Payments in Support of Effective Primary Care for Chronic Conditions
Department of Quantitative Health Sciences
Health Economics | Health Policy | Health Services Administration | Health Services Research | Primary Care
Risk adjustment models can establish appropriate payments and incentives for delivering superior primary care, particularly to people with chronic conditions, through health-based capitation and performance assessment in a patient-centered medical home (PCMH). The practical issues and administrative structures for implementing bundled PCMH payment that we discuss are relevant for single-payer Scandinavian countries as well as the US. Feasibility is supported by the “virtual all-payer” PCMH pilot of one US health plan.
Primary care, Risk adjustment, Patient-centered medical home, Capitation, Primary care activity level (PCAL)
Nordic Economic Policy Review
Ellis, Randall P. and Ash, Arlene S., "Payments in Support of Effective Primary Care for Chronic Conditions" (2013). Quantitative Health Sciences Publications and Presentations. 1116.