Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
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
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 2021 Revitalizing the U.S. Primary Care Infrastructure Go to Revitalizing the U.S. Primary Care Infrastructure 2016 How Other Countries Use Deprivation Indices-And Why The United States Desperately Needs One Go to How Other Countries Use Deprivation Indices-And Why The United States Desperately Needs One 2018 Physician Perceptions of Performance Feedback in a Quality Improvement Activity Go to Physician Perceptions of Performance Feedback in a Quality Improvement Activity 2015 Family physicians’ ability to perform population management is associated with adoption of other aspects of the patient-centered medical home Go to Family physicians’ ability to perform population management is associated with adoption of other aspects of the patient-centered medical home
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 2021 Revitalizing the U.S. Primary Care Infrastructure Go to Revitalizing the U.S. Primary Care Infrastructure 2016 How Other Countries Use Deprivation Indices-And Why The United States Desperately Needs One Go to How Other Countries Use Deprivation Indices-And Why The United States Desperately Needs One 2018 Physician Perceptions of Performance Feedback in a Quality Improvement Activity Go to Physician Perceptions of Performance Feedback in a Quality Improvement Activity 2015 Family physicians’ ability to perform population management is associated with adoption of other aspects of the patient-centered medical home Go to Family physicians’ ability to perform population management is associated with adoption of other aspects of the patient-centered medical home
2021 Revitalizing the U.S. Primary Care Infrastructure Go to Revitalizing the U.S. Primary Care Infrastructure
2016 How Other Countries Use Deprivation Indices-And Why The United States Desperately Needs One Go to How Other Countries Use Deprivation Indices-And Why The United States Desperately Needs One
2018 Physician Perceptions of Performance Feedback in a Quality Improvement Activity Go to Physician Perceptions of Performance Feedback in a Quality Improvement Activity
2015 Family physicians’ ability to perform population management is associated with adoption of other aspects of the patient-centered medical home Go to Family physicians’ ability to perform population management is associated with adoption of other aspects of the patient-centered medical home