According to the amendments in the main health reform law, the Patient Protection and Affordable Care Act signed by President Barack Obama on March 30, physicians providing primary care to patients will get more funding under the final health system reform package.

The reform provisions are supported by Physician organizations, including the American Medical Association.

Disassociation of pay and volume of services ensures possibility of saving real money in the patient-centered medical home.

But according to Lori Heim, MD, president of the American Academy of Family Physicians, neither Medicare's sustainable growth rate formula is addressed by law nor does it support medical liability reform.

10% Medicare bonus is applicable to those physicians, whose 60% of Medicare billing is in primary care, causing rural physicians not to be part of this bonus.

The AMA requires revisions to the law, including changes to a new Medicare Independent Payment Advisory Board.

The law will spend about $900 billion over 10 years to expand Medicaid out of which $196 billion is off set by pay cuts to private Medicare plans and $100 billion will be offset by a combination of an excise tax on high-cost insurance plans, penalties on people who remain uninsured and required employer contributions.