Paying more for primary care: can it help bend the Medicare cost curve?
Issue Brief (Commonw Fund)
; 5: 1-14, 1-12, 2012 Mar.
Article
em En
| MEDLINE
| ID: mdl-22439245
ABSTRACT
The health reform law boosted Medicare fees for primary care ambulatory visits by 10 percent for five years starting in 2011. Using a simulation model with real-world parameters, we evaluate the effects of a permanent 10 percent increase in these fees. Our analysis shows the fee increase would increase primary care visits by 8.8 percent, and raise the overall cost of primary care visits by 17 percent. However, these increases would yield more than a sixfold annual return in lower Medicare costs for other servicesmostly inpatient and postacute careonce the full effects on treatment patterns are realized. The net result would be a drop in Medicare costs of nearly 2 percent. These findings suggest that, under reasonable assumptions, promoting primary care can help bend the Medicare cost curve.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Medicare
/
Modelos Econométricos
/
Reforma dos Serviços de Saúde
/
Tabela de Remuneração de Serviços
/
Patient Protection and Affordable Care Act
/
Reembolso de Seguro de Saúde
Tipo de estudo:
Health_economic_evaluation
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article