Physician fee schedule update could solve primary care shortage

Subsidizing graduate medical education programs that favor primary care physicians is ineffective in growing ranks of PCPs, according to an analysis published by the Brookings Institution, a centrist think tank based in Washington, D.C. 

As healthcare reform calls for more primary care physicians, the nation's current workforce skews too heavily toward specialists. Medicare funding for GME programs that favor primary care has not injected the needed ranks of PCPs into the workforce, according to the analysis. Instead, GME incentives are outweighed by incentives baked into the Medicare fee schedule — relative value units — that have created a significant pay gap between PCPs and specialists. 

Addressing this issue is not easy — paying PCPs more would increase Medicare spending, while lowering specialist payments would be difficult to implement. The authors recommend Medicare rely less on the physician fee schedule to compensate PCPs or make budget-neutral adjustments to it. They also note that loan forgiveness programs for residents who choose primary care is a promising option.

Read more here.


More articles on integration and physician issues:

Brigham Health physicians fight proposed changes to federal immigration policy
Kaiser Permanente School of Medicine adds 11 to executive team
More than 25% of US physicians are foreign-born, study finds

© Copyright ASC COMMUNICATIONS 2020. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.


Featured Webinars

Featured Whitepapers