Blog

October 7, 2024: Talking about Risk

Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care

If you were to ask someone how they felt right now, most would say … “I feel fine”. Some are fine. They are young and healthy and have little…

September 25, 2024: The Challenge of Complex Care Management Part D

Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 22

 

Aligning Care Management Incentives Around Value 

Highly effective care management tightly embedded with the primary care team can be tremendously effective in improving patient outcomes.  The converse is also…

September 18, 2024: The Challenge of Complex Care Management Part C

Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 21

Entities defining the work

We have much to say about pseudo-regulatory companies that create standards and processes for both primary care and care management.  As these companies do…

September 11, 2024: The Challenge of Complex Care Management Part B

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

The CMS requirements and unintended consequences. 

In the typical FFS ACO, one of the previous core metrics that CMS has offered is the percent of patient enrolled in…

September 4, 2024: The Challenge of Complex Care Management Part A

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

One of the main objectives of primary care and within value-based payment models is to improve patient outcomes and reduce the cost of care.  The top 8-10% of…

August 23, 2024: Primary Care is an Investment, the Rest of Healthcare is a Payment (J. Constantz)

Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 18

The message is clear: Investing in primary care is a powerful and effective strategy to improve healthcare outcomes, reduce costs, and promote equity. Decades of research have…

August 19, 2024: Patient Loyalty

Moving from Fee for Service to Prospective Payment in Primary Care: The Future of Primary Care – Part 17

Competition among health systems for primary care patients. According to some reports, only 40% of employees when asked report that they have a personal physician.

Once upon a time, in what we…

August 9, 2024: The Patient’s Health literacy Matters

Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 16

 

A patient’s health literacy has a dramatic impact on their ability to learn and adapt. The primary responsibility for assessing and adapting to the patient’s health literacy falls…

July 24, 2024: It’s the Delivery System, Stupid!

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…

July 15, 2024: Feeding the Inner Healer/Helper: Part A

Moving from Fee for Service to Prospective Payment in Primary Care: Advanced Primary Care: The Future of Primary Care – Part 13

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 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…