Sunday, March 29, 2009

the payment for primary care

do you know the the payment for primary care?Why not a down payment for primary care, and problems with the medical home?
The ACP's Bob Doherty says you have to spend money to save money, and indeed, increasing pay will make it significantly easer to attract medical students to primary care. And, as I believe the President realizes, no reform plan will succeed without a stronger primary care foundation.
Earlier this week, President Obama argued that we need to spend money now, in order to curtail the spiraling costs that Medicare and Medicaid will reap on future generations.
However, when it comes to primary care, the Congressional Budget Office is not so forward thinking: "Savings from some initiatives may not materialize because incentives to reduce costs are lacking. For example, proposals to establish a 'medical home' might have little impact on spending if the primary care physicians who would coordinate care were not given financial incentives to economize on their patients' use of services. Those proposals could increase costs if they simply raised payments to those primary care physicians."
It's something that medical home proponents should think about, and perhaps come up with a "Plan B," in case the concept doesn't take off.

No comments:

Post a Comment