Introducing your Value-Based Payment Staff

If you haven’t heard, the newest buzz term is Value-Based Payment. It’s so hot right now, like Hansel from Zoolander. Of course, it is the same thing as pay-for-performance, quality metrics and on and on. They just change the name and make everyone change their practices. Here is what the newest fad will entail:

As they shift to value-based payment, primary care practices will need staff with a higher skill mix aimed at keeping patients healthy, according to a new analysis.

Practices will need to add new staff such as behavioral health providers, social workers, nutritionists, and pharmacist support, according to a white paper from Premier Inc., a healthcare improvement company.

Of course, if you are in private practice doing FFS then you can’t afford that. In fact, no one can. The hospital employed practices will also lose money on it. But the ivory tower idiots, who thought of this thing, will love it.

It’s sad. It’s funny. It’s an emotional roller coaster of bullshit. But I, as a DPC doc, never have to deal with it.

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] 

  6 comments for “Introducing your Value-Based Payment Staff

  1. Bridget Reidy
    August 18, 2019 at 12:41 am

    I remember when they thought the ACA would save money, which is how it got it’s name. The chronically ill were supposed to get their outpatient care to prevent hospitalizations, which of course wasn’t even given a chance of happening when they also decided to allow high deductibles. Somehow the somewhat functional people think everyone else would be if they only could meet with a nutritionist or something. The small practice that doesn’t hire these people should do just as well. And it would be kind of nice to get something for all that work we do trying to keep our patients out of the hospital if it works sometimes.

  2. R Stuart
    August 13, 2019 at 9:08 am

    High value for insurers, no value for patients, negative value for physicians.

  3. Steve O'
    August 13, 2019 at 8:57 am

    Again – the bigger the factory, the better the quality of widgets manufactured; by definition. It looks orderly, no?

  4. Pat
    August 13, 2019 at 8:06 am

    “No honey, I can’t make it, you and the kids have a great time at the beach. I’ve got to moonlight over the weekend to pay for the new nutritionist. “. Bwwwaaaaaaaa???

  5. Thomas David Guastavino
    August 13, 2019 at 6:50 am

    So…our job now is to “keep people healthy”. What did these ivory tower idiots think we were doing before, keeping people sick ?

    • PW
      August 13, 2019 at 12:09 pm

      Yeah, sure, so we could make more money…

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