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Harvard researcher outlines state options to shore up primary care as Vermont considers S.197
Summary
Dr. Song told the Senate committee that states can support primary care by changing fee schedules or providing prospective per-patient payments, citing Rhode Island's increase in non-fee-for-service primary care spending and noting limits of new Medicare billing codes.
A Harvard Medical School researcher told the Senate Health & Welfare Committee that Vermont’s efforts to shore up primary care face tradeoffs between bolstering fee-for-service billing codes and providing prospective per-patient payments.
Dr. Song summarized national data showing a decline in clinicians staying in primary care and described two broad policy paths for states considering S.197: enhance or expand fee-schedule billing codes (the federal approach) or create non-fee-for-service, prospective payments (per member per month)…
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