Physicians, Primary Care, Value-Based Care Hannah Russell Physicians, Primary Care, Value-Based Care Hannah Russell

Aligning Physician Compensation with VBC

One of the first and most important challenges an organization faces when moving from strictly fee-for-service (FFS) healthcare delivery to value-based care (VBC) is aligning physician and provider compensation to the new priorities of VBC. If this gets left to be done “later” or not at all, the disconnect between incentives will make VBC success very difficult. 

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Primary Care, Healthcare, Value-Based Care Hannah Russell Primary Care, Healthcare, Value-Based Care Hannah Russell

Annual Wellness Visits

This series has been focusing on levers to be pulled that can increase revenue in value-based care (VBC) practices. The second installment started looking at ways to decrease medical expenses, thereby increasing the potential revenue through shared savings or premium risk (Link to Part 2). Part 3 will now dig into the Swiss Army Knife of VBC, the Annual Wellness Visit (AWV).

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Value-Based Care, Primary Care, Healthcare Hannah Russell Value-Based Care, Primary Care, Healthcare Hannah Russell

Medical Expense Drivers: Access

As more practices and organizations pursue the principles of value-based care (VBC), they look for ways to improve their financial outcomes, the drivers of net revenue. Part 1 of this series focused on some of the main determinants of gross revenue in VBC and how to increase the size of the gross revenue bucket, or pie, depending on how hungry you are. These next installments will speak to the ways of decreasing medical costs, thereby increasing the risked savings to be shared or kept, decreasing the amount of pie eaten by medical expenses, thereby increasing the remainder in the bucket after expenses are paid.

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Value-Based Care, Primary Care, Healthcare Hannah Russell Value-Based Care, Primary Care, Healthcare Hannah Russell

VBC Drivers Part 1

We’ve become very familiar with the revenue drivers in fee-for-service (FFS) healthcare delivery over the past 100 years. Find the highest priced visits, treatments, and procedures a doc can perform and run as many patients as possible through those visits, treatments, and procedures. Since reimbursement rates for medical services have been going down, net revenue increases have more recently been driven by adding new types of visits or procedures to a practice’s repertoire and constantly honing efficiencies in moving people from the front door, through the exam/treatment room, and back into the parking lot as quickly as possible.

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Notes On News, Primary Care, Healthcare Hannah Russell Notes On News, Primary Care, Healthcare Hannah Russell

More payments are value-based than you might think

The Health Care Payment Learning and Action Network released a measurement of Alternative/Advanced Payment Models (APM) for 2023, showing the types of payments physicians and providers received overall and based on payer type. The measurements show a positive trend toward value-based care (VBC) payments, and the breakdown by payer was even more telling.

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Value-Based Care, Primary Care, Healthcare Hannah Russell Value-Based Care, Primary Care, Healthcare Hannah Russell

VBC Introduction – Commonly Used Terms

If you’re new to Value-based Healthcare, first of all, Wake Up! Where have you been? Just kidding. Even though I’d like to think that the concepts and practice of value-based care (VBC) are well-known to all and practiced diligently by most – VBC as a mode of operation in healthcare delivery that improves outcomes, improves patient and physician experience, improves revenue for physicians, and decreases overall cost of medical care – the realist in me recognizes that’s definitely not the case.

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Big Ideas Squaremuse Team Big Ideas Squaremuse Team

The Intersection of FFS and VBC Medicine: The Medical Office

A misconception exists that physicians must choose between practicing fee-for-service (FFS) medicine and Value-based Care (VBC). We often hear the phrase "a foot in two canoes" to represent the perceived need to abandon one watercraft for another identical one in their move to VBC, the notion being you can't simultaneously be in both payment models, and you need to choose. This perception can be paralyzing when considering making a business move within one of these practice / delivery models.

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Big Ideas Alyssa McNally Big Ideas Alyssa McNally

The Intersection of FFS and VBC Medicine: ACP

ACP is a face-to-face service (including telemedicine) where a patient and their physician discuss the patient’s health care wishes should they become unable to make decisions about their care. Things like advance directives and Health Care Proxies are discussed. [You can generally find ADs on your State attorney generals’ office website.] 

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