“We already do Team-based Care”
Is your team co-located? See The 4 core principles of team-based care
“Physician burnout is not an economic problem”
Physician burnout is expensive, costing an organization up to $1 million per doctor per year in direct costs alone.
Incidence of suicide among US physicians is higher than that of US combat veterans.
“Primary Care is a loss leader for our organization”
Advanced primary care models such as team-based care, deliver strong returns on investment seen in reduced rates of hospitalization, specialty care, and ED utilization. Moreover, surrounding high- and rising-risk patients with additional supports cuts long-term costs by reducing rates of long-term complications.
“Value-based reimbursement is a long way away”
Thirty-three percent of US seniors are currently enrolled in a Medicare Advantage program, a number that is expected to reach 50% by 2025. Medicare Advantage shifts financial risks to providers.
“We are doing all right on our utilization and quality metrics”
The US spends twice as much on health care as other high-income countries but struggles with worse outcomes in areas such as all-cause mortality, premature death, and disease burden.
“The state has also observed other changes in primary care practice. Rhode Island was the only New England state to increase its supply of PCPs per capita over this period. Primary care practices report being more confident in their ability to adopt alternative payment models. Over 50% of primary care physicians are practicing in a PCMH. While peer-reviewed research is still forthcoming, initial analyses show lower ED and inpatient care and lower cost among practices that have transformed compared to those that have not. Primary care investments have helped the development of ACOs; more than 50% of primary care physicians are contracted with ACOs under a total cost of care model. In addition to Medicare ACOs, Rhode Island has five Medicaid ACOs that are contracting with health plans under a shared savings arrangement. Physicians have expressed that their practice is more rewarding, even though their income or practice revenue has not increased substantially.”