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Reforming the primary care physician payment system: eliminating E & M codes and creating the financial incentives for an "advanced medical home".
J Ambul Care Manage. 2008 Jan-Mar; 31(1):24-31.JA

Abstract

The problem faced by primary care physicians is that they can only maintain or increase their (inflation adjusted) incomes by increasing the volume of visits and associated services. The fundamental flaw in a fee-for-service system is that only paying for individual services creates incentives for more services. This article offers a very different approach to paying primary care physicians that will result in both significantly higher incomes for these underpaid professionals together with incentives for creating a medical home.

Authors+Show Affiliations

Goldfield N
3M Health Information Systems, Wallingford, Conn 06492, USA. nigoldfield@mmm.com
Averill R
No affiliation info available
Vertrees J
No affiliation info available
Fuller R
No affiliation info available
Mesches D
No affiliation info available
Moore G
No affiliation info available
Wasson JH
No affiliation info available
Kelly W
No affiliation info available

MeSH

Current Procedural TerminologyFee-for-Service PlansForms and Records ControlHealth Care ReformInsurance, Health, ReimbursementMedicarePhysicians, FamilyReimbursement MechanismsReimbursement, IncentiveRisk Sharing, FinancialUnited States

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18162792

Citation

Goldfield, Norbert, et al. "Reforming the Primary Care Physician Payment System: Eliminating E & M Codes and Creating the Financial Incentives for an "advanced Medical Home"." The Journal of Ambulatory Care Management, vol. 31, no. 1, 2008, pp. 24-31.
Goldfield N, Averill R, Vertrees J, et al. Reforming the primary care physician payment system: eliminating E & M codes and creating the financial incentives for an "advanced medical home". J Ambul Care Manage. 2008;31(1):24-31.
Goldfield, N., Averill, R., Vertrees, J., Fuller, R., Mesches, D., Moore, G., Wasson, J. H., & Kelly, W. (2008). Reforming the primary care physician payment system: eliminating E & M codes and creating the financial incentives for an "advanced medical home". The Journal of Ambulatory Care Management, 31(1), 24-31.
Goldfield N, et al. Reforming the Primary Care Physician Payment System: Eliminating E & M Codes and Creating the Financial Incentives for an "advanced Medical Home". J Ambul Care Manage. 2008 Jan-Mar;31(1):24-31. PubMed PMID: 18162792.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reforming the primary care physician payment system: eliminating E & M codes and creating the financial incentives for an "advanced medical home". AU - Goldfield,Norbert, AU - Averill,Richard, AU - Vertrees,James, AU - Fuller,Richard, AU - Mesches,David, AU - Moore,Gordon, AU - Wasson,John H, AU - Kelly,William, PY - 2007/12/29/pubmed PY - 2008/3/15/medline PY - 2007/12/29/entrez SP - 24 EP - 31 JF - The Journal of ambulatory care management JO - J Ambul Care Manage VL - 31 IS - 1 N2 - The problem faced by primary care physicians is that they can only maintain or increase their (inflation adjusted) incomes by increasing the volume of visits and associated services. The fundamental flaw in a fee-for-service system is that only paying for individual services creates incentives for more services. This article offers a very different approach to paying primary care physicians that will result in both significantly higher incomes for these underpaid professionals together with incentives for creating a medical home. SN - 0148-9917 UR - https://www.unboundmedicine.com/medline/citation/18162792/Reforming_the_primary_care_physician_payment_system:_eliminating_E_&_M_codes_and_creating_the_financial_incentives_for_an_"advanced_medical_home"_ DB - PRIME DP - Unbound Medicine ER -