Practice Notes

Our take on the latest trends and news for medical groups

Physician shortage—or working below capacity? Get 2 ways to solve your access problem.

by Rachel Woods and Eliza Campbell July 31, 2019

Patient access remains a challenge for medical groups: For primary care, the average time to the third next available appointment is 16 days for new patients and 12 days for established patients, according to Advisory Board benchmarks. In many specialties, wait times stretch even longer

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Physician employment is at an all-time high. Here are 3 tactics to stay competitive.

by Maria Restuccio and Rachel Woods July 17, 2019

In 2018, physician employment overtook physician practice ownership for the first time. After decades of provider organizations acquiring practices and employing physicians, the American Medical Association's Policy Research Perspectives found 47.4% of practicing physicians were employed in 2018, while only 45.9% owned their own practice. And the big practices keep getting bigger—according to the survey, an increasing number of physicians are now employed by larger practices of 50 or more physicians.

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Want to reduce APP turnover? Give them a voice in your medical group.

by Sarah Hostetter and Eliza Campbell July 8, 2019

Frequent turnover is one of the biggest challenges medical group executives report with their advanced practice provider (APP) workforce. And this turnover is costly: A single APP vacancy costs practices $1,500 per day. In addition to productivity losses, investments to onboard and train APPs so that they can work top-of-license go wasted when APPs leave the group.

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What does the future of primary care look like? We want to hear from you.

by Julia Connell and Rachel Woods June 19, 2019

Increasingly, disruptors like CVS, Walgreens, and Amazon are entering the ambulatory space to provide more convenient, lower-cost services to patients—a move that threatens the role of the medical group as the front door to the health system. To compete, medical groups need to rethink their traditional, "one-size-fits-all" approach to primary care. This calls for innovation both in the way medical groups design their primary care product and how they operationalize and scale a model that meets the evolving demands of patients and providers.

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Are physicians the future of risk-based payment? CMS thinks so.

by Julia Connell and Julie Riley May 22, 2019

In 2017, Medicare spending totaled $702 billion, or 15% of total federal spending, a number that is expected only to increase as more baby boomers age into Medicare. Unsatisfied with provider performance in existing risk-based models, CMS is rolling out changes for 2020 that promote downside risk and prioritize partners who prove they can generate savings—and one of the most reliable partners may be physician groups.

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The academic medical group, redesigned

Hamza Hasan , Daniel Kuzmanovich April 19, 2019

Academic medical centers (AMCs) are health care industry pillars known for advancing medical science and developing the next generation of physicians.

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The newest key player in health care innovation? Medical groups.

by Rachel Woods and Maria Restuccio March 27, 2019

Bill Gates recently released his list of top 10 breakthrough technologies in MIT Technology Review and unsurprisingly, the majority have significant implications in health care—from predictive analytics to wearables and AI, health care has become the key battleground for competing with disruptive innovation. The question is: What does this influx in innovation mean for medical groups?

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The latest frontier in the fight against opioid abuse: Medicare's annual wellness visits

by Hamza Hasan and Eliza Campbell March 6, 2019

As the opioid-related death toll soared to more than 47,500 in 2017, CMS and other federal agencies have made curbing opioid use a top priority. Amid other initiatives, CMS released a statement last August aimed squarely at primary care providers: Review of opioid use is now considered a routine element of annual wellness visits (AWVs) for Medicare beneficiaries. 

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