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An Observational Study of Provider Perspectives on Alternative Payment Models
Drew Harris1, Katherine Puskarz1
1Jefferson College of Population Health , Philadelphia, Pennsylvania.
Population Health Management
|January 19, 2017
Summary
Health system leaders feel better prepared for alternative payment models (APMs) than physicians. Non-leader physicians express frustration with APMs, potentially increasing burnout and hindering implementation.
Area of Science:
- Health Services Research
- Healthcare Management
- Physician Economics
Background:
- US healthcare reimbursement is rapidly transforming.
- The Affordable Care Act and MACRA challenge traditional practices.
- Physician satisfaction is increasingly recognized as crucial for healthcare outcomes.
Purpose of the Study:
- To investigate physician perceptions of alternative payment models (APMs).
- To explore how these perceptions differ based on organizational role (non-leader physician, physician leader, health system leader).
Main Methods:
- Mixed-methods approach utilizing electronic surveys.
- Quantitative analysis of Likert scale data (N=147).
- Qualitative analysis of open-ended comments.
Main Results:
- Significant differences in APM preparedness ratings among the three groups.
- Health system leaders reported higher organizational preparedness compared to non-leader and physician leaders.
- Non-leader physicians expressed significant frustration regarding administrative burdens and unclear measurement requirements of APMs.
Conclusions:
- Disparities in APM perception exist across different leadership levels.
- Negative physician sentiment towards APMs may exacerbate burnout and hinder successful implementation.
- Addressing physician concerns is vital for effective adaptation to new reimbursement models.
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