Jump to ContentJump to Main Navigation
Out of PracticeFighting for Primary Care Medicine in America$
Users without a subscription are not able to see the full content.

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

Show Summary Details
Page of

PRINTED FROM Cornell University Press SCHOLARSHIP ONLINE (www.cornell.universitypressscholarship.com). (c) Copyright University of Cornell University Press, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in Cornell for personal use. date: 25 June 2022

You Get What You Pay For

You Get What You Pay For

(p.190) 10 You Get What You Pay For
Out of Practice

Frederick M. Barken

Cornell University Press

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

Cornell Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us.