Grow Your Panel

3 Steps to Accelerate Your Panel Growth Far Ahead of the Curve For a primary care provider, the fee-for-service model requires an an enormous patient base to be sustainable—thousands in fact. And with the additional overhead of MACRA and MIPS, that base is going to need to be even larger. In contrast, well run Medicare Advantage panel requires no more than 300-500 patients to generate a financial performance equivalent to a full time living. And...

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How To Succeed at Medicare Advantage

Primary Care Clinician Edition Engage your patients and take great care of them. Grow your panel. Capture your risk. Control your costs. Educate yourself on your contract’s cashflow and follow it. If your organization doesn’t offer some sort of risk share with their clinicians, don’t worry. After your current leadership gets fired for underperformance, your new leaders will.

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Shame

When speaking and writing on the issues of risk adjustment or physician compensation, I am often confronted by  “shamers.” Clinicians, administrators and patient advocates who tell me that it’s inappropriate for a physician to discuss “disease burden” and “revenue streams”—that it sounds callous and heartless, that it commoditizes patients and has no place coming from a healer. It’s a real barrier to innovative change. It took me a long time to get over it. Shaming...

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Mr. Biondo

Mr. Biondo is a real person and a good man. He gave me permission to tell his story if I thought it might help someone. When I first met Mr. Biondo he was not at all well.  He had lost a leg through misfortune. The bed sores from his outdated mobility equipment had let infection into his bones. He was smoking, depressed and in pain.  He was losing hope. He came to my office in...

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