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General Pediatricians and Value-Based Payments.

Joel S Tieder1, Blake Sisk2, Mark Hudak3

  • 1Division of Hospital Medicine, Department of Pediatrics, Seattle Children's Hospital and School of Medicine, University of Washington, Seattle, Washington; joel.tieder@seattlechildrens.org.

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Summary
This summary is machine-generated.

Pediatricians are increasingly involved in value-based payment (VBP) models. Those with VBP experience are more likely to believe these payment strategies positively impact patient care.

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Area of Science:

  • Health Services Research
  • Pediatric Healthcare Policy
  • Healthcare Economics

Background:

  • Healthcare systems are transitioning from volume-based to value-based payment models.
  • This shift aims to improve overall healthcare system efficiency and patient outcomes.
  • Pediatricians' perspectives are crucial in understanding this transition's impact.

Purpose of the Study:

  • To evaluate pediatricians' experiences with new value-based payment models.
  • To assess pediatricians' views on the impact of these payment models on patient care.
  • To identify factors influencing pediatricians' perceptions of value-based payments.

Main Methods:

  • A national survey of American Academy of Pediatrics members was conducted in 2016.
  • The survey assessed practice characteristics, experience with value-based payments (VBPs) via ACOs or pay-for-quality, and provider opinions.
  • Descriptive statistics and multivariable logistic regression analyzed the data.

Main Results:

  • The survey achieved a 48.7% response rate (n=786).
  • 52% of practicing general pediatricians reported experience with VBPs.
  • Pediatricians experienced with quality metrics or ACOs were significantly more likely to report a positive impact on patient care.

Conclusions:

  • Over half of surveyed pediatricians have experience with some form of VBP.
  • Pediatricians with VBP experience are more optimistic about its positive effects on patient care.
  • Findings highlight the importance of pediatrician engagement in value-based care initiatives.