title: Effects of Health Care Payment Models on Physician Practice in the United States.
abstract: The project reported here, sponsored by the American Medical Association (AMA), aimed to describe the effects that alternative health care payment models (i.e., models other than fee-for-service payment) have on physicians and physician practices in the United States. These payment models included capitation, episode-based and bundled payment, shared savings, pay for performance, and retainer-based practice. Accountable care organizations and medical homes, which are two recently expanding practice and organizational models that frequently participate in one or more of these alternative payment models, were also included. Project findings are intended to help guide efforts by the AMA and other stakeholders to make improvements to current and future alternative payment programs and help physician practices succeed in these new payment models-i.e., to help practices simultaneously improve patient care, preserve or enhance physician professional satisfaction, satisfy multiple external stakeholders, and maintain economic viability as businesses. The article provides both findings and recommendations.
authors.forename: Mark W
authors.initials: MW
authors.lastname: Friedberg
authors.forename: Peggy G
authors.initials: PG
authors.lastname: Chen
authors.forename: Chapin
authors.initials: C
authors.lastname: White
authors.forename: Olivia
authors.initials: O
authors.lastname: Jung
authors.forename: Laura
authors.initials: L
authors.lastname: Raaen
authors.forename: Samuel
authors.initials: S
authors.lastname: Hirshman
authors.forename: Emily
authors.initials: E
authors.lastname: Hoch
authors.forename: Clare
authors.initials: C
authors.lastname: Stevens
authors.forename: Paul B
authors.initials: PB
authors.lastname: Ginsburg
authors.forename: Lawrence P
authors.initials: LP
authors.lastname: Casalino
authors.forename: Michael
authors.initials: M
authors.lastname: Tutty
authors.forename: Carol
authors.initials: C
authors.lastname: Vargo
authors.forename: Lisa
authors.initials: L
authors.lastname: Lipinski