direct primary care - aafp home · direct primary care a pros and cons discussion of an emerging...

Upload: others

Post on 12-Aug-2020

5 views

Category:

Documents

0 download

Report

Download

Embed Size (px):

TRANSCRIPT

Direct Primary Care A Pros and Cons Discussion of an Emerging

Payment Model

W. Ryan Neuhofel, DO, MPHEdmond Weisbart, MD, FAAFP

Russell Kohl, MD, FAAFP

Page 3: Direct Primary Care - AAFP Home · Direct Primary Care A Pros and Cons Discussion of an Emerging Payment Model W. Ryan Neuhofel, DO, MPH Edmond Weisbart, MD, FAAFP Russell Kohl, MD,

Learning Objectives

● Identify key capabilities and structures that characterize the broad spectrum of DPC practices.

● Recognize relationships between the DPC model and existing and prospective payment models.

● Consider how DPC meets patient needs, while specifically addressing issues related to patient panel size and accessibility.

● Consider the concern that DPC is not a model that is scalable to serve the needs of lower income or chronically ill patients.

Page 4: Direct Primary Care - AAFP Home · Direct Primary Care A Pros and Cons Discussion of an Emerging Payment Model W. Ryan Neuhofel, DO, MPH Edmond Weisbart, MD, FAAFP Russell Kohl, MD,

Introductions

• W. Ryan Neuhofel, DO, MPH• Edmond Weisbart, MD, FAAFP• Russell Kohl, MD, FAAFP

Page 5: Direct Primary Care - AAFP Home · Direct Primary Care A Pros and Cons Discussion of an Emerging Payment Model W. Ryan Neuhofel, DO, MPH Edmond Weisbart, MD, FAAFP Russell Kohl, MD,

DPC 101

• Definition• History• Scope

Page 6: Direct Primary Care - AAFP Home · Direct Primary Care A Pros and Cons Discussion of an Emerging Payment Model W. Ryan Neuhofel, DO, MPH Edmond Weisbart, MD, FAAFP Russell Kohl, MD,

Audience Engagement SystemStep 1 Step 2 Step 3

Page 7: Direct Primary Care - AAFP Home · Direct Primary Care A Pros and Cons Discussion of an Emerging Payment Model W. Ryan Neuhofel, DO, MPH Edmond Weisbart, MD, FAAFP Russell Kohl, MD,

Topics to cover

• Fixing primary care problems• Disparities (income, health status)• Effects on PCP Shortage• Regulation & integration

Page 8: Direct Primary Care - AAFP Home · Direct Primary Care A Pros and Cons Discussion of an Emerging Payment Model W. Ryan Neuhofel, DO, MPH Edmond Weisbart, MD, FAAFP Russell Kohl, MD,

Fixing Primary Care

Can DPC model fix problems (for patients and doctors) in modern primary care?

Page 9: Direct Primary Care - AAFP Home · Direct Primary Care A Pros and Cons Discussion of an Emerging Payment Model W. Ryan Neuhofel, DO, MPH Edmond Weisbart, MD, FAAFP Russell Kohl, MD,

Disparities

Can DPC serve a broad spectrum of patients, including those of lower income or

chronic/complex illness?

Page 10: Direct Primary Care - AAFP Home · Direct Primary Care A Pros and Cons Discussion of an Emerging Payment Model W. Ryan Neuhofel, DO, MPH Edmond Weisbart, MD, FAAFP Russell Kohl, MD,

PCP Shortage

Will DPC worsen the shortage of primary care physicians?

Page 11: Direct Primary Care - AAFP Home · Direct Primary Care A Pros and Cons Discussion of an Emerging Payment Model W. Ryan Neuhofel, DO, MPH Edmond Weisbart, MD, FAAFP Russell Kohl, MD,

Regulations & integration

What are the potential benefits or harms of DPC practices operating outside insurance

plans and certain regulations?

Page 12: Direct Primary Care - AAFP Home · Direct Primary Care A Pros and Cons Discussion of an Emerging Payment Model W. Ryan Neuhofel, DO, MPH Edmond Weisbart, MD, FAAFP Russell Kohl, MD,

Audience Questions

Page 13: Direct Primary Care - AAFP Home · Direct Primary Care A Pros and Cons Discussion of an Emerging Payment Model W. Ryan Neuhofel, DO, MPH Edmond Weisbart, MD, FAAFP Russell Kohl, MD,

DPC Resources

• http://www.aafp.org/practice-management/payment/dpc.html

• AAFP DPC MIG• http://DPCSummit.org• AAFP DPC Workshops

http://www.aafp.org/practice-management/payment/dpc.html

http://dpcsummit.org

W. Ryan Neuhofel, DO, MPH

Twitter @neucare

http://neu.care

[email protected]

Ed Weisbart, MD, FAAFP

Twitter @edweisbart

http://www.pnhpmo.org/

[email protected]

http://neu.care

http://www.pnhpmo.org/

Page 15: Direct Primary Care - AAFP Home · Direct Primary Care A Pros and Cons Discussion of an Emerging Payment Model W. Ryan Neuhofel, DO, MPH Edmond Weisbart, MD, FAAFP Russell Kohl, MD,

Click here

Let your voice be heard! Evaluate workshops on the NC app

Page 16: Direct Primary Care - AAFP Home · Direct Primary Care A Pros and Cons Discussion of an Emerging Payment Model W. Ryan Neuhofel, DO, MPH Edmond Weisbart, MD, FAAFP Russell Kohl, MD,

Stay Connected

facebook.com/fmignetwork

@aafp_fmig

Use #AAFPNC

MD 1600 Topbelt 24 - Manitowoc Cranes/media/Files/MTW Direct/Potain... · Control kVA +- ˜˚˜° ˜˝˙° ˆˇ ... MD 1600 Topbelt 24 FR Utilisation : Coulage intensif de béton

Direct Pharyngoesophagoscopy Audit...Direct Pharyngoesophagoscopy Audit Effectiveness of Endoscopy in the management of patients with a new throat complaint at GCH Dr S. Engamba, MD,

Curb extensions (Credit: Michele Weisbart) - Sunset BeachA2C1D077-15B6-49E5-B8FD...Curb extensions (Credit: Michele Weisbart) ... where a shared roadway is the appropriate ... one-way

Meeting of the Asia-Pacific Foreign Direct …Meeting of the Asia-Pacific Foreign Direct Investment (FDI) network for Least Developed and Landlocked Countries: Md Abdul Matin Director

Media Outreach for Beginners Garrett Adams MD Linda Lieb, MBA Ed Weisbart MD Building relationships Editorial board meetings Op-eds Letter-to-editor

Foreign Direct Investment Md. Ismail Hossin Id. 111-11-1798 Sec- B (Old)

The Insurance Industry’s “Talent Gap” Griffith Foundation Insurance Education & Career Summit Atlanta, GA September 25, 2011 Steven N. Weisbart, Ph.D.,

MD 689 M40 - Manitowoc Cranes/media/Files/MTW Direct... · 2020-02-13 · MD 689 M40. EN 14439 C50-D50 Mât - Réactions / Mast - Reaktionskräfte / Mast - Reactions / Mástil - Reacciones

Direct-Acting Antiviral Agents in Patients with Hepatitis ... · Direct-Acting Antiviral Agents in Patients with Hepatitis C Cirrhosis Gene Y. Im, MD, and Douglas T. Dieterich, MD

Magic, Pixie Dust and Miracles: DPC for County Employees · Magic, Pixie Dust and Miracles: DPC for County Employees Shane Purcell, MD, Direct Access MD David Contorno, E Powered

1 Khula Direct Parliamentary Portfolio Committee on Economic Development Setlakalane Molepo (MD) 22 July 2010

Twinning Project MD 13 ENPI OT 01 16 (MD/26)Suport direct instituțiilor de protecție a patrimoniului din Moldova ... RECOMANDĂRI: PRIORITĂȚI ȘI FOIA DE PARCURS PENTRU GESTIONAREA

Dragon Medical 360 Direct - Speech Recognition Solutions€¦ · · 2017-09-17Dragon Medical 360 │Direct The Unofficial User Guide Jon W. Wahrenberger, MD FAHA FACC Version: 7/26/14

Antibiotic Prescribing During Pediatric Direct-to-Consumer ... · Antibiotic Prescribing During Pediatric Direct-to-Consumer Telemedicine Visits Kristin N. Ray, MD, MS,a Zhuo Shi,

Direct Synthesis of Amides and Imides by using ......Instructions for use Title Direct Synthesis of Amides and Imides by using Heterogeneous Lewis acid Catalysts Author(s) Ali, Md

Direct Bypass Techniques for the Treatment of Pediatric ... · Direct Bypass Techniques for the Treatment of Pediatric Moyamoya Disease Raphael Guzman, MDa, Gary K. Steinberg, MD,

STAGE TECHNICAL RIDERhttps://янтарьхолл.рф/bitrix/templates... · MD-CD1 1 Tascam Playback 12 Passive direct box ISO BALANCER DI 2 ARX Backline/Di-Box 13 Active direct

Regulatory Expansion: The Impact of Dodd-Frank’s Insurance Regulations Chief Claims Officer Summit Philadelphia, PA September 9, 2013 Steven N. Weisbart,

Direct Oral Anticoagulants Eliot Williams, MD PhD Division of Hematology & Medical Oncology

Seoul, August 9/10, 2013 The Medtronic Core Valve System ... · The Medtronic Core Valve System Direct Aortic Approch Eberhard Grube MD, FACC, FSCAI Michael Reardon MD. Michael Reardon

The “New Normal” of Business and Insurance Steven N. Weisbart, Ph.D., CLU, Senior Vice President and Chief Economist Insurance Information Institute

Thumbs up/Thumbs down – May 2002 Direct coronary intervention for MI Direct coronary intervention for ST-elevation MI Eric J Topol MD Provost and Chief

Direct Marketing: Website Audit and Analysis of Competing ... · 3 SWOT ANALYSIS 4 RECOMMENDATIONS 5 Q/A. MD Anderson . Analysis of Existing, Digital Development Landscape Direct

· spinal surgery." - M. Grisell, MD, ... - AORN* "Direct pressure on the eye should be ... lateral flexion, or rotation) when

Setting the Scene Insurance Reform: Opportunity or Threat? CEA International Insurance Conference Athens, Greece June 16, 2011 Steven N. Weisbart, Ph.D.,

Direct Marketing: Website Audit and Analysis of Competing ......Direct Marketing: Website Audit and Analysis of Competing Institutions 30 MD Anderson is a frontrunner in the digital

Chapter Organizing “The Minnesota-Missouri Experiences” PHNP-MN Ann Settgast, MD Elizabeth Frost, MD PHNP-STL Ed Weisbart, MD Linda Lieb, MBA

Chapter Seventeen - Md Afnan Hossainafnanhossain.weebly.com/uploads/2/6/1/5/26152362/... · Forms of Direct Marketing Direct-mail marketing involves an offer, announcement, reminder,

The Shifting Nature of Catastrophic Risk in the United States Casualty Actuaries Special Interest Seminar October 5, 2012 Baltimore, MD Steven N. Weisbart,

MD 689 M25 - Manitowoc Cranes/media/Files/MTW Direct... · 2020-02-13 · MD 689 M25. FEM 1.001-A3 Mât - Réactions / Mast - Reaktionskräfte / Mast - Reactions / Mástil - Reacciones

An Economic Perspective on the Reinsurance Market Re Underwriting: Building Professional Expertise New York, NY September 11, 2013 Steven N. Weisbart,

Yield Response of Direct Seeded Aus Rice Varieties under ... · , Md. Arifur Rahman Khan, M Abdul Karim, Md Anamul Haque. Department of Agronomy, Bangabandhu Sheikh Mujibur Rahman

JOHNS HOPKINS HOSPITAL HEMOSTASIS MANUAL … · MANUAL . Fourth Edition . Thomas Kickler, MD & Michael Streiff, MD . The direct telephone line to the . Hemostasis Laboratory is 410-614-4724