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