Capitation, as a value-based payment model, has been around for decades. Many of us have experimented with variations of capitation, ranging from full capitation for all healthcare services to specialist capitation, to primary care (PCP) capitation. Currently, Primary Care Clinicians are much more comfortable with the nuances of these models because of the expansion of Medicare Advantage. This… Read More »
During this pandemic, I am blessed to have a son finishing his senior year of college from our home. Candidly, it was fascinating to observe the dynamics of the educational process through a digital platform. It became apparent, rather quickly, that some, but not all professors excelled utilizing the online platforms; and some struggled to hold their student’s… Read More »
With the initiative of Choosing Wisely, which was introduced to the healthcare community in 2012, there has been an intentional focus on decreasing unnecessary testing such as CTs, MRIs, and labs. Superfluous medical treatment, tests, and procedures lead to not only increased cost, but also the potential for higher incidents of unintended harm. Incidental findings frequently lead to… Read More »
The need for physicians to have focus on not only the delivery of care but also the ever-increasing complexity of running a practice has led to the consolidation of physician practices and increased employment of physicians. Recent legislative changes, including the Quality Payment Program and the drive towards value-based payment models, compound the reasons for the slow demise… Read More »
The healthcare environment has undergone rapid change in a short period of time for an industry notoriously slow to adapt. Some of those changes include a shift to pay-for-value, increased focus on outcomes, and most recently a complete overhaul of the physician payment model for Medicare beneficiaries. Those of us steeped in care delivery have seen increased physician… Read More »