Rewarding family medicine while penalizing comprehensiveness? Primary care payment incentives and health reform: the Patient Protection and Affordable Care Act (PPACA)

Author(s)

Petterson, Stephen M, Bazemore, Andrew W, Phillips, Robert L, Xierali, Imam M, Rinaldo, Jason C, Green, Larry A, and Puffer, James C

Topic(s)

Role of Primary Care, and Achieving Health System Goals

Keyword(s)

Cost Of Care, JABFM Policy Brief, Measurement, and Payment

Volume

Journal of the American Board of Family Medicine

Family physicians’ scope of work is exceptionally broad, particularly with increasing rurality. Provisions for Medicare bonus payment specified in the health care reform bill (the Patient Protection and Affordable Care Act) used a narrow definition of primary care that inadvertently offers family physicians disincentives to delivering comprehensive primary care.

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