Association of Organizational Factors and Physician Practices’ Participation in Alternative Payment Models

Key Points Question Are organizational characteristics, ownership, and integration associated with intensity of participation in alternative payment models among physician practices? Findings In this cross-sectional analysis, 2061 physician practice sites in the 2017-2018 National Survey of Healthcare Organizations and Systems were examined. Physician practices operating within health systems and reporting higher levels of clinical and functional integration were more likely to participate in multiple alternative payment models. Meaning Health system ownership and greater integration in physician practices appear to be associated with greater alternative payment model participation.