While 59.1 percent of physicians worked in practices receiving some revenue from an advanced payment model in 2016, an average of 70.8 percent of practice revenue reflected fee-for-service payments, according to an American Medical Association policy brief.
For the analysis, AMA collected data from its Physician Practice Benchmark Surveys. The surveys comprise practice arrangement and payment information on active U.S. physicians. The data were gathered in 2012, 2014 and 2016, with about 3,500 respondents surveyed each year.
Here are five findings from the policy brief.
1. In 2016, more than 80 percent of physicians worked in practices receiving at least some revenue from fee-for-service.
2. Of APMs examined, pay-for-performance and bundled payment models had the highest participation rates, at about 35 percent.
3. Pay-for-performance and capitation models reflected about 7 percent of practice revenue in 2016. Comparatively, bundled payments made up nearly 9 percent of practice revenue, and shared savings only 2 percent.
4. The share of physicians in practices receiving fee-for-service fell over time. In 2012, 89.4 percent of physicians reported their practices received fee-for-service payments. This is compared to 85.9 percent in 2014 and 83.6 percent in 2016.
5. While fewer physicians in practices reported receiving fee-for-service payments, the average portion of practice revenue derived from fee-for-service models remained similar in 2012, 2014 and 2016. The portions were 69 percent, 71.9 percent and 70.8 percent, respectively.
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