I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. This specific issue is a detail that actually...
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I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. If you hired an accountant to do your...
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I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. Have you ever wondered why doctors tell you...
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I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. In my last post, I showed how the...
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For the next several weeks, I’ll try to explain to non-physician readers why the Center for Medicare and Medicaid Services (CMS) billing rules create the horrid lack of primary care patients experience when they simply want to find a personal physician. My conclusions are based on recent research on the topic....
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OK, I’m back. (I had several weeks of intense work and family obligations). And OK, I’m going to go for it with the payment reform stuff. I will spend the next several weeks trying to explain to a general audience why the payment system for physicians is extremely rigged in favor...
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Here we go again. There is yet another round of evidence of how the physician workforce hole we’ve dug for ourselves keeps getting deeper, but there has been still no substantive payment reform on the government side (Medicare/Medicaid) or the private payer side. One recent study appeared in the journal Academic...
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I had some fun last week with a true patient care experience from one of my family physician colleagues. While the content was unusual and humorous, the case raises questions about the greater issue of support for the work of family physicians, and the lack thereof by all the payers, both...
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I’m being a little facetious with this back-of-the-envelope calculation, but not much. In several of the PCMH demonstration projects, other providers of primary care services such as WeCare, the historical record of the Starfield work, and the experience of QuadMed primary care shows that just having a typical American population shift...
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I attended a Payment Reform Summit sponsored by the Texas Academy of Family Physicians this past weekend. It was a good conference and provided a snapshot of current views and attempts to grow family medicine and pay for it. There were some emotional ups and downs for me as I listened...
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