Finance

Physician Practices Need HELP Adopt New Payment Models, Study Finds

Both the Federal government and private payers are changing just how they pay doctors and other health professionals, moving to innovative models designed to improve quality and keep your charges down. Many physician methods are responding by partnering or merging with other medical practices or hospitals to raised support the investments necessary to flourish in new payment models, such as treatment managers and information technology.

Practices say that realigning their procedures to the goals of the new payment strategies can be challenging when necessary information are not available or different payment models issue with one another. Dr. Mark W. Friedberg, the study’s business lead author and a senior natural scientist at RAND, a nonprofit research company.

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Researchers performed case studies of 34 doctor practices in six diverse geographic marketplaces to determine the effects that alternative healthcare payment models are having on doctors and medical practices in America. The payment models include episode-based and bundled obligations, shared savings, pay-for-performance, capitation, and retainer-based procedures. Accountable treatment organizations and medical homes, two new organizational models, also were examined.

The findings are intended to help guide system-wide efforts by the AMA, the study’s sponsor and co-author, and other healthcare stakeholders to improve payment option models and help doctor practices effectively adjust to the changes. AMA President-elect Dr. Steven J. Stack. The statement found to the effect that choice-payment models have on practice balance, like the overall financial impact, ranged from natural to positive.

Among the practices surveyed, none got experienced monetary hardship consequently of involvement in new payment models. There was general contract among doctors that the transition to substitute payment models has urged the development of a collaborative team-based treatment to avoid the development of disease. Additional benefits for patients include increased access to doctors and caution through tele-health or community-based treatment.

Most physician leaders were optimistic about alternate payment models, while doctors not in leadership roles portrayed some apprehension, with regard to certain new paperwork requirements particularly. For example, physicians were supportive of new patient registries that list patients with certain health conditions as a way to improve care. But they acquired concerns about records requirements where the link to better treatment was less clear.