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Out of PracticeFighting for Primary Care Medicine in America$
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Frederick M. MD Barken

Print publication date: 2011

Print ISBN-13: 9780801449765

Published to Cornell Scholarship Online: August 2016

DOI: 10.7591/cornell/9780801449765.001.0001

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You Get What You Pay For

You Get What You Pay For

Chapter:
(p.190) 10 You Get What You Pay For
Source:
Out of Practice
Author(s):

Frederick M. Barken

Publisher:
Cornell University Press
DOI:10.7591/cornell/9780801449765.003.0011

This chapter discusses a key issue in the financing of primary care: physician reimbursement. It first considers the widening disparity between the obligations of the primary doctor as communicator and his rate of pay and asks why surgery and other invasive procedures intuitively carry more weight, and consequently higher remuneration, than careful consideration, diagnostic acumen, patience, communication, and management of chronic conditions. It then explores the paradigm shift in physician payment with the advent of the Medicare Economic Index and some of the reasons why physicians today prefer group practice. It also looks at the viability of pay for performance (P4P) and a revised reimbursement model for primary care of the elderly that incorporates pay for connectedness (P4C).

Keywords:   primary care, physician reimbursement, surgery, physician payment, Medicare Economic Index, physicians, group practice, pay for performance, elderly, pay for connectedness

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