Date of Award
Spring 2019
Document Type
Capstone
Degree Name
Master of Public Health (MPH)
Department
Public Health
First Advisor
Andrew F. Coburn, Ph.D.
Second Advisor
Erika Ziller, Ph.D.
Keywords
primary care, reimbursement, quality of care, cost, healthcare
Abstract
EXECUTIVE SUMMARY
The purpose of this capstone was to (1) assess the likely effects of various primary care practice reimbursement models on quality of care and costs, (2) assess each reimbursement model’s applicability relative to practice size, and (3) analyze each model’s practice and system level implications. This was done through the conduction of a comparative analysis of current practice reimbursement models. The questions addressed in this analysis include:
- What are the primary, practice reimbursement models currently being used?
- What are the implications of these models on quality and costs?
- Are these reimbursement models applicable in all practice types (e.g. large-small, health system based versus independent)?
- What are the practice and system level implications for each reimbursement model?
Comparative analysis of current reimbursement models with respect to multiple practice considerations illuminated a variety of implications that vary depending on the implementing organization. Practice size, quality of care and improvement strategies, cost containment and system efficiency, and the promotion of population health are vital considerations when evaluating each reimbursement model’s design and potential practice and system-level implications.
Recommended Citation
Masood, Travis, "A Comparative Analysis of Primary Care Practice Payment Models: Practice and System Level Implications" (2019). Muskie School Capstones and Dissertations. 160.
https://digitalcommons.usm.maine.edu/muskie_capstones/160
