ArticleJournal of general internal medicine2007
Fundamental reform of payment for adult primary care: comprehensive payment for comprehensive care.
Article in Journal of general internal medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
49 citing papers in PubMed.
- Development of a taxonomy mapping dental services integration: a scoping review protocol.BMJ open · 2025Article
- How the Gender Wage Gap for Primary Care Physicians Differs by Compensation Approach : A Microsimulation Study.Annals of internal medicine · 2022Article
- Alternative payment models: A path forward.Canadian family physician Medecin de famille canadien · 2021Article
- Article
- Understanding Geographic Variation in Systemic Overuse Among the Privately Insured.Medical care · 2020Article
- Clinical audit as a tool to optimize contracted private healthcare provision: Testing the waters in resource-deprived Greece.SAGE open medicine · 2019Article
- Workforce Configurations to Provide High-Quality, Comprehensive Primary Care: a Mixed-Method Exploration of Staffing for Four Types of Primary Care Practices.Journal of general internal medicine · 2018Article
- Funding models and medical dominance in interdisciplinary primary care teams: qualitative evidence from three Canadian provinces.Human resources for health · 2018Article
- The Collaborative Payer Provider Model Enhances Primary Care, Producing Triple Aim Plus One Outcomes: A Cohort Study.Healthcare (Basel, Switzerland) · 2017Article
- Funding and remuneration of interdisciplinary primary care teams in Canada: a conceptual framework and application.BMC health services research · 2017Article
- Defining Team Effort Involved in Patient Care from the Primary Care Physician's Perspective.Journal of general internal medicine · 2017Article
- Development and Impact of a Novel Academic Primary Care Compensation Model.Journal of general internal medicine · 2015Article
- What is Patient-Centered Care? A Typology of Models and Missions.Health care analysis : HCA : journal of health philosophy and policy · 2015Article
- Health is primary: Family medicine for America's health.Annals of family medicine · 2014Article
- Keep it simple? Predicting primary health care costs with clinical morbidity measures.Journal of health economics · 2014Article
- The impact of global budgets on pharmaceutical spending and utilization: early experience from the alternative quality contract.Inquiry : a journal of medical care organization, provision and financing · 2014Article
- Article
- Risk selection, risk adjustment and choice: concepts and lessons from the Americas.International journal of environmental research and public health · 2013Article
- Aligning provider incentives to improve primary healthcare delivery in the United States.OA family medicine · 2013Article
- Off the hamster wheel? Qualitative evaluation of a payment-linked patient-centered medical home (PCMH) pilot.The Milbank quarterly · 2012Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Primary care is essential to the effective and efficient functioning of health care delivery systems, yet there is an impending crisis in the field due in part to a dysfunctional payment system. We present a fundamentally new model of payment for primary care, replacing encounter-based imbursement with comprehensive payment for comprehensive care. Unlike former iterations of primary care capitation (which simply bundled inadequate fee-for-service payments), our comprehensive payment model represents new investment in adult primary care, with substantial increases in payment over current levels. The comprehensive payment is directed to practices to include support for the modern systems and teams essential to the delivery of comprehensive, coordinated care. Income to primary physicians is increased commensurate with the high level of responsibility expected. To ensure optimal allocation of resources and the rewarding of desired outcomes, the comprehensive payment is needs/risk-adjusted and performance-based. Our model establishes a new social contract with the primary care community, substantially increasing payment in return for achieving important societal health system goals, including improved accessibility, quality, safety, and efficiency. Attainment of these goals should help offset and justify the costs of the investment. Field tests of this and other new models of payment for primary care are urgently needed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.