John Rezen: 7 steps toward a value-based payment model for primary care
Submitted By Charlene Ice, Created 06/22/2020 - 12:05
- Establish true patient panels for each primary care physician.
- Agree on the optimal percentage of the healthcare dollar that should go for primary care.
- Adjust each primary care team’s payments to account for the overall health status of the patient panel.
- Set targeted performance levels for quality based on primary care scores under the Merit-based incentive payment system (MIPS).
- Use national primary care patient satisfaction benchmarks to agree on targeted performance levels for service.
- Use current regional healthcare per-member-per-month (PMPM) costs adjusted by the patient-panel-specific RAF score to set a total cost baseline for each primary care team.
- Determine the total value of primary care payments for the period of service.
Source: HFMA, June 11, 2020
Source URL: https://www.hfma.org/topics/hfm/2020/august/7-steps-toward-c...
Notes: Notes: John Rezen, MHA, LSSBB, CRCR, is president and CEO, Value Health, Pinehurst, N.C., and a member of HFMA’s North Carolina Chapter.