Business of Primary Care

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Jun 2024

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About the show

Listen for the latest news, trends, and practices in primary care. Our community is full of healthcare’s best, from physicians to CEOs you will hear from brilliant minds on topics ranging from value based care to the latest in healthcare tech. In a world where traditional primary care must adapt and change in order to really thrive - we believe community, supportive resources, and education are essential. So we created the Business of Primary Care.

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25 recent

June 21, 2024Episode 1759 min

Technology Revisited

As we round out season two of The Business of Primary Care, hosts Dr. Hart and Katila Farley, RN, take a bird's-eye view of some of the technological advancements discussed throughout the season that improve patient care. This episode explores tools like ambient dictation, AI chatbots, and remote patient monitoring, focusing on how these tools support high-quality, value-based care while also lessening the burden on physicians and other healthcare providers. They also discuss the “appropriate application of relationship and technology” and how to strike a balance between hands-on care and technology. In this episode, we’re joined by: Bobbi Weber, Vice President Product Marketing and Customer Success, QliqSOFT You can connect with them here. Vijay Verma, Vice President of Product Strategy at Televox You can connect with them here. Eve Cunningham, MD, GVP, Chief of Virtual Care and Digital Health at Providence You can connect with them here. Episode topics: 3:17 - Tech Tools: Ambient Dictation 11:13 - Tech Tools: Facial Vital Signs Technology 14:14 - Tech Tools: Conversational Chatbots in Healthcare 16:51 - Closing Care Gaps 21:46 - Bi-Directional Communication 33:52 - Remote Therapeutic Monitoring (RTM) 35:33 - AI Tools for Care Management 39:55 - MedPearl: Digital Assistant for Clinicians 46:28 - Bingley: AI-Guided Triage Tool 48:02 - Nimble: Fall Prevention and Bladder Control 50:34 - Virtual Care and Remote Patient Monitoring Resources mentioned in this episode: Abridge - https://www.abridge.com/ Augmedix - https://augmedix.com/ Nuance - https://nuance.com/ Upvio - https://upvio.com/ FaceHeart - https://hcs.faceheart.com/ Advanced Health Intelligence - https://www.ahi.tech/ QliqSOFT - https://www.qliqsoft.com/ TeleVox - https://televox.com/ Logicall - https://www.logicallhealth.com/ MedPearl - https://medpearl.com/ Bingli - https://www.bingli.us/en-us/ Nymbl - https://nymblscience.com/ Learn more: ⁠Ask A Question⁠ ⁠VBC Commonly Used Terms⁠ ⁠VBC Drivers

June 7, 2024Episode 161 hr 4 min

Risk Adjustment

“ … When you set up processes like this, it makes you not have to worry about the coding—you worry about just practicing good medicine.” In this episode, hosts Dr. Hart and Katila Farley, RN, CMOM, are diving into HCC (Hierarchical Condition Category) and RAF (Risk Adjustment Factor) coding—crucial value-based healthcare components. Joined by expert guests, they discuss the intricacies and importance of coding practices in documenting a patient's disease burden and how this documentation doesn’t just factor into reimbursement but plays a vital role in improving patient outcomes. They also explore how accurate coding can free up physician bandwidth for more direct patient care. Dr. Hart and Katila also touch on the recent changes in HCC coding and the crucial role of comprehensive education for physicians. In this episode, we’re joined by: Sara Faust, BSN, RN, CPC, CRC, Senior Clinical Analystat Blue Cross Blue Shield of Alabama You can connect with her here. Justin Williford, BSN, RN, PMP, CPC, CRC, CCM, Senior Clinical Consultant at Blue Cross and Blue Shield of Alabama You can connect with him here. Samuel “Le” Church, MD, MPH, CPC, CRC, FAAFP Connect with him here. Joseph Hafner, Upperline Health Connect with him here. Episode topics: 02:11 - Intro to HCC Coding 05:08 - Accurate Documentation 10:11 - Challenges and Common Errors in HCC Coding 14:49 - Workflow Tips and Practical Advice 33:52 - Importance of Comprehensive Documentation 34:56 - Introduction to SNOMED and ICD Codes 36:07 - Leveraging Technology and Teamwork 39:10 - Team-Based Documentation Benefits 43:20 - Challenges and Opportunities with AI in Healthcare 48:04 - Version Changes in HCC Coding 53:33 Educating Physicians on HCC Coding Learn more: ⁠Ask A Question⁠ ⁠VBC Commonly Used Terms⁠ ⁠VBC Drivers

May 24, 2024Episode 1529 min

SDOH Pt. 2

In part two of this series, Dr. Hart and Katila Farley, RN-CMOM, explore the significance of Social Drivers of Health (SDOH) and their impact on patient outcomes, highlighting the challenges of identifying and addressing social risks in healthcare. We’re joined by industry experts to discuss implementing precision care that incorporates SDOH assessments into practice. We cover various aspects of SDOH, including health equity, data collection challenges, and technological solutions for improving patient care by addressing social needs such as health literacy, nutrition, and housing. Today’s discussion ultimately underscores the necessity of addressing social determinants to improve patient well-being. Have a question about VBC? Ask us a question for Dr. Hart & Katila Farley RN to answer on BoPC here. In this episode, we’re joined by: Craig Worland, Chief Operating Officer at Southeast Primary Care Partners. You can connect with him here. Robert Millette, Senior Vice President, Prospect Medical Systems You can connect with him here. Olufunke Sokan (PharmD MPharm BCACP), Advanced Practice Pharmacist, University of Maryland You can connect with her here. Brian Buckley, Director, Health Equity Initiatives NCQA You can connect with him here. Episode topics: 01:03 - The Importance of SDOH 05:27 - Real-World Examples of Addressing SDOH 19:32 - Integrating Behavioral Health into Primary Care 21:11 - Addressing Social Risk 28:34 - Closing Thoughts on SDOH and Upcoming Topics Learn more: ⁠Ask A Question⁠ ⁠VBC Commonly Used Terms⁠ ⁠VBC Drivers

May 10, 2024Episode 1441 min

SDOH Pt. 1

Social determinants of health (SDOH) are “the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.” In part one of our series breaking down the impact of SDOH on patient outcomes, we’re reinforcing the importance of identifying, assessing, and addressing social risks that affect patient well-being. In part one of this series diving into the importance and implementation of SDOH, hosts Dr. Hart and Katila Farley, RN, and their guests cover various challenges in tracking SDOH within patient populations. They also share expert insights on implementing strategies to tackle these social risks. Discussions with guests explore the roles of health equity and the potential of technology in capturing and addressing SDOH effectively to aid in whole-person, value-based care. In this episode, we’re joined by: Natasha VanWright, Senior Vice President of Clinical Operations, Belong Health You can connect with her here. Brian Buckley, Director, Health Equity Initiatives NCQA You can connect with him here. Dr. Neechi Mosha, Senior Vice President of Growth, Clarify Health Solutions You can connect with him here. Bobbi Weber, Vice President Product Marketing and Customer Success, QliqueSoft You can connect with her here. Jordan Holland, Vice President, Value-Based Contracting, Compassus You can connect with him here. Episode topics: 00:45 - Social Determinants on Health 04:12 - Addressing Social Risks, Equity, and Whole Person Care 10:29 - The Role of Health Literacy and Community Resources 18:37 - Leveraging Technology to Address Social Determinants 35:45 - The Power of Home Health in Understanding Social Needs Learn more: ⁠Ask A Question⁠ ⁠VBC Commonly Used Terms⁠ ⁠VBC Drivers

April 26, 2024Episode 1356 min

Infrastructure and Experience

Physician burnout and patient satisfaction go hand in hand, but many providers and staff hesitate to implement new technology and workflows. In today’s discussion, our hosts, Dr. Hart and Katila Farley, RN, sit down with experts across the healthcare field to discuss solutions for building high-quality care infrastructure that results in exceptional patient experience —all while mitigating provider burnout. Our guests and industry leaders share their insights on building long-term relationships, utilizing telehealth services, the value of community engagement, and leveraging technology for more efficient patient care. Have a question about VBC? Ask us a question for Dr. Hart & Katila Farley RN to answer on BoPC here. In this episode, we’re joined by: Rick Merill, Co-Founder and President, Arrowhealth You can connect with him here. Jamie Ulmer, CEO, Healthcare Network Learn more about him here. Lisa Soroka, founding member of The Marblehead Group, LLC You can connect with her here. Jordan Holland, Vice President, Value-Based Contracting, Compassus You can connect with him here. Wren Keber, Managing Director, Huron Consulting Group You can connect with him here. Sean Mehra, Healthtap You can connect with him here. Michelle McCormick, Millennium Physicians Group You can connect with her here. Episode Topics: 01:01 - Patient Experience and Infrastructure 04:00 - The Importance of Patient Experience in Value-Based Care 04:47 - Physician-Patient Relationships 6:14 - Exploring the Impact of Infrastructure on Healthcare Delivery 18:57 - Enhancing Patient Care with Technology and Infrastructure 22:51 - Building Relationships and Trust in Healthcare 28:12 - Beyond the Clinic Walls 39:16 - Engagement and Adherence 56:04 - Improving Healthcare Delivery Learn more: ⁠Ask A Question⁠ ⁠VBC Commonly Used Terms⁠ ⁠VBC Drivers

April 12, 2024Episode 1259 min

Care Coordination Pt. 3

In the final installment of our 3-part series on Care Coordination, hosts Dr. Jon Hart, Katila Farley, CRN, and guests provide an in-depth look at practical examples of care coordination in real-time. We cover the importance of care coordination beyond care management—emphasizing the role of every individual involved in a patient's care journey toward improved health and well-being. Using real-world examples, we’re looking at Care Coordination in action, touching on everything from remote patient monitoring use cases, maternity care coordination, mental and behavioral health care, rural health, and hospice care to care management staff in emergency departments. We also dip our toes back into the role of technology as a means to enhance care coordination, expanding on our discussions in part two of this series, the importance of integrating behavioral health into holistic care, and the challenges in coordinating care for patients with mental and physical health needs. Have a question about VBC? Ask us a question for Dr. Hart & Katila Farley RN to answer on BoPC here. In this episode, we’re joined by: Rick Merill, Co-Founder and President, Arrowhealth You can connect with him here. Jamie Ulmer, CEO, Healthcare Network Learn more about him here. Lisa Soroka, founding member of The Marblehead Group, LLC You can connect with her here. Sean Mehra, Healthtap You can connect with him here. Craig Worland, Chief Operating Officer at Southeast Primary Care Partners. You can connect with him here. Robert Millette, Senior Vice President, Prospect Medical Systems You can connect with him here. Jordan Holland, Vice President, Value-Based Contracting, Compassus You can connect with him here. Episode Topics: 04:51 - Complexities of Remote Patient Monitoring in Care Coordination 16:22 - Challenges of Mental and Behavioral Health Coordination 28:15 - Care Coordination in Rural Settings 31:29 - Exploring Hospice Care 36:14 - Integrating Technology in Patient Care 39:30 - Care Coordination in Emergency Departments 46:10 - Revolutionizing Home Care with Vendor Partnerships Learn more: ⁠Ask A Question⁠ ⁠VBC Commonly Used Terms⁠ ⁠VBC Drivers

March 29, 2024Episode 111 hr 20 min

HIMSS 2024 Highlights

Join us on this special episode as we share the most striking innovations and discussions from the recent HIMSS '24 conference. Listen in as we dissect the importance of interoperability, health equity, and artificial intelligence in healthcare, and why the true measure of technology's worth is its impact on health outcomes. We also navigate through the potential of AI in addressing social drivers of health and repurposing consumer data to enhance community health strategies, underscoring how technology can transform patient care while still prioritizing the human touch. Have a question about VBC? Ask us a question for Dr. Hart & Katila Farley RN to answer on BoPC here. Episode Topics: (00:02) HIMSS Tech Highlights and Innovations (14:34) Interdisciplinary Team Approach in Healthcare (24:17) Advancing Health Equity Through Collaboration (37:44) Virtual Visits and Telemedicine Explained (45:40) Understanding Interoperability and Patient Journey Mapping (52:20) Enhancing Patient Communication With Technology (57:26) Improving Healthcare Communication and Interoperability (01:02:39) Improving Healthcare Through Technology (01:19:00) HIMSS Recap and Future Episodes Learn more: ⁠⁠Ask A Question⁠⁠ ⁠⁠VBC Commonly Used Terms⁠⁠ ⁠⁠VBC Drivers

March 15, 2024Episode 1052 min

Care Coordination Pt. 2

In this second installment of our Care Coordination series, we’re deep-diving into the value of technology and teamwork as a means to improve functionality in practices to ensure high-quality patient outcomes. We speak to leaders in the healthcare and healthcare technology space about the value of telemedicine and remote patient monitoring in creating effective high-touch patient experiences and exciting new ways healthcare tech is evolving. We also discuss the importance of closing the care loop through care continuity between traditional and non-traditional providers and the value of patient education and personalization. Have a question about VBC? Ask us a question for Dr. Hart & Katila Farley RN to answer on BoPC here. In this episode, we’re joined by: Andrea Hurteau, Principal Consultant, Winston Healthcare Advisors You can connect with her here. Natasha VanWright, Senior Vice President of Clinical Operations, Belong Health You can connect with her here. Rick Merill, Co-Founder and President, Arrowhealth You can connect with him here. Jamie Ulmer, CEO, Healthcare Network Learn more about him here. Sean Mehra, Healthtap You can connect with him here. Episode Topics: 3:09 - Working with Community-Based Organizations 14:03 - Communication with Care Teams 21:17 - Increasing Patient Engagement 31:49 - Closing the Care Loop 36:13 - Effective Patient Communication & Education 41:08 - Telehealth as a Care Coordination Tool 47:51 - Liability in Remote Patient Monitoring Learn more: ⁠Ask A Question⁠ ⁠VBC Commonly Used Terms⁠ ⁠VBC Drivers

March 4, 2024Episode 953 min

Care Coordination Pt. 1

In this first episode of our three-part series, we’re breaking down one of the most important yet overlooked pieces of Value-Based Care: Care Coordination. With the tendency to operate in silos, many clinicians struggle to tackle a holistic and individualized patient experience. We’re joined today by experts across the care spectrum to better ascertain how to utilize technology like patient monitoring, community partnerships, and teamwork with clinical and non-clinical staff to put patient experience at the forefront of VBC. We also discuss the roadblocks that make effective care coordination difficult, including social risk factors and how to build systems to support the infrastructure of quality care. Have a question about VBC? Ask us a question for Dr. Hart & Katila Farley RN to answer on BoPC here. In this episode, we’re joined by: Joni Wyatt, Director Healthcare Advisory for Kassouf You can connect with her here. Craig Worland, Chief Operating Officer at Southeast Primary Care Partners. You can connect with him here. Lisa Soroka, founding member of The Marblehead Group, LLC You can connect with her here. Natasha VanWright, Senior Vice President Clinical Operations, Belong Health You can connect with her here. Rick Merill, Co-Founder and President, Arrowhealth You can connect with him here. Andrea Hurteau, Principal Consultant, Winston Healthcare Advisors You can connect with her here. Episode Topics: 05:39 - Why Invest in Care Coordination 12:16 - The Intersection of VBC with Fee For Service 18:14 - The Role of Community Partners 19:41 - Whole Person Care 23:14 - Community Partnerships and Care Coordination 39:55 - Keeping People at the Center of VBC 46:24 - The Role of Specialists Links: ⁠Ask A Question⁠ ⁠VBC Commonly Used Terms⁠ ⁠VBC Drivers

February 16, 2024Episode 81 hr 5 min

Physician Compensation

In this episode, we talk about physician compensation. It isn't just about the dollars and cents; it's a deep exploration of motivation—both financial and otherwise. We discuss the critical impact job satisfaction, recognition, and work environment can have on the adoption of value-based care. Understanding that healthcare is a team sport, we discuss the importance of aligning incentives across the entire office, from front staff to physicians, to cultivate success and tackle the ever-present specter of burnout. It's an intricate dance of balancing interests, from the patients who seek quality care, to the payers who demand efficiency, to the providers who deserve fair compensation. Ask us a question for Dr. Hart & Katila Farley RN to answer about VBC here. Our guests for today’s show are: Joni Wyatt Director Healthcare Advisory for Kassouf You can connect with her here.Craig Worland, Chief Operating Officer at Southeast Primary Care Partners. You can connect with him here. Wren Keber, Principal at ECG Management Consultants You can connect with him here. Lisa Soroka, founding member of The Marblehead Group, LLC You can connect with her here. Andrea Hurteau, Principal Consultant, Winston Healthcare Advisors You can connect with her here. Episode Outline: (05:51 - 07:25) Value-Driven Compensation Models in Healthcare (14:06 - 15:19) Non-Financial Incentives for Job Satisfaction (24:36 - 28:30) Driving Value-Based Care Through Incentives (30:04 - 30:37) Expanding Practice Through Incentives (32:03 - 33:12) Incentive Alignment in Physician Compensation (35:45 - 36:59) Compensation in Hybrid Medical Models (40:46 - 42:39) Designing Compensation Plans for Value-Based Care (46:21 - 48:23) Patient Satisfaction and Provider Communication (49:54 - 50:48) Alignment and Burnout in Value Care (01:01:39 - 01:02:41) Workflow and Resource Concerns in Healthcare Links: Ask A Question Aligning Physician Comp with VBC VBC Commonly Used Terms VBC Drivers Annual Wellness Visits High Value Speciality Networks in VBC