AMA recommends payment options for team-based healthcare

The American Medical Association's (AMA) House of Delegates this week adopted new recommendations for creating payment mechanisms for physician-led, team-based health delivery models. The models have successfully improved quality and reduced costs, such as the physician-led medical home associated with Blue Cross Blue Shield of Michigan, which has saved $310 million since 2008, according to the announcement. To help pay for these models, the AMA recommends episode-based bundled payments, global bundled payments and combinations of incentives coupled with base salaries. It also suggests that physician decisions about payment disbursements should consider team-member contributions, including volume, intensity of the care provided, and the training and experience of each team member. Announcement