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    How can physicians combat industry shortages and meet patient demands?


    3.     Collaborate with payers and explore alternative reimbursement models

    More and more reimbursement contracts call for value-based payment arrangements, causing the traditional fee-for-service model to dwindle. You will be held accountable for the cost and quality of care rather than the number of patients you serve. Have you proactively prepared for this reimbursement shift?

    ·       Consider risk-based alternative arrangements. Arrangements like capitation and ACOs can increase revenue and drive more value in the payer-provider relationship. Collaborating with payers and sharing risk with other doctors and hospitals can help you work more effectively and succeed within today’s dynamic healthcare environment.

    ·       Partner with payers and sign up for a narrow network. Payers want to steer their members to doctors who provide value-based care and practice good medicine. The smaller the network, the more opportunities they have to strengthen relationships with providers. Physicians may want to consider partnering with payers as one of a few providers within a narrow network, which tend to carry lower premiums for patients.


    TRENDING ON OUR SITE: A call for physicians to denounce third parties once and for all


    ·       Understand your success in value-based care. Adopting analytic models and methodologies ahead of time will help you comprehend various types of data needed to determine your success in value-based care.

    Transforming traditional approaches to patient care can help your primary care practice endure the physician shortage, in addition to creating opportunities for new types of business. Running an efficient and competitive practice can enable you to not only meet emerging patient expectations, but to enhance profitability as well.


    Kevin N. Fine, MHA, is a director of healthcare advisory services in the Miami office of Kaufman Rossin, one of the top accounting firms in the U.S. He can be reached at [email protected].

    Kevin N. Fine, MHA
    Kevin N. Fine, MHA, is a director of healthcare advisory services in the Miami office of Kaufman Rossin, one of the Top 100 CPA and ...


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    • [email protected]
      In all respect, Mr. Fine, are you serious? My partners and I have been in primary care for collectively nearly 100 years. We have witnessed a wonderful primary care specialty eroded and now controlled by bean counters and suits. Doctors no longer "doctor", they record, work EMR tasks, and search for morsels scattered by third parties. Our incomes are controlled by the "big" guys who dole out promises if certain "standards" are met, or bonuses for signups to gain control of our practices. We are chess pieces on a large play board and have no say or control anymore. Your suggestions ballon overhead and steepen the spiral to burnout. However, we are stubborn and changed our 6000 patient traditional practice to a 1500 patient Direct Primary Care model. No third parties, no forms, no handcuffs,no hassles. 30 patients per day is now 12 patients per day. All have long educational visits with us. We no longer have a waiting room, instead a reception lobby since no one waits. Free beverages, WIFI, and personal care from the parking lot to the exam room. We run on time and the patients are delighted. Our overhead dropped by two thirds. This is the only survival model for primary care. A piece of heaven has returned to Central Indiana. [email protected]
    • [email protected]
      Some crazy ideas. I do functional medicine. I signed out of medicare 2 years ago. I'm getting ready to move to a concierge practice and getting rid of the two remaining insurance plans as I'm tired of the rules and regs that say spend less time with patients and more time on documentation so you can get paid less. I already do phone and Skype consults/visits which many patients like, but they also last 15 or 30 minutes which patients really love. The number one complaint I hear from a new consult is that their doc only spends a few minutes with them and hardly looks at them as they are entering data in the EMR and hardly touches them yet they can read a full exam in their handy portal when they review the visit note - fraud anyone??? I very much doubt that any primary care doc can figure out anything useful in a 2 minute telemedicine visit. That's why my practice is booming - I spend TIME with patients and we figure out what's really wrong with them and help them heal. What a novel concept!! Color me a Marcus Welby fan but that's what primary care is about - low tech and high touch - not hiring more PA's or NPs to herd more patients through to make more money......
    • Anonymous
      Oh yes, you can embrace the technology and still take less from the insurers. You can be scrutinized how you treat pain or anxiety. You can work later into the day to treat patients who have no loyalty to your practice and will go to an urgent care center rather than wait thirty minutes to see you. You can give up going to treat your patients in the hospital since most now have hospitalists who do a crappy job and make your job harder. You can also tell them all to pound sand and enjoy life! I chose early retirement and it is wonderful. Have lunch in the sun and enjoy a cigar.
    • [email protected]
      Interesting that he doesn't mention hiring PA's or NP's as a source of income. Our office has hired 2 PA's and 2 NP's and we were able to open two more offices. We're making a lot of money and everyone is getting well paid!

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