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Showing posts from June, 2018

Draining the Primary Care Medical Home Swamp

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All three primary care home demonstrations have failed as noted by Kip Sullivan in a recent thehealthcareblog. Kip Sullivan is a voice of reason in an insane policy period. This is only one of many appropriately critical pieces that make sense.

In another sad twist of fate, a major reason for the failure was the promotion by medical associations - including family medicine. Even more important in reading his works, is the discrimination specific to those smaller, where needed, caring for the most complex, and most ignored. Family Medicine has long had the best track record for all of these areas.

Sullivan and Soumerai have noted that these innovations and regulations have taken on a life of their own.  Pay for performance: a dangerous health policy fad that won't die

Others such as Casalino who have noted the value of small practices in some areas such as preventing admissions, have at least implicated that the policies are clearly running over those smaller, independent, rural, …