I Think They Got the Wrong Envelope by Pat Conrad MD

Medical Economics is wrapping up their year, and yours, by holding the envelope to their noggin and giving the exciting answers of:

  •  “Movement away from fee-for-service reimbursement and toward  global payments will alleviate the strain on primary care practices.”
  • “Change the payment model to incorporate care management fees and incentives for quality, cost, and utilization.”
  • “Optimize reimbursement at current rates by implementing team-based care, a staffing model in which all clinicians work to the top of their licensure.”
  • Increase team-based care by furthering the trend for “team-based care” and for “significant growth in compensation for non-physician practitioners.”
  • “Working with clients to redistribute their workload throughout an established team, track[ing] measures such as patient experience scores, capacity and access, quality metrics, cost and utilization, and provider satisfaction before implementation of team-based care and again at three, six, and 12 months.”
  • Optimize reimbursement with “high-performing teams [to] help fill gaps in care by teeing up and ordering routine health maintenance, prescription refills, smoking cessation, advanced care planning, and other items that factor into coding and reimbursement.”

ME’s stated goal is not to dwell on the negative, but on practical solutions to fix the offered problem.  So what was the problem stated in the envelope that these awesome solutions will fix??  We’re dying to know!

“What’s ruining medicine for physicians: Imbalance in primary care versus specialist reimbursement.”

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Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  4 comments for “I Think They Got the Wrong Envelope by Pat Conrad MD

  1. mamadoc
    December 8, 2018 at 10:13 pm

    Sounds like they’ve been smoking some of the same stuff as AAFP and AMA.

  2. Laurence J Sloss MD
    December 3, 2018 at 6:40 pm

    I have generally avoided ME because of its concentration on money over provision of service. They are now baring their shriveled, putrid, sycophantic souls as they slither to worship at the altar of Mammon. A Pox upon them and all their generations past, present and future.

  3. RSW
    December 3, 2018 at 11:02 am

    Medical Economics used to be a good magazine, presenting the viewpoint of the independent physician. Last 10 years, however, they’ve been drinking long and deep of the Kool-Aid – oops, I mean Flav-or-Aid.

  4. PW
    December 3, 2018 at 9:07 am

    The problem is that their “solution” is the “problem”.

Comments are closed.