research Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination Read Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
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Home Research Research Library Advancing Primary Care Through Alternative Payment Models: Lessons from the United States & Canada Advancing Primary Care Through Alternative Payment Models: Lessons from the United States & Canada 2018 Author(s) Bazemore, Andrew W, Phillips, Robert L, Glazier, R H, and Tepper, J Topic(s) Role of Primary Care Keyword(s) Payment Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine The United States and Canada share high costs, poor health system performance, and challenges to the transformation of primary care, in part due to the limitations of their fee-for-service payment models. Rapidly advancing alternative payment models (APMs) in both countries promise better support for the essential tasks of primary care. These include interdisciplinary teams, care coordination, self-management support, and ongoing communication. This article reviews learnings from a 2017 binational symposium of 150 experts in policy and research that included a discussion of ongoing APM experiments in the United States and Canada. Discussions ranged from APM challenges and successes to their real and potential impact on primary care. The gathering yielded many lessons for policy makers, payors, researchers, and providers. Experts lauded recent APM experimentation on both sides of the border, while cautioning against the risk of “pilotitis,” or developing, implementing, and evaluating new payment models without plan or ability scale them into broader practice. Discussants highlighted the power of “learning at scale,” highlighting large-scale primary care payment innovations launched by the US Center for Medicare and Medicaid Innovation since 2011, and called for a similar national center to drive innovation across provincial health systems in Canada. There was general consensus that altering payment models alone, absent incentives for innovation and continuous learning as well as increased proportional spending on primary care overall, would not correct health system deficiencies. Participants lamented the absence of more robust evaluation of APM successes and shortcomings, as well as more rapid release of results to accelerate further innovation. They also highlighted the importance of APMs that include flexible and upfront payments for primary care innovations, and which reward measuring and achieving global rather than intermediate outcomes, to achieve utilization goals and patient and provider satisfaction. Read More ABFM Research Read all 2016 “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health Go to “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health 2022 Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S Go to Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S 2014 Which family physicians work routinely with nurse practitioners, physician assistants or certified nurse midwives Go to Which family physicians work routinely with nurse practitioners, physician assistants or certified nurse midwives 2019 Palliative Care Champions Are a Promising Solution to Meeting Patient Needs Go to Palliative Care Champions Are a Promising Solution to Meeting Patient Needs
Author(s) Bazemore, Andrew W, Phillips, Robert L, Glazier, R H, and Tepper, J Topic(s) Role of Primary Care Keyword(s) Payment Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine
ABFM Research Read all 2016 “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health Go to “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health 2022 Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S Go to Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S 2014 Which family physicians work routinely with nurse practitioners, physician assistants or certified nurse midwives Go to Which family physicians work routinely with nurse practitioners, physician assistants or certified nurse midwives 2019 Palliative Care Champions Are a Promising Solution to Meeting Patient Needs Go to Palliative Care Champions Are a Promising Solution to Meeting Patient Needs
2016 “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health Go to “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health
2022 Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S Go to Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S
2014 Which family physicians work routinely with nurse practitioners, physician assistants or certified nurse midwives Go to Which family physicians work routinely with nurse practitioners, physician assistants or certified nurse midwives
2019 Palliative Care Champions Are a Promising Solution to Meeting Patient Needs Go to Palliative Care Champions Are a Promising Solution to Meeting Patient Needs