By The Advisory Board Company
FALL 2014 – One critical outcome of designing the clinical workforce for three distinct clinical products is the end of the traditional primary care practice model.
The industry is moving toward a more customized, consumer-centric version of primary care access, and the standard one-size-fits-all PCP office model just won’t suffice. Neither will the first iteration of the medical home, which makes only incremental improvements on the baseline PCP office model.
There isn’t a single primary care model that meets all the needs of the future. Instead, many organizations will deploy a tiered primary care model, with each level designed to meet the demands of a different segment of the patient population.
DR. BEN CARSON, 2016 Presidential Candidate Said: “To care for the indigent, there are enough funds used to pay for Medicaid that enrollees could join a concierge practice, said Carson. He suggested that those who could not pay for healthcare also have health savings accounts. Bureaucrats say that people “are too stupid” to manage those accounts, Carson said, but he likened the potential program to food stamps in that participants will quickly learn to manage, such as visiting a clinic for care rather than the emergency room. A patient would then get continuity of care for chronic conditions, he said. Such a system would’“help to teach personal responsibility.'”~upstatebusinessjournal.com
In these new models, generalist PCPs will decide what role they want to fill. We see four emerging PCP identities:
- Super-PCP: Physicians who develop expertise in longitudinal specialties, and work to manage patients with the particular specialty condition
- Complex care manager: Physicians who are primarily responsible for managing the highest risk, highest cost patients—those with multiple complex chronic illnesses
- Care team director: Physicians who lead and oversee the diagnosis and treatment provided by advanced practitioners and nurses in the advanced medical home model
- Concierge care provider: Physicians who manage smaller patient panels and receive a retainer fee per patient
SOURCE: The Advisory Board Company; http://www.advisory.com/research/health-care-advisory-board/expert-insights/2014/ceo-insights/end-of-generalist-pcp-model
