Reforming Payment for Primary Care: Making It Happen

  1. Gail R. Wilensky, PhD
  1. From Project HOPE, Bethesda, MD 20814.

    My comments focus on the report in this issue by Larson and the Society of General Internal Medicine (SGIM) Task Force on the Domain of General Internal Medicine (1) for changing reimbursement for general internists' services. The authors propose paying for services that are provided outside a personal visit and also paying a case-management fee to physicians. For employed physicians, the authors recommend supplementing a salary with incentives based on productivity and quality.

    Some of these proposals would pay for services that physicians have historically provided without payment. Larson and the SGIM Task Force argue that physicians need incentives to provide these services. This rationale …

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    1. Ann Intern Med April 20, 2004 vol. 140 no. 8 662-663
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