Primary Care Bonus


I just read that the Medicare Payment Advisory Commission (MedPAC) wants Congress to continue bonus payments to primary care physicians, now set to expire in 2015.  This reminded me of when I was employeed by a hospital for all those years.   I never received this money.  This bonus averages about $4-$10K each provider, each year.  Go ahead and ask your administrator, “Where is my primary care bonus”?  After her puzzled or angry face fades, she will respond with:

  • “How about that local baseball team this year?”
  • “Your contract allows us to collect all monies from Medicare”.
  • “That money is being used for the collective good of the hospital.”
  • “You must understand that each family doctor is being subsidized by the hospital so this money is being used to defray that cost.”
  • “I like turtles.”

Please feel free to give me some more responses using the language of ADMINISTRALIAN.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  5 comments for “Primary Care Bonus

  1. Dr B
    June 25, 2014 at 3:01 pm

    Can we make a database online like to NPDB but just to report hospital administrators?

  2. Ben
    June 25, 2014 at 9:46 am

    “I like turtles.” You killed me with that one. Keep up the good work and good humor, it’s the only way we’ll make it!

  3. Pat
    June 22, 2014 at 9:33 pm

    “We still need to get these patients seen…after all, YOU took an oath”.

  4. R Watkins
    June 22, 2014 at 6:35 pm

    “Your Press-Ganey scores are down, so, thanks to this bonus, we won’t have to cut your pay as much as we would have otherwise.”

  5. DrHockey
    June 22, 2014 at 10:45 am

    My chronic otitis must be bad again, I can’t hear you.

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