Provider Groups Call on US CMS for Hybrid Payment Model

March 27, 2023


Almost 30 provider groups have written a letter asking the US Centers for Medicare and Medicaid Services (CMS) to implement a hybrid system that mixes fee-for-service and prospective payments for primary care. According to the letter, doing so would incentivize primary care physicians (PCPs) to serve rural areas.  The letter is, in part, in response to a push from the agency to get PCPs in rural and underserved areas to move to value-based care models.

According to Robert King, “Hybrid payments have been explored over the past decade through various models, most notably the Comprehensive Primary Care Plus program launched in 2017. One of the tracks in the model enables a physician to get normal fee-for-service payments alongside performance-based payments. However, it has been difficult for primary care providers to transition to such hybrid methods, and physicians in some models had issues finding ‘the time or resources necessary to fully implement desired changes, even with multi-payer models,” according to a 2021 report from the National Academies of Health.”

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(Source: Fierce Healthcare, March 26th, 2023)

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