Associations Between the Patient Protection and Affordable Care Act Medicaid Primary Care Payment Increase and Physician Participation in Medicaid

This chapter focuses on healthcare fraud, which remains a significant problem in the United States despite years of increased fraud enforcement. It describes the US federal government's anti–fraud activities, which include expanding the range and severity of laws targeting healthcare fraud. It also points out the role played by the United States' lack of a centralized, universal program of health insurance, which causes healthcare to be paid for by a variety of public, private, and hybrid sources. This chapter mentions the strategy of capitation as the strictest mechanism for managing care, in which a primary care physician receives a fixed per–patient payment in return for meeting the patient's healthcare needs during a set period of time. It also looks at changes made to Medicare reimbursement under the Patient Protection and Affordable Care Act (ACA) that reward providers for the “value” rather than the volume of services provided.

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Impact of the Affordable Care Act on Grant-Supported Primary Care Faculty Development

Journal of Graduate Medical Education ◽

10.4300/jgme-d-14-00329.1 ◽

2014 ◽

Vol 6 (3) ◽

pp. 419-423 ◽

Cited By ~ 2

Author(s):

Kathleen A. Klink ◽

Sylvia E. Joice ◽

Shannon K. McDevitt

Keyword(s):

Primary Care ◽

Faculty Development ◽

Affordable Care Act ◽

Interprofessional Education ◽

Primary Care Physicians ◽

Title Vii ◽

Next Generation ◽

Patient Centered ◽

Patient Protection ◽

Primary Care Workforce

Abstract Health reform requires well-trained primary care physicians with new skills. Teaching faculty need to develop proficiency to deliver care in new models and systems, to lead change, and to teach these skills to the next generation of clinicians. Title VII Section 747 of the Public Health Service Act, modified and reauthorized under the Patient Protection and Affordable Care Act (ACA), is the only federal program that specifically supports the professional development of primary care faculty. We analyzed the effect of the modifications under the ACA on a funding opportunity announcement addressing faculty development needs and attributes of funded applications, including geographic regions. The data offer useful insights to programs interested in tapping sources of support for primary care faculty development. The data also show that targeted federal funding can bring about changes that contribute to an up-to-date, responsive primary care workforce. Title VII programs, as amended by the ACA, focus on curriculum development, teaching in community-based settings, and integrating patient-centered medical home concepts and interprofessional education and practice into the training of the next generation of physicians. These strategies drive change and improve the quality of care and patient outcomes.

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A Policy Analysis of the Provisions of the Patient Protection and Affordable Care Act Related to Access to Primary Care for Older Adults

10.28971/532015ft149 ◽

2015 ◽

Author(s):

Tonya Fontaine

Keyword(s):

Primary Care ◽

Health Care ◽

Policy Analysis ◽

Affordable Care Act ◽

Large Population ◽

The Elderly ◽

Health Care Workforce ◽

Patient Protection ◽

Analysis Process ◽

Access To Primary Care

<p>This paper begins with a comprehensive literature review of health care around the globe, health care in America, and the Patient Protection and Affordable Care Act (ACA). A problem has emerged from the ACA, in which it is unclear if the health care workforce is prepared to take care of all insured Americans, which now includes a large population of newly insured under the ACA. Primary care and the elderly population are a focus, as primary care is most affected by the ACA, and the aging population is growing and will continue to grow. The ACA policy is analyzed using Russell and Fawcett’s The Conceptual Model of Nursing and Health Policy Revisited (2005) and McLaughlin & McLaughlin’s Policy Analysis Process (2007). Policy recommendations are suggested based on evidence-based research.</p>

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