As healthcare transitions from fee-for-service to value-based reimbursement, primary care physicians are the most well-equipped physicians to lead the transition and have the most to potentially gain from the transition as well.
With the cost of healthcare services continuing to rise, patients will start demanding more and more value, while also asking for more transparency and for tools to evaluate if they are receiving the appropriate value of care for what they are paying.
Value-based care suggests that we might be able to considerably improve the quality of care provided to patients while reducing the total cost of care. For this to happen we need to enable primary care physicians with the tools, technology, procedures and economic incentives to help them transform the healthcare system.
The California regulatory model for fully capitated primary care delivery strongly believes in partnering with independent primary care physicians so that we can provide integrated support, technical systems and framework, and a knowledge of reporting requirements in order to help small practices survive and eventually succeed in the transition to value-based care.
If we had this type of support system for physicians transitioning to the value-based care models there would be much less resistance to the change. As stated by the American Academy of Family Physicians, one in three family physicians is already actively pursuing value-based payment models. Primary care physicians goals align with this type of patient care and reimbursement framework, however, physicians have stated that the lack of time and resources to implement the change as being one of the largest difficulties involved in value-based care.
Finding new ways to help physicians manage their costs of care, allow for a greater work-life balance and improve the level of care they give to their patients, can be a very valuable service during this time of transition.