nt-family: 'Noticia Text', Georgia, 'Times New Roman', serif;font-size: 26px;font-style: normal;font-weight: bold;line-height: 200%;letter-spacing: normal;text-align: left;">Tips From Tom
Teach your primes how to manage chronic problems in their offices without having to refer them out. They’re not getting the comprehensive training they need to do so in their residency---and they’re not having this type of practice modeled for them any more either.

How best to teach them?

Have your specialists train them.  In person or through on-demand experiences. Place specific emphasis on what your prime should be able to handle internally and when they should refer. Make sure your specialists approach them as peers, collaborators interested only in working together for the best possible outcomes.

Pay your specialists to do the training. Let them know that in doing so, they will bond with their primes and ultimately help their own referral stream.

Pay your primes to take the training, too. And let them know how much they stand to gain in their risk-share by internalizing their own costs and treating their patients without referring.

Under the Medicare Advantage model, the revenue is available to those who innovate---you just have to think differently about your approach to integrating care.

Medicare Advantage is, after all, a completely different payment system. You can’t expect to do the same things that you would do under Fee-For-Service and expect to succeed.