Experiences and Attitudes of Primary Care Providers Under the First Year of ACA Coverage Expansion: Findings from the Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers

2015 ◽  
Author(s):  
Melinda Abrams Abrams ◽  
Anne-Marie Audet Audet ◽  
Mollyann Brodie Brodie ◽  
Jamie Ryan Ryan ◽  
Michelle Doty Doty ◽  
...  
Keyword(s):  
Primary Care ◽  
National Survey ◽  
Primary Care Providers ◽  
First Year ◽  
Care Providers ◽  
Kaiser Family Foundation ◽  
Commonwealth Fund ◽  
Coverage Expansion

scholarly journals Dental Practice Integration into Primary Care: A Microsimulation of Financial Implications for Practices

2020 ◽  
Vol 17 (6) ◽  
pp. 2154 ◽  
Author(s):  
Sung Eun Choi ◽  
Lisa Simon ◽  
Jane R. Barrow ◽  
Nathan Palmer ◽  
Sanjay Basu ◽  
...  
Keyword(s):  
Primary Care ◽  
Dental Care ◽  
Primary Care Providers ◽  
Care Practice ◽  
First Year ◽  
Dental Practice ◽  
Care Providers ◽  
Net Revenue ◽  
Publicly Insured ◽  
The Impact

Given the widespread lack of access to dental care for many vulnerable Americans, there is a growing realization that integrating dental and primary care may provide comprehensive care. We sought to model the financial impact of integrating dental care provision into a primary care practice. A microsimulation model was used to estimate changes in net revenue per practice by simulating patient visits to a primary dental practice within primary care practices, utilizing national survey and un-identified claims data from a nationwide health insurance plan. The impact of potential changes in utilization rates and payer distributions and hiring additional staff was also evaluated. When dental care services were provided in the primary care setting, annual net revenue changes per practice were −$92,053 (95% CI: −93,054, −91,052) in the first year and $104,626 (95% CI: 103,315, 105,316) in subsequent years. Net revenue per annum after the first year of integration remained positive as long as the overall utilization rates decreased by less than 25%. In settings with a high proportion of publicly insured patients, the net revenue change decreased but was still positive. Integrating primary dental and primary care providers would be financially viable, but this viability depends on demands of dental utilization and payer distributions.

Tu1968 TO SCOPE OR NOT TO SCOPE? A NATIONAL SURVEY OF PRIMARY CARE PROVIDERS ON EVALUATION OF ANEMIA AND REFERRAL PATTERNS FOR ENDOSCOPY

2020 ◽  
Vol 158 (6) ◽  
pp. S-1236-S-1237
Author(s):  
Andrew J. Read ◽  
Arlene Weissman ◽  
Akbar K. Waljee ◽  
Sameer D. Saini
Keyword(s):  
Primary Care ◽  
National Survey ◽  
Primary Care Providers ◽  
Care Providers ◽  
Referral Patterns

Family History Collection Practices: National Survey of Pediatric Primary Care Providers

2017 ◽  
Vol 57 (5) ◽  
pp. 537-546 ◽  
Author(s):  
Beth A. Tarini ◽  
Michele C. Gornick ◽  
Brian J. Zikmund-Fisher ◽  
Howard M. Saal ◽  
Laurie Edmondson ◽  
...  
Keyword(s):  
Primary Care ◽  
Family History ◽  
Family Medicine ◽  
National Survey ◽  
Primary Care Providers ◽  
National Sample ◽  
Pediatric Primary Care ◽  
Care Providers ◽  
Health Maintenance ◽  
Collection Practices

While family history (FH) collection is a core responsibility of pediatric primary care providers (PCPs), few details about this practice are known. We surveyed a random national sample of 1200 pediatricians and family medicine physicians about FH collection practices. A total of 86% of respondents (n = 289 pediatricians; n = 152 family medicine physicians) indicated that they collect a FH “always” or “most of the time” with 77% reporting collection at the first visit, regardless of whether it is a health maintenance or problem-focused visit. Less than half ask about relatives other than parents, siblings, or grandparents (36.3%). Among respondents, 42% routinely update the FH at every health maintenance visit while 6% updated FH at every visit. Pediatric PCPs use a variety of methods to collect a FH that is limited in scope and variably updated. Our results suggest that interventions are needed to help pediatric PCPs collect a systematic, efficient, and updated FH.

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