Value-Based Care in the Primary Care Environment

Over the last decade, value-based care has emerged as a compelling alternative to traditional reimbursement models in primary care.

This model, which bases compensation from insurance companies on health outcomes and quality of care delivered rather than number of services performed, has grown in popularity in practices that take private insurance as well as those working with Medicare and Medicaid. However, a shift to this model doesn’t happen overnight and requires strategic changes to personnel and technological architecture that can require significant upfront investment.

This report takes a closer look at the primary care environment regarding the impact of value-based models and the potential return on investment (ROI) offered. 

“While the road from volume to value can be rocky at times, we were excited to find that many primary care practices were able to overcome technological and strategic obstacles to succeed in value-based payment arrangements,” said Dr. Halee Fischer-Wright, President and CEO of MGMA. “There is opportunity to improve patient outcomes and reduce costs, but it’s important to recognize the significant upfront investment that’s required to thrive in this sort of environment.”