Fee-for-Service: It's Time to Put a Fork in It ... for the Patients

In an industry awash with payment models, which approaches hold the most promise for helping to strengthen primary care while also improving health equity? One thing is certain: Fee-for-service is not only the wrong model, but it's actually at the root of our problems driving primary care revenue and care quality down, and inequality up.

In a new blog post by members of the Primary Care Collaborative (including our own Sean Hogan, Innovaccer GM and PCC board member) and the Commonwealth Fund, the co-authors offer three compelling suggestions for how alternative payment models can be the catalyst to simultaneously strengthen primary care and improve health equity.

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In a related development, Innovaccer just published the results of a new national study from Morning Consult that found 58% of providers believe their EHR vendor won’t be able to support the data strategies required to thrive using alternative payment models.

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Taken together, these views are a clarion call to action for primary care providers to reassess how their choice of reimbursement models and technology can have a positive—or negative—impact on clinical and financial outcomes. In this age of shrinking margins, higher material costs, and declining revenue, there's never been a better time to rethink how primary care delivery and reimbursement models can work together to drive positive change.