source: the kaiser family foundation/commonwealth fund 2015 national survey of primary care...
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50%
43%
30%
SOURCE: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers (conducted January 5 – March 30, 2015)
Primary Care Physician Practice CharacteristicsAMONG PRIMARY CARE PHYSICIANS:
Percent who say their practice currently receives incentives or payments based on the following:
Quality of care or patient experiences
Utilization or efficiency in care
Qualifying as a Patient-Centered Medical Home or Advanced Primary Care Practice
Percent who say they are paid by:
29% 9% 32% 28%
Yes, currently participating Yes, preparing to participate Not participating Not sure
Is your practice currently participating or preparing to participate in an Accountable Care Organization (ACO) arrangement with Medicare or private insurers?
Total
34% 64%
Fee-for-service only Capitation or salary, with/without fee-for-service
29%
40%
14%
88%
18%
16%
18%
8%
41%
35%
52%
12%
10%
15%
3%
Positive No impact Negative Not sure
SOURCE: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers (conducted January 5 – March 30, 2015)
AMONG PRIMARY CARE PHYSICIANS:
AMONG PRIMARY CARE NURSE PRACTITIONERS/PHYSICIAN ASSISTANTS:
Do you think the increased reliance on non-physician clinicians such as NPs and PAs is having a positive, negative, or no impact on primary care providers’ ability to provide quality care to their patients?
Among those with any NP/PA in Practice
Among those with no NP/PAs in Practice
All
Physician Views More Negative Than Positive On Increased Reliance On Nurse Practitioners And Physician Assistants
All
33%
43%
28%
26%
24%
27%
14%
17%
13%
27%
15%
31%
Positive No impact Negative Not sure
SOURCE: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers (conducted January 5 – March 30, 2015)
AMONG PRIMARY CARE PHYSICIANS: Do you think the increased use of medical homes is having a positive, negative, or no impact on primary care providers’ ability to provide quality care to their patients?
Primary Care Physicians’ Views On Impact Of Medical Homes
All
Among those in medical homes (PCMH/APCPs)
Among those not in medical homes (PCMH/APCPs)
14%
30%
7%
21%
20%
21%
26%
24%
27%
38%
25%
43%
Positive No impact Negative Not sure
SOURCE: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers (conducted January 5 – March 30, 2015)
AMONG PRIMARY CARE PHYSICIANS: Do you think the increased use of Accountable Care Organizations (ACOs) is having a positive, negative, or no impact on primary care providers’ ability to provide quality care to their patients?
Primary Care Physicians’ Views On Impact Of Accountable Care Organizations
All
Among those in Accountable Care
Organizations (ACOs)
Among those not in Accountable Care
Organizations (ACOs)
50%
22%
12%
10%
17%
14%
28%
50%
52%
11%
10%
21%
Positive No impact Negative Not sure
SOURCE: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers (conducted January 5 – March 30, 2015)
AMONG PRIMARY CARE PHYSICIANS: Do you think each of the following is having a positive, negative, or no impact on primary care providers’ ability to provide quality care to their patients?
Physicians See Effect Of Health IT As Positive, Quality Metrics and Financial Penalties As Negative, For Overall Quality Of Care
Increased use of health information technology
Increased use of quality metrics to assess
provider performance
Programs that include financial penalties for unnecessary hospital
admissions or readmissions
Physicians Are More Satisfied With Private Insurers Than Medicare And Medicaid On Payment And Administrative Burden
Private
Medicare
Medicaid
Private
Medicare
Medicaid
4%1%
1%
3%
3%1%
42%
20%
10%
29%
22%
15%
32%
40%
28%
29%
26%
24%
6%
23%
41%
14%
24%
28%
15%
15%
19%
25%
26%
31%
Excellent Good Only fair Poor Not sure
AMONG PHYSICIANS: In general, how would you rate public and private insurers when it comes to each of the following?
SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted April 8-14, 2015)
How much you are paid
Ease of administration related to reimbursements
47%
27%
34%
56%
18%
17%
SOURCE: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers (conducted January 5 – March 30, 2015)
Primary Care Physicians
Primary Care Nurse Practitioners/Physician Assistants
Would you say recent trends in health care are…
Causing you to consider retiring earlier than you thought you would
Causing you to delay your retirement plans
Not having an impact on your retirement plans
Nearly Half Of Primary Care Physicians Say Health Care Trends Causing Them to Consider Early Retirement