By NextBestFitTask 1.7.6 of 6
Offer primary-care capitation: a per-patient monthly payment covering 70% of expected revenue, plus fee-for-service for the rest, for practices that opt in.
Who does it
UHA
When
Month 15
Trade-off
Primary-care capitation rewards keeping patients healthy but can encourage under-treatment.
Part of: Set the national fee schedule
Adopt Medicare's RBRVS fee schedule as the base, raise primary care to 125% of Medicare, procedural specialties to 105%, and others to 112% on average. Physician & clinical UHP spending becomes $1.05T (price effect −$21.4B, utilization effect +$113.0B).
This step changes 6 existing laws, programs, or institutions. See the list.