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Cover of Improving Primary Care Valuation Processes to Inform the Physician Fee Schedule

Improving Primary Care Valuation Processes to Inform the Physician Fee Schedule

; Editors: Marc Meisnere, Ishani Ganguli, and Asaf Bitton.

Washington (DC): National Academies Press (US); .
ISBN-13: 978-0-309-73535-3ISBN-10: 0-309-73535-1

In 2024, the National Academies of Sciences, Engineering, and Medicine were tasked with convening a committee to examine the current process and data inputs used by the Centers for Medicare and Medicaid Services (CMS) to valuate primary care in the Physician Fee Schedule. Additionally, the committee was tasked with outlining alternative methodologies for data collection and potential sources of input to more accurately capture the time, intensity, and complexity of the work required to deliver high-quality primary care.

The resulting report, Improving Primary Care Valuation Decisions for the Physician Fee Schedule by the Center for Medicare, makes specific recommendations for CMS to address the systemic flaws currently affecting primary care professionals and limiting the potential of high-quality primary care services for all.

This activity was supported by contracts between the National Academy of Sciences and the Academic Pediatric Association, American Academy of Family Physicians, American Board of Family Medicine, American College of Physicians, Arnold Ventures, California HealthCare Foundation, The Commonwealth Fund, Healing Works Foundation, Milbank Memorial Fund, National League for Nursing, New York State Health Foundation, and Samueli Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

Suggested citation:

National Academies of Sciences, Engineering, and Medicine. 2025. Improving primary care valuation processes to inform the physician fee schedule. Washington, DC: National Academies Press. https://doi.org/10.17226/29069.

Digital Object Identifier: https://doi.org/10.17226/29069

This publication is available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242; http://www.nap.edu.

Printed in the United States of America.

Created: February 28, 2025; Last Update: June 11, 2025.

Copyright 2025 by the National Academy of Sciences. All rights reserved.
Bookshelf ID: NBK616227PMID: 40674533DOI: 10.17226/29069

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