About The Study: In this cohort study, women primary care physicians in value-based payment models had equal or better quality outcomes and higher value-based earnings compared to men in their practice groups. These results substantiate prior evidence that women physicians perform better on process and outcome measures, yet receive incommensurate patient ratings. The reversal of the gender gap under value-based payment is likely due to fewer emergency department visits and hospitalizations among women primary care physicians’ patients and may in turn reflect better alignment of value-based models to practice patterns more common in women (e.g., more face-to-face time per visit).
Corresponding Author: To contact the corresponding author, Ishani Ganguli, MD, MPH, email iganguli@bwh.harvard.edu .
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(doi:10.1001/jamahealthforum.2025.2001)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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Media advisory: This study is being presented at the 2025 Society of General Internal Medicine Annual Meeting.
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