Reforming the Primary Care Physician Payment System Eliminating E & M Codes and Creating the Financial Incentives for an "Advanced Medical Home"

被引：13

作者：

Goldfield, Norbert ^{[1
]}

Averill, Richard ^{[1
]}

Vertrees, James ^{[1
]}

Fuller, Richard ^{[1
]}

Mesches, David ^{[1
,2
]}

Moore, Gordon ^{[1
,3
,4
]}

Wasson, John H. ^{[1
,5
]}

Kelly, William ^{[1
,6
]}

机构：

[1] 3M Hlth Informat Syst, 100 Barnes Rd, Wallingford, CT 06492 USA

[2] Family Practice Inst, Kingston, NY USA

[3] Univ Rochester, Sch Med & Dent, Dept Family Med, Rochester, MN USA

[4] Univ Rochester, Sch Med & Dent, Dept Community & Prevent Med, Rochester, MN USA

[5] Dartmouth Med Sch, Hanover, NH USA

[6] Treo Solut, Albany, NY USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2008年 / 31卷 / 01期

关键词：

comprehensive payment; fee-for-service; medical home; primary care; resource-based relative value scale;

D O I：

10.1097/01.JAC.0000304093.05840.e2

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

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.

引用

页码：24 / 31

页数：8