Primary Care Docs Weigh Advantages of PCMH
WellPoint Inc.'s plan to increase reimbursements for primary care physicians who transition to patient-centered medical homes could signal a tipping point in the move toward the new care management model.
That's according to Glen R. Stream, MD, a family physician from Spokane, WA, and the president of the 100,300-member American Academy of Family Physicians.
"It is a significant step in the right direction," Stream told HealthLeaders Media. "WellPoint is a large insurer and their program has some features that are very much in line with what the academy has been promoting for some time: to align the payment model to support the medical home model of delivering primary care."
Indianapolis-based WellPoint, with 34 million members in affiliated plans, announced last week that it would "increase revenue opportunities" for some primary care practices that participate in patient-centered primary care medical home model.
The plan calls for care management fees for primary care physicians, who could see fee increases of about 10% with incentives that could improve payments by as much as 50%. The Wall Street Journal reported that WellPoint now spends between 6% and 8% of its $100 billion in annual claims on primary care, but that the payout could increase by an additional two percentage points under the new model.
- Resisting the Healthcare Consolidation Frenzy
- MGMA Urges 'End-to-End' ICD-10 Testing
- 1 in 5 CT Screenings for Lung Cancer Results in Overdiagnosis
- New G-Codes to Pay Doctors for Broad Array of Non-Face-to-Face Care
- Scary Financial Challenges for 2014
- Give Nurses in Wheelchairs a Chance
- MU Compliance Announcement Sparks Concern, Confusion
- 3 Better Ways to Market Bariatric Surgery
- HL20: George Halvorson—Expectations for Success
- Top 3 Health Plan Game Changers of 2013