Jesse M Pines, Bernard S Black, L Anthony Cirillo, Marika Kachman, Dhimitri A Nikolla, Ali Moghtahderi, Jonathan J Oskvarek, Nishad Rahman, Arjun Venkatesh, Arvind Venkat
The fee-for-service funding model for US emergency department (ED) clinician groups is increasingly fragile. Traditional fee-for-service payment systems offer no financial incentives to improve quality, address population health, or make value-based clinical decisions. Fee-for-service also does not support maintaining ED capacity to handle peak demand periods. In fee-for-service, clinicians rely heavily on cross-subsidization, where high reimbursement from commercial payors offsets low reimbursement from government payors and the uninsured...
May 1, 2024: Annals of Emergency Medicine