[silverc4s]

There is a "Wellness Practice" provision in Medicare now. It has been there for at least 5 years, so it's not new. Under this provision, a Doc can set up a Wellness practice consisting of current medicare recipients, and as long as he (or a PA working for him/her) sees each of his patients monthly, he will get medicare reimbursement for keeping them healthy. He can also get normal medicare reimbursement for treatment when they are ill.
As a E D of Senior Care communities (Assisted Living, Alzheimer's Care, and Independent Living) I can tell you that this practice is a very good thing for most seniors, vs the normal method - stay home until you are sick, then see your Primary, or maybe go to the ER for something that would possibly have been caught at an earlier stage.
You can be in this program and still retain a separate PCP if you choose.

These Doctors and their PA's actually make house calls, many have given up their office practice, and the ones that I have contact with are loving practicing medicine again.