Family Medicine for America’s Health

FMAHealth’s Payment Team developed a Calculator that outlines what a family medicine practice currently being paid in a Fee for Service framework would be paid in a Comprehensive Primary Care Payment (CPCP) framework. To see the Calculator, its User Guide, and the methodology behind it, click here.

After testing the Calculator with a number of practices, the team is taking the Calculator on the road to discuss its utility with payers and employers. Discussions have begun with a major insurer to gauge their interest in the Calculator and the Comprehensive Primary Care Payment framework it puts to use. The first few conversations have opened up an ongoing dialogue about the value of primary care and the importance of paying primary care physicians and their teams in a manner commensurate with the value they provide.

At the same time, the team is in discussions with the National Alliance of Healthcare Purchasing Coalitions and a number of their 50 state coalitions about the value of the Calculator and CPCP for self-insured employers. Coalitions in Nevada, Wisconsin and Business Groups on Health in a number of states have expressed interest in the Calculator and in CPCP. The Alliance in Wisconsin is launching a CPCP pilot project, beginning with 5-10,000 patients and expanding from there. Stay tuned for further updates and let us know if you’re interested in learning more by contacting Wyatt Golledge.