The Robert Graham Center strives to inform policy decisions affecting issues surrounding primary care by providing evidence derived from rigorous economic research. The Graham Center is interested in producing economic research that generates new evidence and ideas to enable primary care to attain the “triple aim” of increased quality, improved outcomes, and reduced costs while informing effective policy decision-making.
The March 2014 Primary Care Forum, titled “Thinking Differently about Payment for Primary Care: Considering Alternative Payments Promoting Value, Complexity and Comprehensiveness” presented research conducted by Dr. David Katerndahl comparing the complexity of ambulatory care visits across various practice specialties.
Graham Center staff produced a systematic review of the published literature on services covered by care management fees in documented blended payment models and their associated per member per month fee. The goal of this work is to help inform primary care physicians of the aspects of care management fees including the range of ‘typical’ fees, the usual services and products covered under such fees, and issues other physicians have encountered in negotiating such fees. This document was releases as supporting evidence for the AAFP’s new policy on care management fees.
Collaboration with the AAFP and outside partners including other research groups, practice-based research networks, state and local agencies and university departments continues to be essential. Center staff will continue to pursue research that provides new evidence regarding the costs of primary care practice transformation, the economic impact of primary care, and new methods of paying for primary care functions.