Journal Article Fundamental Reform of Payment for Adult Primary Care
Comprehensive Payment for Comprehensive Care
Robert A. Berenson, Allan H. Goroll, Stephen Schoenbaum, Laurence Gardner
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Primary care is essential to the effective and efficient functioning of health care delivery, yet we face an impending crisis due in part to a dysfunctional payment system. The paper proposes a new payment model to replace fee-for-service. A comprehensive payment would support health information systems and teams essential to the delivery of comprehensive and coordinated care. In theory, expecting-and paying-primary care physicians to take greater responsibility for patients as they encounter the health care system should result in higher quality and lower costs. Field tests of the new approach are needed to test the hypothesis.
Research Areas Health and health care
Tags Health care delivery and payment Hospitals and physicians Medicare