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The Commonwealth Fund has published the results of a study seeking to understand why more primary care practitioners (PCPs) are not participating in value-based payment (VBP) models.
After conducting focus groups with PCPs who have not participated in VBP models and interviews with primary care executives and association leaders, the report offers some recommendations about how to improve PCP participation.
The report notes that during the past 14 years, CMS and states have tried several VBP models for primary care, but most PCPs still do not participate in VBP models, and the reasons are largely unknown. (A 2022 survey found that just 46 percent of primary care physicians reported receiving any value-based payments. Smaller, independent, and less-resourced practices that serve 39 percent of traditional Medicare beneficiaries are the least likely to apply to VBP models.)