So Many New Patients; Are There Enough Doctors?
LIANE HANSEN, Host:
Welcome to the program, or I should say welcome back.
ATUL GROVER: Thank you very much for having me again, Liane.
HANSEN: All right. Well, we had talked about his idea of having enough doctors and nurses. And now that the bill has passed, are there enough doctors and nurses in America to take care of all the people who will be covered?
GROVER: So I think we'll be okay for a few years. But it means we really have to start immediately in trying to get the number of physicians, nurses, other health professionals trained up to an adequate point.
HANSEN: What do you think can be done to attract more physicians into primary care?
GROVER: I think this bill is a good first step in attracting more physicians into primary care. When you have a playing field in medicine where some doctors are making two or three times as much what the average primary care physician makes, that certainly makes primary care less attractive. So I think some of the primary care bonuses, the Medicaid payment floors that are in this legislation will help.
HANSEN: The new law includes something called Health Care Innovation Zones. What are they and how will they help patients?
GROVER: What the concept is, is this: in the current payment system we are largely paid on volume and not for outcomes. So what the innovation zones would do is give us some of the regulatory and financial freedom to try and discover better ways of caring for communities that are really removed from the crazy incentive payment system that we have right now.
HANSEN: Can you give us an example of how that would work?
GROVER: Right now that is very difficult to do because unless we have a face-to-face visit, in most cases, we don't get paid for taking care of people. And that's just not the right set of incentives to transform the delivery system.
HANSEN: Dr. Atul Grover is the chief advocacy officer for the Association of American Medical Colleges. He joined us from St. Louis Public Radio. Thanks a lot.
GROVER: Thank you, Liane.
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