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date: 29 November 2022

Primary Health Carelocked

Primary Health Carelocked

  • Rebecca S. AsheryRebecca S. AsheryDr. Rebecca Ashery had over 25 years experience as a Commissioned Officer in the U.S. Public Health Service working in a variety of positions focusing on health care for underserved populations. She served as a branch chief for the Federally Qualified Health Centers program at the Health Resources Services Administration. Since retiring from the PHS, she consults on management and program issues and coaches on leadership in the workplace.


The passage of the Affordable Care Act (ACA) has injected new life into primary health care by establishing the primary care medical home (PCMH) as a cornerstone of health-care reform legislation. In addition to the PCMH, the ACA has a number of primary-care components that can open opportunities for social workers. Concerns remain for payment reform in the implementation of the PCMH. The implementation of the ACA is still a work in progress, with anticipated modifications and changes as issues arise.


  • Health Care and Illness

Updated in this version

Major sections updated to reflect the passage of the Affordable Care Act. The section on the role of primary health care workers was expanded relative to the ACA. Updated sections on urgent care and boutique medicine.

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