US Approaches to Physician Payment: The Deconstruction of Primary Care

Challenges of Payment System to Primary Health Care Providers in Iranian Comprehensive Health Centers

Background and purpose: The primary health care program for the suburbs is being implemented in Iran after the Health Transformation Plan where services are delivered with the priority of outsourcing and purchasing services from non-governmental sectors. In this program, different payment methods have been used. This study aimed at addressing the challenges associated with payments made to urba...

Projecting US primary care physician workforce needs: 2010-2025.

PURPOSE We sought to project the number of primary care physicians required to meet US health care utilization needs through 2025 after passage of the Affordable Care Act. METHODS In this projection of workforce needs, we used the Medical Expenditure Panel Survey to calculate the use of office-based primary care in 2008. We used US Census Bureau projections to account for demographic changes ...

Comparison of primary care physician payment models in the management of hypertension.

OBJECTIVE To determine primary care physician screening, treatment, and control rates for hypertension and to examine whether type of physician payment model affected these rates. DESIGN A cross-sectional chart abstraction study. SETTING Community health centres (salary), primary care networks (capitation), or traditional fee-for-service practices in Ontario. PARTICIPANTS A total of 135 p...

Medicare Physician Payment Reform: Its Effect on Access to Care

This study analyzed a specific indicator condition, congestive heart failure (CHF), to see if there is evidence that physician payment reform (PPR) has had an effect on access to care for Medicare beneficiaries. If there was a decrease in access to ambulatory care services associated with PPR, one would expect to see an increase in hospitalizations for CHF in the period after PPR was implemente...

Physician payment for the care of homeless people.