Most primary care physicians (PCPs) are engaging with value-based care, with 69 percent participating in some type of alternative payment model. But a new report from Chartis Group has identified the PCPs leading this transition away from fee-for-service.
Value-based care “Leaders,” according to the report, are PCPs who report participating in at least a partial-risk capitation agreement. Only about one-fifth (21 percent) of the over 300 PCPs surveyed for the report say they are in partial- and/or full-risk capitation agreements.
The other 28 percent of value-based PCPs are considered “Experimenters.” Experimenters acknowledge having a value-based agreement, with accountable care organization (ACO) and patient-centered medical home (PCMH) being the most common agreements among all PCPs.
Notably, 31 percent of PCPs say that they do not participate in any value-based arrangement or are unaware if their practice has a value-based agreement. The report classified these PCPs as “Abstainers.”
The report shows that Leaders have distinct characteristics, including longer tenure in their roles as PCPs and a larger panel compared to Experimenters and Abstainers. Leaders see an average of 22 patients a day, which is two more than Experimenters and four more than Abstainers.