“What had been fallow ground for primary care was politically salted, and the report’s recommendations largely remained unimplemented” (pg xii)
“Any effort to implement high quality primary care must begin with a commitment to pay primary care more AND differently because of its demonstrated and superior capacity among health services to improve population health and health equity for all of society” (pg
Primary Care is the only component of health care where an increases supply is associated with better population health and more equitable outcomes.” (pg 369)
“High quality primary care is not a commodity service whose value needs to be demonstrated in a competitive marketplace but rather a common good to be promoted by responsible public policy and supported by private sector action” (pg 373)
“[Payers] should increase the overall portion of spending going to primary care by . . . increasing payment rates for primary care evaluation and management services by 50% and reducing other service rates to maintain budget neutrality”
“[Self Insured Employers] should implement primary care payment reform by facilitating multi-payer collaboration on primary care payment and fee schedules while measuring and increasing the overall portion of health care spending . . . going to primary care”
Scott Shreeve, MD 