Date of Award

Spring 2019

Document Type


Degree Name

Master of Public Health (MPH)


Public Health

First Advisor

Andrew F. Coburn, Ph.D.

Second Advisor

Erika Ziller, Ph.D.


primary care, reimbursement, quality of care, cost, healthcare



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.



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