. Many physician practices are responding by partnering or merging with other medical procedures or hospitals to be able to better support the investments necessary to flourish in new payment models, such as treatment managers and it.
Practices say that realigning their functions to the goals of the new payment strategies can be challenging when necessary data aren’t available or different payment models conflict with one another. Dr. Mark W. Friedberg, the study’s business lead author and a mature natural scientist at RAND, a nonprofit research corporation.
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Researchers performed case studies of 34 physician practices in six diverse geographic markets to determine the effects that choice healthcare payment models are having on doctors and medical procedures in america. The payment models include bundled and episode-based payments, shared cost savings, pay-for-performance, capitation and retainer-based procedures. Accountable care organizations and medical homes, two new organizational models, were examined also.
The findings are intended to help guide system-wide attempts by the AMA, the study’s sponsor and co-author, and other health care stakeholders to improve alternative payment models and help physician procedures successfully adapt to the changes. AMA President-elect Dr. Steven J. Stack. The survey found the result that substitute payment models have on practice stability, including the overall financial impact, ranged from natural to positive.
Among the procedures surveyed, none experienced experienced monetaray hardship as a result of participation in new payment models. There was general contract among physicians that the changeover to alternate payment models has urged the introduction of collaborative team-based treatment to avoid the development of disease. Additional benefits for patients include increased usage of treatment and doctors through tele-health or community-based treatment.
Most physician leaders were positive about alternative payment models, while doctors not in leadership roles indicated some apprehension, with regards to certain new records requirements especially. For example, physicians were supportive of new patient registries that list patients with certain health issues as a way to improve care. However they experienced concerns about documentation requirements where the connect to better treatment was less clear.