Even as most PCPs come to terms with MACRA and value-based care, others are stepping away from primary care or finding new practice models that aren’t part of that system. A 2016 survey of more than 17,000 U.S. physicians by The Physicians Foundation found that 48% plan to reduce hours, retire, take a non-clinical job, switch to concierge medicine or take other steps to cut back on the number of patients they see. Internist Ben Fischer, MD, has rejected private insurance and MACRA in favor of direct primary care (DPC), a practice model he says works better for him and his patients. After eight years in an independent, 25-doctor practice in North Carolina, Fischer could no longer tolerate the over-scheduling, too-brief appointments, wrangling with insurance companies and other common doctor complaints.
January 10, 2017 By James F. Sweeney| Medical Economics
And even as primary care struggles to keep its footing, it’s being called on to do more than ever before: coordinate care for an aging population beset by chronic disease, improve the overall wellness of the population, control costs and eliminate waste and fraud. These tasks validate the importance and necessity of primary care, but they present daunting challenges nonetheless.