Even as most PCPs come to terms with MACRA and value-based care, others are stepping away from primary care or finding new practice models that aren’t part of that system. A 2016 survey of more than 17,000 U.S. physicians by The Physicians Foundation found that 48% plan to reduce hours, retire, take a non-clinical job, switch to concierge medicine or take other steps to cut back on the number of patients they see. To achieve maximum efficacy and efficiency, physicians should delegate any tasks they’re now doing that a non-physician could do and make sure everyone in the practice is working to the top of their licenses, says internist Adam Silverman, MD, director of outreach for CIPCI. He envisions a practice where the waiting room is used for educating patients and exam rooms are supplemented by open spaces for group appointments and clinical team huddles. Outside the practice walls, patients and providers communicate using a variety of digital platforms, with patient health monitored remotely and routine interactions facilitated by technology. Those changes will not only improve care, they’ll boost doctor morale and reduce burnout, says Silverman.
January 10, 2017 By James F. Sweeney| Medical Economics
And even as primary care struggles to keep its footing, it’s being called on to do more than ever before: coordinate care for an aging population beset by chronic disease, improve the overall wellness of the population, control costs and eliminate waste and fraud. These tasks validate the importance and necessity of primary care, but they present daunting challenges nonetheless.