Nearly half of healthcare providers and leaders are uncertain exactly how the transition to value-based care will affect their practice, according to a Physicians Practice survey.
For the survey, researchers asked 1,124 respondents from across the nation about payer reimbursement. Respondents included physicians, administrators, medical billing managers and nurse practitioners, among others. They came from independent and hospital or health system-owned practices.
Here are five survey findings.
1. Only 12.5 percent of respondents expect the shift to value-based care to be good for their practice, compared to 29.4 percent who expect it to have a negative effect, the survey found. Nearly 12 percent said "neither," and 46.4 percent were unsure.
2. Researchers asked respondents what percentage of their 2017 revenue they anticipate will come via non-fee-for service contracts. More than 25 percent of respondents don't anticipate any of their 2017 revenue coming from these contracts, and 35 percent expect 1 to 10 percent of their revenue to come through them.
3. Researchers also asked respondents if they have prepared their practice for quality reporting under the Medicare Access and CHIP Reauthorization Act of 2015. More than 20 percent of respondents said their practice is still mostly ingrained in fee-for-service, but has done some value-based reimbursement, according to the survey. Only 15.9 percent said they are already mostly value-based.
4. Thirty percent of respondents said their practice has considered shifting to a direct-pay model, and 19.8 percent said their practice has considered shifting to a concierge medicine model, according to the survey.
5. Nearly 60 percent of respondents said they are unsure how MACRA will affect their practice. Only 9.2 percent of respondents believe MACRA will help their practice streamline operations and patient care.
Read the full survey results here.