Skip to main content
Top
Published in: Journal of General Internal Medicine 10/2011

01-10-2011 | Perspectives

How the Affordable Care Act Will Strengthen the Nation's Primary Care Foundation

Authors: Karen Davis, PhD, Melinda Abrams, MS, Kristof Stremikis, MPP, MPH

Published in: Journal of General Internal Medicine | Issue 10/2011

Login to get access

Abstract

As the country turns toward implementation of the Patient Protection and Affordable Care Act, realizing the potential of reform will require significant transformation of the American system of health care delivery. To that end, the new law seeks to strengthen the nation’s primary care foundation through enhanced reimbursement rates for providers and the use of innovative delivery models such as patient-centered medical homes. Evidence suggests that these strategies can return substantial benefits to both patients and providers by increasing access to primary care services, reducing administrative hassles and burdens, and facilitating coordination across the continuum of care. If successfully implemented, the Affordable Care Act has the potential to realign incentives within the health system and create opportunities for providers to be rewarded for delivering high value, patient-centered primary care. Such a transformation could lead to better outcomes for patients, increase job satisfaction among physicians and encourage more sustainable levels of health spending for the nation.
Literature
1.
go back to reference Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005;83(3):457–502.PubMedCrossRef Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005;83(3):457–502.PubMedCrossRef
2.
go back to reference Davis K, Schoen C, Stremikis K. Mirror, mirror on the wall: How the performance of the U.S. health care system compares internationally, 2010 update. New York: The Commonwealth Fund; 2010. Davis K, Schoen C, Stremikis K. Mirror, mirror on the wall: How the performance of the U.S. health care system compares internationally, 2010 update. New York: The Commonwealth Fund; 2010.
3.
go back to reference Abrams M, Nuzum R, Mika S, Lawlor G. Health reform and primary care: Implications for patients, providers, and payers. New York: The Commonwealth Fund; 2010. Abrams M, Nuzum R, Mika S, Lawlor G. Health reform and primary care: Implications for patients, providers, and payers. New York: The Commonwealth Fund; 2010.
4.
go back to reference Macinko J, Starfield B, Shi L. Quantifying the health benefits of primary care physician supply in the United States. Int J Health Serv. 2007;37(1):111–26.PubMedCrossRef Macinko J, Starfield B, Shi L. Quantifying the health benefits of primary care physician supply in the United States. Int J Health Serv. 2007;37(1):111–26.PubMedCrossRef
5.
go back to reference Shih A, Davis K, Schoenbaum S, Gauthier A, Nuzum R, McCarthy D. Organizing the US health care delivery system for high performance. New York: The Commonwealth Fund; 2008. Shih A, Davis K, Schoenbaum S, Gauthier A, Nuzum R, McCarthy D. Organizing the US health care delivery system for high performance. New York: The Commonwealth Fund; 2008.
6.
go back to reference The Commonwealth Fund Commission on a High Performance Health System. Why not the best? Results from the National Scorecard on US health system performance, 2008. New York: The Commonwealth Fund; 2008. The Commonwealth Fund Commission on a High Performance Health System. Why not the best? Results from the National Scorecard on US health system performance, 2008. New York: The Commonwealth Fund; 2008.
7.
go back to reference Stremikis K, Schoen C, Fryer AK. A call for change: Commonwealth Fund 2011 survey of public views of the U.S. health system. New York: The Commonwealth Fund; 2011. Stremikis K, Schoen C, Fryer AK. A call for change: Commonwealth Fund 2011 survey of public views of the U.S. health system. New York: The Commonwealth Fund; 2011.
8.
go back to reference Davis K, Stremikis K. Family medicine: preparing for a high-performance health care system. J Am Board Fam Med. 2010;23(Suppl 1):S11–6.PubMedCrossRef Davis K, Stremikis K. Family medicine: preparing for a high-performance health care system. J Am Board Fam Med. 2010;23(Suppl 1):S11–6.PubMedCrossRef
9.
go back to reference Davis K, Guterman S, Collins SR, Stremikis K, Rustgi S, Nuzum R. Starting on the path to a high performance health system: Analysis of the payment and system reform provisions in the Patient Protection and Affordable Care Act of 2010. New York: The Commonwealth Fund; 2010. Davis K, Guterman S, Collins SR, Stremikis K, Rustgi S, Nuzum R. Starting on the path to a high performance health system: Analysis of the payment and system reform provisions in the Patient Protection and Affordable Care Act of 2010. New York: The Commonwealth Fund; 2010.
10.
go back to reference Davis K. A new era in American health care: Realizing the potential of reform. New York: The Commonwealth Fund; 2010. Davis K. A new era in American health care: Realizing the potential of reform. New York: The Commonwealth Fund; 2010.
11.
go back to reference Davis PA, Hahn J, Hoffman GL, Morgan PC, Stone J, Tilson S. Medicare provisions in the Patient Protection and Affordable Care Act: Summary and timeline. Washington: Congressional Research Service; 2010. Davis PA, Hahn J, Hoffman GL, Morgan PC, Stone J, Tilson S. Medicare provisions in the Patient Protection and Affordable Care Act: Summary and timeline. Washington: Congressional Research Service; 2010.
12.
go back to reference Congressional Budget Office. Letter to the Honorable Nancy Pelosi. Washington: Congressional Budget Office; 2010. Congressional Budget Office. Letter to the Honorable Nancy Pelosi. Washington: Congressional Budget Office; 2010.
13.
go back to reference Division of Governmental Affairs and Public Policy. An internist’s practical guide to understanding health system reform. Washington: American College of Physicians; 2010. Division of Governmental Affairs and Public Policy. An internist’s practical guide to understanding health system reform. Washington: American College of Physicians; 2010.
14.
go back to reference Zuckerman S, Williams AF, Stockley KE. Trends in Medicaid physician fees, 2003–2008. Health Aff (Millwood, Va). 2009;28(3):w510–9.CrossRef Zuckerman S, Williams AF, Stockley KE. Trends in Medicaid physician fees, 2003–2008. Health Aff (Millwood, Va). 2009;28(3):w510–9.CrossRef
15.
go back to reference Reid RJ, Coleman K, Johnson EA, et al. The group health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff (Millwood, Va). 2010;29(5):835–43.CrossRef Reid RJ, Coleman K, Johnson EA, et al. The group health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff (Millwood, Va). 2010;29(5):835–43.CrossRef
16.
go back to reference Gilfillan RJ, Tomcavage J, Rosenthal MB, et al. Value and the medical home: effects of transformed primary care. Am J Manag Care. 2010;16(8):607–14.PubMed Gilfillan RJ, Tomcavage J, Rosenthal MB, et al. Value and the medical home: effects of transformed primary care. Am J Manag Care. 2010;16(8):607–14.PubMed
17.
go back to reference Grumbach K, Bodenheimer T, Grundy P. The outcomes of implementing patient-centered medical home interventions: A review of the evidence on quality, access and costs from recent prospective evaluation studies, August 2009. Washington: Patient-Centered Primary Care Collaborative; 2009. Grumbach K, Bodenheimer T, Grundy P. The outcomes of implementing patient-centered medical home interventions: A review of the evidence on quality, access and costs from recent prospective evaluation studies, August 2009. Washington: Patient-Centered Primary Care Collaborative; 2009.
18.
go back to reference Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA. 2002;288(15):1909–14.PubMedCrossRef Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA. 2002;288(15):1909–14.PubMedCrossRef
19.
go back to reference Guterman S, Davis K, Stremikis K, Drake H. Innovation in Medicare and Medicaid will be central to health reform's success. Health Aff (Millwood, Va). 2010;29(6):1188–93.CrossRef Guterman S, Davis K, Stremikis K, Drake H. Innovation in Medicare and Medicaid will be central to health reform's success. Health Aff (Millwood, Va). 2010;29(6):1188–93.CrossRef
20.
go back to reference Commonwealth Fund Commission on a High Performance Health System. The path to a high performance U.S. health system: A 2020 vision and the policies to pave the way. New York: The Commonwealth Fund; 2009. Commonwealth Fund Commission on a High Performance Health System. The path to a high performance U.S. health system: A 2020 vision and the policies to pave the way. New York: The Commonwealth Fund; 2009.
21.
go back to reference Guterman S, Schoenbaum SC, Davis K, et al. High performance accountable care: Building on success and learning from experience. New York: The Commonwealth Fund; 2011. Guterman S, Schoenbaum SC, Davis K, et al. High performance accountable care: Building on success and learning from experience. New York: The Commonwealth Fund; 2011.
22.
go back to reference Rittenhouse DR, Shortell SM, Fisher ES. Primary care and accountable care–two essential elements of delivery-system reform. N Engl J Med. 2009;361(24):2301–3.PubMedCrossRef Rittenhouse DR, Shortell SM, Fisher ES. Primary care and accountable care–two essential elements of delivery-system reform. N Engl J Med. 2009;361(24):2301–3.PubMedCrossRef
Metadata
Title
How the Affordable Care Act Will Strengthen the Nation's Primary Care Foundation
Authors
Karen Davis, PhD
Melinda Abrams, MS
Kristof Stremikis, MPP, MPH
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 10/2011
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-011-1720-y

Other articles of this Issue 10/2011

Journal of General Internal Medicine 10/2011 Go to the issue

Clinical Practice: Clinical Images

Mysterious Abdominal Pain