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.

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.]