Payment and the Future of Primary Care

Editorials4 February 2003Payment and the Future of Primary CarePaul B. Ginsburg, PhDPaul B. Ginsburg, PhDFrom Center for Studying Health System Change; Washington, DC 20024Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-138-3-200302040-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Primary care has been on a roller coaster. It was pushed to the forefront in the mid-1990s by managed care, and as a result its scope and authority increased (1). But the backlash against managed care and its transformation to a less restrictive model with less emphasis on primary care dealt a serious setback to primary care. It is most timely that Annals is publishing this supplement examining primary care's future (2).As an economist who has been systematically studying changes in the financing, organization, and delivery of health care, I believe that a key factor in the future of ...References1. St Peter RF, Reed MC, Kemper P, Blumenthal D. Changes in the scope of care provided by primary care physicians. N Engl J Med. 1999;341:1980-5. [PMID: 10607816] CrossrefMedlineGoogle Scholar2. Showstack JA, Anderson Rothman A, Hassmiller S. Primary care at a crossroads. Ann Intern Med. 2003;138:242-3. LinkGoogle Scholar3. Health Care Spending and the Medicare Program: A Data Book. Washington, DC: Medicare Payment Advisory Commission (MedPAC); 1998:131, 135. Google Scholar4. Data from the Centers for Medicare & Medicaid Services (CMS) reported in Part B News. 17 December 2001:3. Google Scholar5. Wassenarr JD, Thran SL. Physician Socioeconomic Statistics. 2000-2002 Edition: Profiles for Detailed Specialties, Selected States, and Practice Arrangements. Chicago: American Medical Assoc; 2001. Google Scholar6. Medicare program; revisions to payment policies and five-year review of and adjustments to the relative value units under the physician fee schedule for calendar year 2002. Final rule with comment period. Federal Register. 2001;66:55320. Google Scholar7. Hsiao WC, Braun P, Kelly NL, Becker ER. Results, potential effects, and implementation issues of the Resource-Based Relative Value Scale. JAMA. 1988;260:2429-38. [PMID: 3050171] CrossrefMedlineGoogle Scholar8. Strunk BC, Reschovsky JD. Kinder and Gentler: Physicians and Managed Care, 1997-2001. Tracking Report. Washington, DC: Center for Studying Health System Change; 2002:1-4. Google Scholar Author, Article, and Disclosure InformationAffiliations: From Center for Studying Health System Change; Washington, DC 20024Corresponding Author: Paul B. Ginsburg, PhD, Center for Studying Health System Change, 600 Maryland Avenue SW #550, Washington, DC 20024. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPayment and the Future of Primary Care Robert A. Murden Metrics Cited byThe Underuse of Medicare's Prevention and Coordination Codes in Primary Care A Cross-Sectional and Modeling StudySumit D. Agarwal, MD, MPH, Sanjay Basu, MD, PhD, and Bruce E. 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Sox, MD, EditorPrimary Care at a CrossroadsJonathan Showstack, PhD, MPH, Arlyss Anderson Rothman, PhD, MHS, FNP, and Susan Hassmiller, PhD, RN 4 February 2003Volume 138, Issue 3Page: 233-234KeywordsForecastingHealth careHealth services administration and managementMedicareMotivationPrimary carePrimary care physiciansResource based relative value scaleSurgeryVision ePublished: 4 February 2003 Issue Published: 4 February 2003 Copyright & PermissionsCopyright © 2003 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...