Despite years of effort, primary care organizations are not participating in payment reform programs even with assertive effort.

A study, published in Health Services Research, reviewed participation by the nation’s more than 56,000 organizations that deliver primary care services in three major reform programs in Medicare and Medicaid:

  1. Promoting Interoperability Programs, commonly known as Meaningful Use;
  2. the Medicare Shared Savings Program;
  3. and the National Committee for Quality Assurance’s Patient-Centered Medical Homes program.


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