Reforming Payment for Primary Care—It’s Not Just the Money, It’s the Payment System

JAMA Network July 16, 2018
Allan H. Goroll, MD

Poor Medicaid reimbursement stands as a frequently cited cause of reluctance by many primary care practices to serve Medicaid’s expanding population.¹ With payment rates a fraction of those for Medicare and commercial insurance, most primary care practices find Medicaid reimbursement insufficient. The expansion of Medicaid eligibility by the...

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