Thursday 8 April 2010

Mess in Mass--- Focus on Market Solutions for Physician Shortage

Massachusetts: A Regulatory Mess 50% of physicians choose to practice elsewhere

 
  • Mass residents having difficulty getting care rose to 24% from 16% between 2007 and 2008
  • 33% of Mass state's primary care doctors now considering changing professions due to dissatisfaction with the current practice
  • US Medical students do not choose to enter a primary care specialty due to economics.
  • US Medical school debt is 155K on average
  • US Average income: family physicians is $173,000, oncologists $335,000, radiologists $391,000 and cardiologists $419,000.
Expanding the Primary Care Workforce. An Essential Element of Health Care Reform Ellen-Marie Whelan November 2009

2008 Physician Workforce Study by the Massachusetts Medical Society

 
Market Solutions At Glance :  End Fee for Service
  • Increase Medicare payments to PCPs
  • Loan payment incentives
  • Assess new models of payment -medical home incentive, pay providers an additional bonus payment for assuming responsibility for and providing a full range of primary care services.
  • Include more control over the type of health care delivered deliver
  • Provide incentives to improve quality and outcomes 
   

 

 
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