Explainers

Patient Attribution

November 1, 2018

Contact

Joseph W. Thompson, MD, MPH
President & CEO
501-526-2244
achi@achi.net

 

To support national and state-based efforts to improve patient outcomes and control costs, healthcare payers have implemented new programs that assign provider accountability for patient outcomes. This requires measurement of patient outcomes related to the care delivered by individual providers. However, not all patients select, and many payers do not require the selection of, a primary care provider (PCP). As such, payers may attribute patients to a provider based on prior service utilization. Payers in Arkansas use attribution to support initiatives like the patient-centered medical home (PCMH) program.

This fact sheet includes information on patient attribution methodologies and applications.