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The British Reimbursement Experience
Staff Reporters
Recent articles in the medical and lay press, this and other blogs, have focused on the growing shortage of primary care physicians in the United States. Of course, there is plenty of blame to go around; from Congress – to the AMA – to medical specialists and the CPT Coding Committee – the shortage is causing a crisis in the nation’s healthcare system.
More: www.healthcarefinancials.wordpress.com/2008/04/02/physician-compensation-trends
JAMA Speaks
For example, a recent article in the Journal of the American Medical Association [JAMA] documented that family medicine, at $185,740, has the lowest average salary of the medical specialties.
More: http://certifiedmedicalplanner.com/MDs.aspx
The UK Experience
A preventive medicine doctor commented on Medscape.com, January 2, 2009, “In the UK, whatever the defects of the system – and they are many – they build around GPs, who get $230,000 a year plus 25% performance bonuses. And, of course, they don’t have huge medical school debts.”
Assessment
In the US, [you] “have it backwards. The most valuable doctors — primary care physicians — get paid the least.”
Conclusion
And so, your thoughts and comments on this Medical Executive-Post are appreciated.
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Filed under: "Doctors Only", Health Economics, Health Law & Policy, Research & Development | Tagged: national healthcare, primary care |
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More on Primary Care Docs,
According to the American College of Physicians, it is imperative that Congress fund immediate and sustained increases in payments for primary care to make it competitive with other career choices and to help struggling primary care practices keep their doors open.
Although Congress could fund primary care through budget neutral adjustments in the Medicare physician fee schedules, this option has several distinct disadvantages-including the likelihood that it will face strong opposition from other stakeholders that will undermine the political support needed to improve payments for primary care.
Source: ACPonline.org February 3, 2009
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On Primary Care,
Isn’t this exactly what Richard Nixon tried to do some 35 years ago, back in 1973, with his WIN [whip inflation now] initiative; flood the country with primary care docs?
Caitlin
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Caitlin,
Thanks for the history lession.
More curerntly, Dr. Seven Simons is a family physician who chronicled his journey from an HMO to urgent care to practicing outside of the insurance system on his blog. He noted that doctors out of residency rarely have any training in the business of medicine, including the all-important skills of CPT® coding.
So, it is any wonder that the innumerable managed care restrictions and pre-authorizations required of primary care doctors is a significant driver causing them to leave generalist practice? Thus, more doctors are finding satisfaction practicing outside of the insurance system in cash-only, retail or concierge medical systems.
Dr. David Edward Marcinko; MBA, CMP™
[Chief Executive Officer]
http://www.MedicalBusinessAdvisors.com
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Hi All,
Physician-author Jerome Groopman, of How Doctors Think fame, rightly notes that the system does not value some of the truly important things that doctors do:
“There are no RVUs for spending an hour with a grieving family, or a colleague who wants you to lend him your brain on a case. There are no RVUs for sitting with a confused third-year medical student. There are no RVUs for the humanistic core of medicine that drew me into this profession in the first place.”
Jill
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