Chief Medical Officer PreventScripts: We help providers scale health behavior change across their population achieving clinically significant Blood Pressure and Weight reductions- Open to Board of Director Roles
This is very interesting! I am seeing these "divergent" systems emerging of "Have's and the Have nots" The large AI enablement systems are targeting the large Epic and Cerner Corporation to some extent MEDITECH, providing value for the megahealth systems. Independent primary care is becoming dependent on ACO enablement companies like Aledade, Inc. and Privia Health to some extent agilon health to help them contract and decrease total cost of care. I absolutely agree with the notion that: "Upfront payments at the start of model participation would help practices with limited financial reserves invest in resources to improve care delivery and participate in the models." Will the emerging ACO PC FLEX model be compelling enough? Why or why not? https://lnkd.in/eC-ht_xD
Jean Anne Booth
5mo
IMNSHO, until we actually have the money follow the person, we're not ever going to have value-based care. Insurer XYZ pays for improving the overall person health, and follow-on insurer ABC gets the benefit. This doesn't work.
Family Practice Physician at American Health Network
5moUnless the primary care doctor shares in the savings and profit of VBC it can never work. If a physician is employed by a hospital system doing ACO/ VBC( which in itself is an oxymoron) and continues to get paid on an RVU basis there is no way this will work. To do a good job at VBC you have to slow down on quantity and assure low cost high quality care. If you are still being paid in RVUs you make less and your employer may make more. The only way to have shared savings in VBC prospective payments is decrease drug cost decrease specialist / procedure utilization and decrease hospital use/ cost. The last two are the reasons hospital based ACI / VBC can never work. Put physicians at risk with protection but guarantee them the profit of savings and it is a great system. You can’t have PCPs employed by hospitals on one side and expect profit by decreasing costs on the other without the majority of the savings going to the PCPs doing the work!!!