Jennifer Moody AmeriMed Consulting Concierge Medicine Health

Transcription

Jennifer Moody
AmeriMed Consulting
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Concierge
Medicine
Health Tourism
Hospital Medicine
Medical Home
Micro-specialization
Pharma to Patient
Physician
Integration
8. Retail Healthcare
9. Social Media &
Technology
10. Workforce
Modification
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Many hybrid models of concierge medicine
emerging from pure cash panels to add-on
options and executive medicine
Concierge medicine can skew community
needs assessments – but as physician
shortages loom in some markets, may
become a popular model for those who can
afford the care
Much health tourism focused on medicine leaving
the US – plastic surgery and dental in Asia or South
America, transplants and replacements in India
Some focused on medicine coming TO the US –
cancer care, pediatric subspecialty care,
bariatrics
Within US borders, some markets may have an
opportunity to create a “destination” for specific
specialties – particularly plastic surgery and
dermatology
Social media and savvy consumers create
opportunities for new markets for care
relationships

Ten years ago, most hospitals were asking
“what is a hospitalist?”
Today, the question is “what physicians still
practice both inpatient AND outpatient
medicine?”
Creation of specialty hospitalist programs can
solve some community need issues –
orthopedics is a great example – when
existing practices won’t address care or payor
access issues

Principles of the model:
› Personal physician for every patient
› Physician directed medical practice
› Whole person orientation
› Coordinated/integrated care
› Quality assured by evidence-based medicine
› Enhanced access (expanded hours, wider communication
options, open scheduling)
› Payment for service that recognizes differences in overall
types of care/coordination of such

Gatekeeper models all over again? Maybe not.
Distinctions include open access without financial
penalties to home physician
Some physician specialties oppose the model
Micro-specialization – or the tendency for
subspecialties to further sub-specialize – is on
the rise and is, in fact, the norm with new
physicians entering the workforce
Examples
› Sub-specialized orthopedic surgery
› Sub-specialized general surgery
› Even carve-outs in traditionally non-sub-specialized
fields like gastroenterology

Be aware of Federal compliance issues with
micro-specialized physician needs

Pharmaceutical companies are now forming
their own relationships with consumers,
independent of physicians
Address education, product safety, care
costs, treatment regimens, wellness
Direct to consumer screening programs
Examples:

› Disease management for rheumatology
› Behavior modification in endocrinology
› Home infusion training for hematology

The only big difference in old integration
strategies and the new ones lies in the
motivation
› Then – managed care contracting
› Now - CMS encouraging bundled payment and a
trend towards Accountable Care Organizations
(ACOs) to share responsibility for outcomes
› Physician employment by hospitals doubled
between 1994 and 2009

Hospitals must work to not alienate referring
specialists and maintain balance
Finances still driving decisions for both parties
Hot trend for hospitals, easily expanded to
physician offices – onsite retail presence in
hospital, online retail presence via
recommended products
Examples:
› Primary care physician recommending durable
medical equipment, nutritional supplements
› Dermatologist partnership with hospital with onsite
“med-spa” with skincare products
› Endocrinologist with diabetic supplies (from testing
equipment to food products to accessories)

New generation of consumers seeks “content”
Peer-to-peer referrals via social networks force
physicians to manage their online “presence”
Major players (AT&T, Verizon, Sprint, Microsoft)
forging partnerships for health delivery
Physicians have the opportunity to build a
practice or referral network via social media
and direct consumer networking, content
delivery, remote consultation
Will be important integration component with
other trends discussed – Medical Home, Retail
Healthcare, Pharma to Patient

Trends in “standard” workforce now
commonly bleed over to physician workforce
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Job sharing – yes, even with physicians
Flexible benefits
Employment models
Variable incentives
Important to monitor current trends in the
“standard” workforce. The bleed-over to the
physician workforce today is a short cycle so
practices must be prepared to turn on a dime
to meet Gen X and Millennial physician
demands.
Jennifer Moody, Principal
AmeriMed Consulting
301 Commerce Street, Suite 3131
Fort Worth, TX 76102
888.456.1789
www.amerimedconsulting.com
[email protected]