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


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


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


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


Healthcare Incentives and The Cobra Effect (#hcbiz 7)

The term cobra effect stems from an anecdote set at the time of British rule of colonial India. The British government was concerned about the number of venomous cobra snakes in Delhi. The government therefore offered a bounty for every dead cobra. Initially this was a successful strategy as large numbers of snakes were killed