Health Reform and Physician-Led Accountable Care: The Paradox of Primary Care Physician Leadership

• Autores: Farzad Mostashari, Darshak Sanghavi, Mark McClellan
• Localización: JAMA: the journal of the American Medical Association, ISSN 0098-7484, Vol. 311, Nº. 18, 2014, págs. 1855-1856
• Idioma: inglés
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• Resumen

  • Even though most adult primary care physicians may not realize it, they each can be seen as a chief executive officer (CEO) in charge of approximately $10 million of annual revenue. Consider that a typical primary care physician has approximately 2000 patients, each of whom annually accounts for about $5000 for health care spending. Although primary care today accounts for only 5% of that spending, the decisions made in the primary care setting have important implications for downstream medical care, such as subspecialty referrals, imaging and other medical testing, invasive procedures, and hospitalizations. A group of 100 adult primary care physicians could potentially influence almost $1 billion in health care spending.