Publication | Open Access
Rewarding Family Medicine While Penalizing Comprehensiveness? Primary Care Payment Incentives and Health Reform: the Patient Protection and Affordable Care Act (PPACA)
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2011
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Family MedicineHealthcare ProvisionFinancial ProtectionHealth Care FinanceComprehensive Primary CareFamily HealthPrimary CareHealth FinancingManaged CarePublic HealthHealth Services ResearchUniversal Health CareHealth Insurance ReformHealth PolicyNarrow DefinitionHealth InsurancePrimary Health CareHealth ReimbursementHealth Care DeliveryHealth Care ReimbursementRural HealthPatient ProtectionAffordable Care ActGeneral PracticeMedicineFamily Medicine Policy
Family physicians' scope of work is exceptionally broad, particularly with increasing rurality. Provisions for Medicare bonus payment specified in the health care reform bill (the Patient Protection and Affordable Care Act) used a narrow definition of primary care that inadvertently offers family physicians disincentives to delivering comprehensive primary care.