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

J Am Board Fam Med. 2011 Nov-Dec;24(6):637-8. doi: 10.3122/jabfm.2011.06.110172.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Family Practice / economics
  • Family Practice / legislation & jurisprudence*
  • Humans
  • Medicare / legislation & jurisprudence
  • Medicare / statistics & numerical data
  • Patient Protection and Affordable Care Act*
  • Primary Health Care / economics
  • Primary Health Care / legislation & jurisprudence*
  • Rural Health Services
  • United States
  • Urban Health Services