Case Study

PrimaryPayTM, a next-gen primary care capitation model

PrimaryPayTM, a next-gen primary care capitation model

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Highlights 59% of PCPs said the patient relationship improved. In a survey, 59% of PCPs in the capitated arrangement said the PCP-patient relationship improved and 50% said they increased non-face-to-face communication to patients. 0.5 increase in Star Rating, The health plan studied the quality measures of PCPs in the capitated arrangement vs. peers in FFS. In the year post-implementation, the plan’s Star Rating increased by 0.5 points. 98% PCP adoption Today, 98% of PCPs in this region are still being compensated under this capitated payment model, showing the success of the shift away from fee-for-service models. PrimaryPayTM, a next-gen primary care capitation model. Deployed by a regional health plan, resulting in improved quality, PCP practice patterns, and CMS Star Rating.

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