In its 2013 report, Moving Beyond Fee-for-Service, the Alliance of Community Health Plans (ACHP) addressed the increasing awareness that the current physician payment system is not adequate to meet the demand for affordable cost combined with high-quality care. It recommended physician payment reform begin in primary care, with specific attention to the infrastructure needed to coordinate care and share accountability for health outcomes and total cost across a diverse patient population. As primary care practices evolve, specialty care payment reforms can be developed.
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