The Center for Professionalism and Value in Healthcare’s Post

For decades we have been moving the opposite direction from the CMS claim of sufficient primary care by 2030. HIT has contributed to the decline with added costs and burdens. The blue wavy line indicates that we increased the primary care year production for each class year (primary care delivery capacity) only from 1970 to 1980 due to the new billions from Medicare and Medicaid with IM dominant and with FM increasing due to their zero to 3000 annual grad growth by 1980 The Red Upslope line represents what should have happened to achieve sufficient primary care - 1965 to 1980 spending increases extended for decades to reach sufficient primary care But the designers slashed spending and added new costs of delivery, and provided ways for IM to escape the failing financial design via fellowships Notice declines (blue, green bottom) despite pop growth (purple) and despite 2% demand increases in primary care (Trilliant) due to increases in the elderly. Complexities have multiplied Primary care visit numbers remain flat The Green Line illustrates flat spending eroded by 30 billion a year in costs of delivery not covered. What is happening is somewhere between blue line and the worst case red line at the bottom.