The big issue about federal health care reform is whether it will be a burden on the state of Michigan, Spectrum Health President and CEO Rick Breon told a gathering in Grand Rapids this week.
The Grand Rapids Press reports that Breon predicted that the recent reforms will not be repealed.
A shortage of primary physicians will pose problems as more people get health insurance, Breon said.
A reimbursement structure that pays more for procedures than time spent with patients means primary care physicians earn less than other doctors and, as a result, “Most medical students are not going into primary care,” he said.
He praised a health care reform provision in which primary care physicians caring for Medicaid patients will be reimbursed at the higher Medicare rates for two years. Also, he said more use of other care providers, such as physician assistants and nurse practitioners, should be explored.
Under the new legislation an additional 600,000 Michigan residents will qualify for Medicaid by 2014.