Primary Care Innovation at Scale

[@BrittanyNCrosby]

Fantastic summary of ChenMed's strategy and how they are able to improve clinical outcomes by focusing on the right side of the Pareto principle: educate and empower the clinicial care teams for the 20% items ("pills, procedures , referrals ") and enrich the patient experiences in the 80% (behavioral change), with plenty of data scientists/experts to make sure you're going in the right direction. Impressive work by ChenHealth. As a strong health equity proponent, I also appreciated your call out on why the reflection of their team composition matching the diversity of their patient population is so important. Business, like all relationships, moves at the speed of trust. Thank you, Dr. Bricker!

[@ahealthcarez]

Super! Thank you for watching and for your comment.

[@marymerlien7195]

Great information!😊

[@ahealthcarez]

Thank you for watching.

[@dxrulez4]

We love ChenMed.

[@ahealthcarez]

👍

[@mytube785]

Hi Dr. Bricker: I watched your video on ChenMED, and it is very inspiring. I have a few questions: 1). Can ChenMED serve all patient populations? Its model and practice sounds compelling and profitable to serve any patient populations. It seems emphasize ChenMED is more suited for low-income and underserved seniors. 2). Why is there even a need for insurance companies in the middle? As ChenMED assumes full risks, there is little that insurance companies bring. 3). ChenMED does not have surgical services, advanced cancer services or rare disease coverage. What happens if its patients need such services? It’d be great if you could shed some lights on these. Thank you. 😊

[@ahealthcarez]

Thank you for watching and for your questions. 1) No. Need low patient turnover. 2) To market/sell/enroll people, network contracts with specialists and hospitals 3) Use outside specialists and hospitals, hence the need for #2.

[@mytube785]

@ Thank you for your reply. It’s more clearer, especially the roles of insurance companies - they are basically the sales and marketing companies for ChenMED (and others). I am still puzzled about the following: 4). since ChenMED already has many medical facilities serving the seniors, why can’t they also serve younger and healthier populations, who should have lower rates of illnesses and visits? Even for child bearing and child births, which is one key difference between the young and the seniors, the costs can be contained by ChenMED. In the service areas that ChenMED serves, there must be younger populations that need quality healthcare, right? (I assume ChenMED’s model is a little different than the Kaiser’s model, and easier to expand, but not sure if this is the right assumption.) 5). Does ChenMED have some kind of health insurance for its patients? There are inevitable that some of its patients need those cares and services that it can’t offer, and if it doesn’t have any insurance, it can be a huge financial burden on ChenMED.

[@MsLayila]

Excellent recap!

[@ahealthcarez]

Thank you for watching and for your comment.

[@nena8687]

I have to admit..you are the bommskeezzzy. Come to my home town and teach this selfish self center doctor a Thang or two.. Keep growing my friend. GOD bless you!!!!!♡

[@ahealthcarez]

Thank you for watching and for your comment. Need to look that one up. 😉

[@drartithangudu]

How incredible! Is Chen Med profitable yet? If so is it bc of Medicare’s overpayment for MA plans? What do you think will happen as hospitals are starting to not accept MA plans?

[@ahealthcarez]

Thank you for your questions. Yes. Potentially. Too many people on MA. A few may stop. Potentially most will not.

[@MarshallJohnson-l5j]

Dr. Bricker, you know I’m a fan, but this is one of your best yet… I especially enjoyed the levity around minute 5 (customer service, imagine that!), but have a question about the math on pt 6, trust. Even with a 400 patient panel, seeing folks monthly leaves few minutes/visit. As a physician, how much time does a doc need per visit when it comes to proactive care… getting to know patient, monitor ongoing health, build trust, etc? Great video here.

[@ahealthcarez]

Great question. 22 work days in a month = 18 patients per day. 8 hr work day = 27 min per patient on average. Some longer. Some shorter depending on complexity/severity.

[@Dr.HaniYousif]

Is Chenmed concierge service? Do they charge patients membership fee?

[@ahealthcarez]

Great question. No. They only see Medicare Advantage patients.

[@josepaulloor6449]

This is what I am trying to do with doctors. I had to let go all my providers because their egos would not allow them even in the face of earning three times the highest salary for their position in the Area.

[@ahealthcarez]

Thank you for sharing your experience. I’m sorry.

[@SpecialK711]

Sounds like an incredible recipe but the online reviews from providers show a different and concerning side of the story.

[@ahealthcarez]

Thank you for sharing the additional information.

[@medicinemiracles]

After working 3 years at FQHC,teaching next generation of resident Physicians Np pa being in Academics. interviewing with them this week . Hope to be part of change 🙏, heard so much about them from all health 3.0 proponents like you and zdogg, thanks for your second video about them. Ended up seeing whole hhs video, hope that hhs listems to them and you , so finally my father who is 65 get their senior VIP care and in future every hardworking american by decreased wasteful expenditure. I had question can I share this whiteboard ok LinkedIn? Please let me know . 🙏

[@ahealthcarez]

Thank you for watching. Sure. I have already done so as well.

[@josepaulloor6449]

It looks like they won’t expand to NYC

[@ahealthcarez]

Yup.

[@LawOfAttraction536]

I like your video. However How do you think this model can work on the majority of the population who are under commercial cares. To manage population health under Medicare and Medicaid had challenges but it also has very different advantages. Most of the patients will stay with the same health plan for a very long time so that care management is possible, whereas commercial population is very fluid. Also the funding from Medicare and Medicaid are relatively guaranteed not like in commercial field. So my point is that this might work in a small scale and for a particular population, but it needs a lot of adjustment for it applications explanation.

[@ahealthcarez]

Thank you for sharing your perspective.

[@LawOfAttraction536]

@@ahealthcarez Thank you so much for this awesome video. I watched it again coz I really want to understand and learn how we can possibly improve overall population health whereas not increase medical costs. Towards the end of the video, you were talking about the non-adherence on medications for some patients. Do you think patients should also take some responsibility for their health? Do you need to somehow hold them accountable for not doing the right things? Of course, if the non-adherence is due to lack of health literacy, we can help them. However, if it is like someone just does not want to take care of themselves and let the whole society to carry the burden. Do you think that is fair? Healthcare service is not a one-way give and take, it is a two-way interaction. Both sides need to take certain responsibility. Also, you mention about transportation, I worked in Medicaid sector before, Medicaid plan covers transportation. Anyway, I learned a lot from your video but do have a lot of questions still:)