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Last Call: Reflecting on 64 Years in Medicine
On April 16, 2024, I took night call for the last time, 64 years after I first took night call. For the last few months, I have been thinking about... -
Leadership Doesn’t Have to be Lonely
Kirsten Meisinger, MD, MHCDS It can be lonely at the top, but it doesn’t have to be. Health care professionals who excel at patient care often go on... -
“Good Insurance”
It all started innocuously enough in the week leading up to Christmas in 2019 with a runny nose, a cough, and some fussiness. All pretty standard for...
Archive
Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.
P2P+E: Understanding the employer role in an improved patient-to-primary care physician relationship
Creating sustainable, timely care delivery models designed to help patients achieve improved health outcomes is a challenge. The complex, chronic conditions of America’s workforce are driving the need for these models forcing employers into the position of leading health care delivery innovation. Employers, the primary source of insurance for 55.7% of Americans[i], have found themselves tasked with reducing healthcare’s unprecedented, rising costs to protect employee health, talent retention, productivity, and ...
The Corporatization of Primary Care: Unintended Consequences
There are many factors in medicine these days that have pushed primary care practice to be mostly a salaried, employed-physician model as part of a large organization. Many of the old personal autonomy benefits have been lost. Rising overhead costs and lagging fee-for-service reimbursement have made it difficult for private practitioners to fund all the required elements of the new healthcare delivery team. Additionally, there are heavy administrative burdens to achieve necessary certifications or just accomplish even simple care goals and also to follow ...