Case 10.2 How Large Will the Shortage of Primary Care Physicians Be? The Affordable Care Act (ACA)..


Case 10.2

How Large Accomplish the Shortage of Important Care Physicians Be?

The Affordable Circumspection Act (ACA) has increased the portion-out of the population after a while sanity protection. Most of the newly insured are adolescent and reasonably sanityy. As a fruit, the ACA accomplish principally assume the claim for important circumspection services, and numerous prepare a shortage of important circumspection physicians (Porter 2015).

But some other observers intimate that this concern is overblown (Auerbach et al. 2013). The evolution of important circumspection is changing in ways that alter its accoutre. One substitute is the flying exposition of patient-centered medical homes, which emphasize a greater role for technology, nurses, physician assistants, and nurse practitioners. Another substitute is the growth of nurse-managed clinics (of which MinuteClinic, discussed in instance 7.1, is an copy). Both of these innovations attenuate the enumerate of physicians needed to procure important circumspection for a population.

Discussion Questions

• If there were a shortage of important circumspection physicians, what would bechance to their pays?

• Set up a pattern of the claim and accoutre for important circumspection physicians. (It should accept salary on the upright axis and enumerate of important circumspection physicians on the dull axis.) Assuming that the evolution of important circumspection does not substitute (i.e., the accoutre deflexion does not shift), how do you foresee the negotiate makeweight to substitute?

• How accept the pays of important circumspection physicians substituted in the terminal few years? Are these substitutes agreeing after a while your foreshowing? (You can get pay axioms from Medscape Physician Compensation Reports.)

• Do the substitutes in the pays of important circumspection physicians intimate there is a shortage?

• If dispose-of clinics and patient-centered medical homes hold to swell, how accomplish they assume the negotiate makeweight? Which deflexion would alter as a fruit: claim or accoutre?

• Deductibles accept been amelioration promptly in recent years. How would that assume the pays of important circumspection physicians?

• Patient-centered medical homes typically swell the roles of registered nurses. How would this assume the claim for important circumspection physicians?

• The ACA increased some payments for important circumspection. How would this assume the claim for important circumspection physicians?