Publication Topic

Primary Care Investment

Content Type:

  • Proposed Changes to How Medicare Pays Can Help Primary Care’s Chronic Condition 

    Blog Post

    Proposed Changes to How Medicare Pays Can Help Primary Care’s Chronic Condition 

    September 2025 Christopher F. Koller

    The Trump administration released a draft Medicare rule this summer that might have been missed amid HR1’s large funding cuts to Medicaid and the health insurance marketplaces. But the administration’s proposed changes to the 2026 Medicare Physician Fee schedule are an important step toward strengthening primary care — and following through on its commitment to “Make America Healthy Again.”  More

  • Implementing High-Quality Primary Care: A Policy Menu for States

    Publication

    Implementing High-Quality Primary Care: A Policy Menu for States

    September 2025 Christopher F. Koller Diana Bianco Katie Greene Maddy Hraber Sandra Wilkniss

    This report provides state leaders with a range of policy options states can use to strengthen primary care across geopolitically diverse contexts. More

  • Harnessing the Capacity of Nurse Practitioners to Increase Access to Primary Care in Disadvantaged Communities

    Blog Post

    Harnessing the Capacity of Nurse Practitioners to Increase Access to Primary Care in Disadvantaged Communities

    August 2025 Monica O’Reilly-Jacob Kyle Featherston Lusine Poghosyan

    The number of nurse practitioners (NPs) in the United States quadrupled from 91,000 in 2007 to 431,000 in 2024. But does this remarkable growth result in improved access to primary care where it is needed most? More

  • Optimizing State Policies for Primary Care Payment Reform 

    Blog Post

    Optimizing State Policies for Primary Care Payment Reform 

    May 2025 Stephanie B. Gold, MD Kyle Leggott Sarah Hemeida Lakshmi Karra Apoorva Ram Lauren S. Hughes 

    To inform state-level primary care payment policies, we reviewed recent policies advancing primary care payment reform in the commercial sector and conducted interviews with 50 stakeholders in five pioneering states: Arkansas, Colorado, Delaware, Rhode Island, and Washington. More

  • Publication

    Foundational Values for Whole Person Health 

    April 2025 Hoangmai H. Pham Wayne Jonas Mark Smith

    This brief identifies beliefs and common practices in health care culture that the authors suggest have hindered the spread of these models, as well as opportunities for the policymakers and influencers, payers, and clinicians to support whole-person health.  More

  • Report from the Frontlines of US Primary Care on the Impact of Recent Federal Policy Changes

    Publication

    Report from the Frontlines of US Primary Care on the Impact of Recent Federal Policy Changes

    March 2025 Rebecca S. Etz Kevin Grumbach Larry A. Green Kurt C. Stange

    Primary care clinicians are a bellwether for the state of health care and health in the United States. With the Trump Administration moving at… More

  • Five States Leading Efforts to Increase Primary Care Spending

    Publication

    Five States Leading Efforts to Increase Primary Care Spending

    March 2025 Vida Foubister

    This series of profiles highlights five states that are in different stages of enacting and implementing primary care spending targets, including early planning and coalition building; active efforts to engage state policymakers; and implementation or revision of an enacted state policy. More

  • The Health of US Primary Care: 2025 Scorecard Report — The Cost of Neglect

    Publication

    The Health of US Primary Care: 2025 Scorecard Report — The Cost of Neglect

    February 2025 Yalda Jabbarpour Anuradha Jetty Hoon Byun Anam Siddiqi Jeongyoung Park

    This 2025 Primary Care Scorecard spotlights the downward cycle of financing for primary care, describing how persistent challenges in primary care arise from insufficient investment (or in the case of training, misplaced investment) and a fee-for-service (FFS) payment model that rewards volume rather than continuous, whole-person care. This report highlights how these systemic financial issues not only undermine the effectiveness of primary care delivery but, more importantly, jeopardize the overall health of our communities in the following ways. More

  • Event

    2025 Primary Care Scorecard Webinar: How Chronic Underinvestment in Primary Care Is Failing US Patients 

    February 2025 Mary Louise Gilburg

    As the nation faces a widespread surge in chronic diseases and more people report not being able to see a clinician who knows them, the third… More

  • Proposed Medicare Fee Schedule Brings Important New Tools to Primary Care: Has CMS Nailed It? 

    Blog Post

    Proposed Medicare Fee Schedule Brings Important New Tools to Primary Care: Has CMS Nailed It? 

    August 2024 Christopher F. Koller

    “Chris, if you have a hammer, everything looks like nail.”  So said the general surgeon in the HMO where I was working 30 years ago, as… More