COVID-19 Timeline: Centers for Medicare and Medicaid Services (CMS) Changes and Primary Care Support Were Not Enough to Prevent Practice Losses

Journal of the American Board of Family Medicine: JABFM

article

Christian Gausvik¹  Yalda Jabbarpour³ 

[1] From the Robert Graham Center for Policy Studies in Primary Care;The Christ Hospital University of Cincinnati Family Medicine Residency Program;ccepted 29 September 2020. From the Robert Graham Center for Policy Studies in Primary Care

关键词: Centers for Medicare and Medicaid Services;    U.S.;    COVID-19;    Family Medicine;    Health Policy;    Primary Health Care;    Telemedicine;   

DOI  :  10.3122/jabfm.2021.S1.200305

学科分类：过敏症与临床免疫学

来源: The American Board of Family Medicine

【 摘 要 】

The Coronavirus disease-19 (COVID-19) pandemic reaches back months on American soil and even farther globally. Though the far-reaching effects were unknown at the outset, many scholars correctly predicted that the US health care system was not prepared to effectively handle a pandemic of this magnitude.1 Although the focus of the shortcomings of our health care system has been on lack of personal protective equipment and intensive care unit capacity, the lack of support for primary care has been devastating. A primary care collaborative survey released in March showed 52% of primary care providers reporting severe or close to severe financial effects on their practices due to COVID19.2 One week later results from the same survey reported 76% with severe or close to severe financial effects on their practices. Modeling analysts predict that this financial impact could lead to primary care shortages nationwide.3 Although the reasons for this financial impact are multifactorial and cannot be blamed on any single entity, we sought to understand how the timeline of Centers for Medicare and Medicaid Services (CMS) policy changes may have impacted primary care practices in the United States.

【 授权许可】

CC BY