Why Primary Care Practitioners Aren’t Joining Value-Based Payment Models: Reasons and Potential Solutions
Commonwealth Fund 7/17/24
Key Findings and Conclusion: PCPs’ enthusiasm for VBP models is tempered by financial barriers, the PCP workforce shortage, and imperfect performance measures. Suggested solutions to the financial challenges include sufficient upfront primary care payments from the models and ensuring health systems transfer the value-based payments to frontline primary care practices. Solutions to the PCP workforce shortage include increasing payments, boosting supports for PCPs, and investing in primary care trainees. PCPs felt that current performance measures could be improved by swapping out condition-specific metrics for metrics that support access and continuity of primary care.
Sections include:
- Overcoming Financial Barriers to Participating in VBP Models
- Addressing Primary Care Workforce Challenges That Thwart VBP Model Participation
- Making Performance Measures Less Onerous and More Relevant to Primary Care
- Challenges and Potential Solutions to Greater PCP Participation in Value-Based Payment
