American Medical Association used its Physician Practice Benchmark Surveys which comprise practice arrangement and payment information on active U.S. physicians.
We hear a lot about Alternative Payment Models, their use and successes. Becker’s Hospital CFO Report delineates “Five Things to Know” from the AMA paper:
1. In 2016, more than 80 percent of physicians worked in practices receiving at least some revenue from fee-for-service.
2. Of APMs examined, pay-for-performance and bundled payment models had the highest participation rates, at about 35 percent.
3. Pay-for-performance and capitation models reflected about 7 percent of practice revenue in 2016. Comparatively, bundled payments made up nearly 9 percent of practice revenue, and shared savings only 2 percent.
4. The share of physicians in practices receiving fee-for-service fell over time. In 2012, 89.4 percent of physicians reported their practices received fee-for-service payments. This is compared to 85.9 percent in 2014 and 83.6 percent in 2016.
5. While fewer physicians in practices reported receiving fee-for-service payments, the average portion of practice revenue derived from fee-for-service models remained similar in 2012, 2014 and 2016. The portions were 69 percent, 71.9 percent and 70.8 percent, respectively.