Patient Engagement

How to get paid when patients are the payers (#hcbiz 13)

While vacationing with my family in Florida last November my 18-month-old needed medical attention. Nothing dire, but it was off-hours and couldn’t wait. That resulted in an ambulance ride plus treatment and observation for a few hours in the ER. Luckily, it ended up being just a minor detour on our vacation and all was

CMSMACRAPolicy

Finding Opportunity in MACRA (#hcbiz 12)

On April 27, 2016, the Department of Health and Human Services issued a Notice Executive of Proposed Rulemaking to implement key provisions of the Medicare Access and Summary CHIP Reauthorization Act of 2015 (MACRA). This is a big deal as it will largely drive how our healthcare industry behaves in the coming years. The internet

Policy

Can CPC+ align Physicians, Payers and HealthIT? (#hcbiz 11)

The Center for Medicare and Medicaid Services (CMS) recently announced its largest-ever multi-payer initiative to improve primary care in America. Comprehensive Primary Care Plus (CPC+) is an advanced primary care medical home model that rewards value and quality by offering an innovative payment structure to support delivery of comprehensive primary care. The model is based

DPC

Direct Primary Care: The No-Payer Alternative (#hcbiz 10)

According to the AAFP: The direct primary care (DPC) model gives family physicians a meaningful alternative to fee-for-service insurance billing, typically by charging patients a monthly, quarterly, or annual fee (i.e., a retainer) that covers all or most primary care services including clinical, laboratory, and consultative services, and care coordination and comprehensive care management. Because

CulturePolicy

Dealing with the Doctor Shortage (#hcbiz 8)

According to the Association of American Medical Colleges (AAMC), America may be short up to 90,000 physicians by 2025. A lack of Primary Care Physicians could account for as much as 1/3 of that. Some of the factors contributing to the shortage, like population growth and an aging population, are outside of our control: Approximately