This report provides a look at the extent to which physicians are in practices that (1) participate in medical homes and Accountable Care Organizations (Medicare, Medicaid or commercial) and (2) receive fee-for-service (FFS) and alternative payment models (pay-for-performance, capitation, bundled payments, or shared savings).
In 2016, 59.1% of physicians were in practices that received payment from at least 1 APM. Nonetheless, FFS remained a dominant source of practice revenue with an average of 70.8% of practice revenue coming from this method, similar to what was observed in 2012 and 2014.
In 2016, we also found that 25.7% of physicians were in a practice that belonged to a medical home and, across the 3 ACO types, participation rates ranged from 20.9% for Medicaid ACOs to around 32% for Medicare and commercial ACOs.
However, we found that it was not unusual for physicians to be uncertain about practice participation. For medical homes and Medicare ACOs, roughly 1/4 of physicians indicated that they did not know if their practice belonged to that model.