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March 27, 2024: Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 15

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“It’s the delivery system, stupid!”

James Carvel, an advisor to President Clinton during his run for the White House, famously wrote on the wall of their office. “It is the economy, stupid! It was his way of staying on message.

We’ll follow in his footsteps with our saying…

March 27, 2024: Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 13 (B)

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Feeding the Inner Healer/Helper: Part B

This is a continuation of the consideration of how an Advanced Medical Practice can Sharpen the Saw for each member of the team.

The Power of Gratitude

During a staff meeting ask each member of the team to share one thing they are…

March 27, 2024: Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 13 (A)

 

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 Feeding the Inner Healer/Helper: Part A

Stephen Covey identified Sharpening the Saw as one of the seven habits of highly effective people. According to Covey, “Sharpening the Saw” means “preserving and enhancing the greatest asset you have—you. It means having a balanced program for self-renewal in…

March 27, 2024: Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 11

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 The need to change the patient scheduling format.

One of the things we’ve seen with our work is that the “Tyranny of the Urgent” often ruins the schedule because of the response to patients of all various risk levels calling in for appointments. If you…

March 26, 2024: Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 12

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The Whole Person Risk Score and Clinician and Team Compensation Alignment

Many health systems are struggling with how to pay primary care clinicians in a value-based care model.  The RVU/FFS compensation models do not align with the population health strategies needed to be successful in lowering cost…

March 26, 2024: Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 7

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How to activate and engage high-risk patients

We can put patients into these buckets based on their risk and cost but then the question is how do we activate and engage these people. What’s the best way to do that? This is where primary care has its…

March 20, 2024: Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 10

Sponsored by MDCEO.com The importance of measuring what you do. In particular, describe the difference between leading and lagging indicators.

You know the old phrase that insanity is doing the same thing again and again and expecting a different outcome. In the past, we’ve focused attention on lagging indicators which…

March 20, 2024: Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 9

 

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What is a care plan?

A care plan is what the clinicians do all the time. We see patients and decide here’s how we’re going to manage this problem either with medication or behavior changes or testing that needs to be done for follow-up. We do…

March 20, 2024: Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 8

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 What is a high value visit?

The high value visit concept is one that we’ve seen work well in a direct primary care model where the longer appointments allow the physician and the patient to have more time to build an understanding of each other and…

March 19, 2024: Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 6

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 The importance of philosophy of care and scope of practice

We believe that the clinicians’ philosophy of care and their scope of practice are foundational elements that create the opportunity for success in a prospective payment-based system.

A whole-person approach to healthcare is the approach that will…