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The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
September 16, 2020
Multipayer Primary Care Network Primary Care Transformation Primary Care Investment
Erin Taylor, MPH
Michael Bailit, MBA
Jennifer Sayles, MD, MPH
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Realizing a vision for advanced primary care in the United States will require adopting new payment strategies. The predominant payment scheme under which primary care practices operate—and their primary source of revenue—is fee-for-service payment. However, fee-for-service is not structured to support or sustain a comprehensive primary care system. Prospective payment for primary care is an alternative payment model that can facilitate care delivery transformations to better manage population health. It offers practices a predictable source of revenue, and the flexibility to manage care within a budget to optimize outcomes for a population of patients. Earlier primary care prospective payment models, such as those commonly employed in the 1990s, offer lessons and insights for designing a prospective payment for primary care that will facilitate the delivery of comprehensive, coordinated, and patient-centered primary care.
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Aug 12, 2020
Jul 30, 2020
Jul 22, 2020
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An endowed operating foundation that engages in nonpartisan analysis, collaboration, and communication, with an emphasis on state health policy.