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Medicare to cut payments to physicians, while medical schools get boost in Obama’s 2015 budget

Some organizations are critical of Obama’s cuts to teaching hospitals for doctor training and complex care


President Barack Obama is proposing increased funding toward medical school programs for internal medicine, pediatrics, and family medicine in his 2015 budget proposal.

In total, the funding would add $5.23 billion over 10 years to train primary care residents in underserved areas. The program aims to increase the primary care workforce by 13,000 doctors.

The American College of Physicians (ACP) released a statement requesting that Congress cooperate with Obama in order to decrease the growing need for primary care physicians in the United States.

“The proposal shows an understanding of the important role that primary care places in ensuring access to high quality and cost-conscious care. Studies show that the United States will need at least 40,000 more primary care physicians for adults by the end of the decade to meet current and anticipated demand,” says Molly Cooke, MD, FACP, president of ACP.

Obama’s proposal also aims to extend Medicaid parity payments for primary care physicians for another year at the cost of $5.44 billion. If it expires, Medicaid payments will drop at the end of 2014.

The president is also requesting $3.95 billion to increase the National Health Service Corps, which give scholarships and loan forgiveness to primary care physicians who commit to working in underserved communities for a period of time.

However, some organizations are critical of Obama’s cuts to teaching hospitals for doctor training and complex care. The proposal includes nearly $15 billion in cuts to those programs at a time where physician shortages continue to cripple healthcare, according to the Association of American Medical Colleges (AAMC).

The Centers for Medicare and Medicaid Services (CMS) has added physician quality measures for diabetes and heart disease treatments to Physician Compare, the website designed to help patients select providers.

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Dr. DrRick Dube
I meant to say the reimbursement would be for the last two years of med or other school's tuition. This would raise the bar for NP and PA;s because there would be tremendous incentive to go into these fields and build a service oriented profession and then all docs would go back and finish their training having honorably served our country.
Mar 12, 2014
Dr. DrRick Dube
My comment is the graduating class of all med schools, osteopathic, NP and PA schools should all have to take one year post grad consisting of 4 month medicine,4 peds, 2 ob gyn, and 2 outpatient surgery and then serve 1 year in either a local, state, federal, or Indian clinic and be paid $40000 for rural and $50000 for urban and receive the last years of tuition reimbursed. The patients would be the 30000000 people who have no insurance, people with an income of 0 to ten thousand would pay $5 ten to 20 $10 and so on up $25 for someone making 40 to 50 K at $50k insurance would be mandated for single and 70 K for married. Theseclinics would be placed in existing clinics or in local docs who would be paid $50000 to provide one fulltime MA and malpractice and mentoring . this would result in 14 visits per primary care person certainly doable at a cost of less than $7B, telemedicine, state university supervision and rural health system integration could all be worked out and the rest of the people who have insurance mandate each year insurance companies take off the top goes down by 1% per year until it is 7 percent Nd so reimbursements to hospitals and docs can actually meaningfully increase. Also these patients would receive subsidized meds and free immunizations.
Mar 12, 2014