Whether a care model that has been around for years, but recently started to attract attention from large health systems, can be a solution to many challenges facing healthcare organizations – including physician retention, patient experience and financial stability?
There is nothing in the healthcare, there is no silver tablet. But a visionary leader, who saw the ability of Kansia’s medicine-was also referred to as a membership-based medicine-earlier an industry buzzword believes that membership-based medical can help address many of those issues. The leader is Ven Lipton, the managing partner of the Kansij Choice Physician (CCP) who founded the CCP 20 years ago.
The model of Kansia’s medicine is based on the annual membership fee paid by patients in exchange for an extended practice experience with more service and support. Practice can offer a “full” model, where all patients are members, or a “hybrid” model, where a cunning program is offered as a service option that can choose to choose the patient in traditional practice. For most organizations, the flexible “hybrid” model is more realistic, as they do not have to pursue any patient or referral relationships.
During April 1 Baker’s hospital review Podcast, sponsored by CCP, Mr. Lipton discussed how a flexible approach to membership therapy can reduce the pressures related to revenue, patient experience and physician recruitment and retention for medical practices.
There were three major insights:
- Cunning drugs are attracting increasing interest from large health systems. When Mr. Lipton founded the CCP 20 years ago, Kansia’s Medicine was not present and healthcare leaders often thought that the CCP was in hospitality business, he remembered. But over time, many small, independent medical practices have come to identify the value of the conservative model and have made it available in primary care, family and internal medical settings.
The practice of membership-based medicine eventually expands to experts who provide non-episodic/ongoing care, such as cardiologists and gastroenterologists. Now it is expanding even more, making inquiries about groups associated with large hospitals. “One reason is that it is now possible for hospital groups to do that Hybrid Care Integration is in line with vertical (Care Integration) strategy that is present in these groups,” Mr. Lipton explained.
- Flexible membership therapy plays an important role in creating a rewarding practice environment. Organizations offering Hybrid Consigion Medicine programs are benefited with a new, stable and private revenue stream to complement reimbursement from third-party payments-such as Medicare, Medicade or Commercial Insurance. They are not completely dependent on viewing high versions of patients in a fee-service environment. Therefore, they have more revenue forecasts. “It’s consistent,” said Mr. Lipton. “Membership therapy is a method of recurring, consistent, estimated revenue.”
A new, approximate revenue source that gives pressure to providers is good not only for facilities but also for physicians, especially for newly recruited physicians and close to retirement. Both groups look as a desirable way to work Kansiaz Medicine, as it enables them to slow down its practice, yet is economically and professional rewarded.
“Consiative medicine expands the career of experienced physicians as it allows them to be productive without seeing a large number of patients within a day, so their professional and personal satisfaction increases,” Mr. Lipton said.
He said that organizations can use the same argument when recruiting new physicians, which are in the midst of acute employees, now where they work, there are more options than ever. “One of the ways you can compete is to offer one thing that is desirable from doctors and yet you are trying to complete within large groups.”
- To avail maximum advantage of hybrid consciousness drug programs, large organizations need to be properly structured. How a membership-based medical model is installed determines whether the organization can get the required purchase-in from internal stakeholders to ensure stable recurring revenue.
“Hybrid model is an opportunity that requires deep understanding of many variables and strategies,” Mr. Lipton explained. “One of the more subtle pieces is receiving the purchase-in: when you do this in a large system, you must first buy at the management level, then at the doctor level, then at the patient level.”
Thanks to his two decades of experience of establishing Kansiaz medicine programs, CCP can be an invaluable partner for health systems and hospital groups that are looking to add such programs to their current services. Moving for cunning or membership medication can help them remain competitive in the market, while patients can be offered high level care, installing their own price points and expanding revenue streams. Mr. Lipton “was taking control of his fate to this dynamic.”
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