title: Reforming the primary care physician payment system: eliminating E & M codes and creating the financial incentives for an "advanced medical home".
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.affiliation: 3M Health Information Systems, Wallingford, Conn 06492, USA. nigoldfield@mmm.com
authors.forename: Norbert
authors.initials: N
authors.lastname: Goldfield
authors.forename: Richard
authors.initials: R
authors.lastname: Averill
authors.forename: James
authors.initials: J
authors.lastname: Vertrees
authors.forename: Richard
authors.initials: R
authors.lastname: Fuller
authors.forename: David
authors.initials: D
authors.lastname: Mesches
authors.forename: Gordon
authors.initials: G
authors.lastname: Moore
authors.forename: John H
authors.initials: JH
authors.lastname: Wasson
authors.forename: William
authors.initials: W
authors.lastname: Kelly
mesh_terms: D039702:Current Procedural Terminology; D018588:Fee-for-Service Plans; D005568:Forms and Records Control; D018166:Health Care Reform / Q000191:economics*; D007349:Insurance, Health, Reimbursement; D006278:Medicare / Q000191:economics; D010821:Physicians, Family / Q000191:economics*; D012051:Reimbursement Mechanisms / Q000458:organization & administration*; D012052:Reimbursement, Incentive; D020414:Risk Sharing, Financial; D014481:United States