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The Future of Primary Healthcare. Presented by Barbara Marx Brocato Barbara Marx Brocato& Associates 18 Pinkney Street Annapolis, MD 21401 Phone: 410-269-1503 Fax: 410-269-5021 E-mail: [email protected] Web Site: www.bmbassoc.com. The Health Care Debate. - PowerPoint PPT Presentation
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The Future of Primary Healthcare
Presented by
Barbara Marx Brocato
Barbara Marx Brocato& Associates18 Pinkney Street
Annapolis, MD 21401Phone: 410-269-1503
Fax: 410-269-5021E-mail: [email protected] Site: www.bmbassoc.com
The Health Care Debate
Increased insurance coverage and increased eligibility DOES NOT equal increased access to care
You need an ample provider workforce
Maryland physician workforce is threatened
Governor’s Task Force on Health Care Access
and Reimbursement 2007-2008
Governor’s Task Force on Health Care Access
and Reimbursement 2007-2008 Table 3. Average Income for Selected Specialties in the United States
Annual Income Income Relative to Radiation Oncologist’s Income
Radiation Oncology $489,765 100%
Orthopedic Surgery $476,781 97%
Diagnostic Radiology $449,664 92%
Plastic Surgery $408,065 83%
Dermatology $390,274 80%
Anesthesiology $371,066 76%
Otolaryngology $369,154 75%
General Surgery $330,215 67%
OB/GYN $296,399 61%
Emergency Medicine $258,088 53%
Neurology $254,558 52%
Internal Medicine $191,526 39%
Pediatrics $188,496 38%
Family Practice $178,829 37%
Source: Medical Group Management Association (MGMA). Physician Compensation and Production Survey: 2007 Report, based on 2006 data as published in the New York Times; accessed at http://www.nytimes.com/2008/03/19/fashion/19beauty.html?_r=2&scp=1&sq=the+price+of+beauty&st=nyt; Maryland-specific results are not available due to small cell sizes.
From the December 2008 Report of the Task Force on Health Care Access and Reimbursement Established under Senate Bill 107
Commercial reimbursement in Maryland is in the lowest 25% of the country
Medicare and Medicaid provide very low reimbursement
Maryland is a high cost of living state
Physician recruitment happens in a National market
States with more favorable systems have an advantage over Maryland
The Health Care Environment
Increasingly those “going down the road” to medicine are not going into primary care
Results in a shortage of primary care physicians Leads to increased utilization of
emergency departments and long wait times to be treated
Providers not accepting Medicare Establishing concierge practices – patient
pays an annual or monthly fee for physician to provide services. This is not a substitute for insurance, some concierge practices do not accept insurance.
The Health Care Environment
Health Care Reform Where will the solutions come from(?)
Federal? State? Combination of both?
What are some possible approaches? Fairer provider reimbursement Incentives to attract primary care physicians Loan forgiveness Tort Reform Bundled Payments Medical Homes Case management systems
Barbara Marx Brocato &Associates
For a copy of this presentation
contact us at:
18 Pinkney Street
Annapolis, MD 21401
Phone: 410-269-1503
Fax: 410-269-5021
E-mail: [email protected]
Web Site: www.bmbassoc.com