We're approaching the end of the generalist PCP model

Insight 9 from the 2014 CEO Special Sessions

One critical outcome of designing the clinical workforce for three distinct clinical products is the end of the traditional primary care practice model.

The industry is moving toward a more customized, consumer-centric version of primary care access, and the standard one-size-fits-all PCP office model just won’t suffice. Neither will the first iteration of the medical home, which makes only incremental improvements on the baseline PCP office model.

There isn’t a single primary care model that meets all the needs of the future. Instead, many organizations will deploy a tiered primary care model, with each level designed to meet the demands of a different segment of the patient population.

In these new models, generalist PCPs will decide what role they want to fill. We see four emerging PCP identities:

  • Super-PCP: Physicians who develop expertise in longitudinal specialties, and work to manage patients with the particular specialty condition
  • Complex care manager: Physicians who are primarily responsible for managing the highest risk, highest cost patients—those with multiple complex chronic illnesses
  • Care team director: Physicians who lead and oversee the diagnosis and treatment provided by advanced practitioners and nurses in the advanced medical home model
  • Concierge care provider: Physicians who manage smaller patient panels and receive a retainer fee per patient

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2014-2015 Health Care Advisory Board National Meeting

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