Health reform debate understandably focuses on large system design. We should not omit attention to the “last mile” problem of physician payment theory. Achieving fundamental goals of integrative, patient-centered primary care depends on thoughtful financial support. This commentary describes the nature and importance of innovative primary care payment programs.
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The reference to “physician” in this commentary is intended to be read broadly as including an advanced practice nurse, a physician’s assistant, or other health professional providing primary care.
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