Primary Care Spending in the Fee-for-Service Medicare Population

Published in: JAMA Internal Medicine (2019). doi: 10.1001/jamainternmed.2018.8747

Posted on RAND.org on April 17, 2019

by Rachel O. Reid, Cheryl L. Damberg, Mark W. Friedberg

Read More

Access further information on this document at JAMA Network

This article was published outside of RAND. The full text of the article can be found at the link above.

Greater health system orientation toward primary care is associated with higher quality, better outcomes, and lower costs. Recent payment and delivery system reforms emphasize investment in primary care, but resources presently devoted to primary care have not been estimated nationally. In this study, we calculated primary care spending as a proportion of total spending among Medicare fee-for-service beneficiaries and describe variation by beneficiary characteristics and by state.

Research conducted by

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/principles.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.