Scaling Primary Care: Growing Customers and Clinical Staff

Scaling Primary Care: Growing Customers and Clinical Staff
The X=PC Primary Care Innovation organization recently had a meeting to discuss 'How to Scale Primary Care?'
1. Scaling Customers: Customer growth depends on the setting of the primary care practice. Direct-to-Consumer (D2C) is a good route for Direct Primary Care (DPC) practices. Employers are a good route for DPC, on-site and near site clinics. Managed care organizations are a good route for government programs such as Medicaid and Medicare Advantage.
2. Scaling Operations: Primary care operational growth seems to hinge on the patient-facing clinicians as the 'limiting reagent.' Nurse practitioners (NPs) and physicians assistants (PAs) are one way to scale clinicians. However, pharmacists embedded within the primary care practice may be just as if not even more effective than NPs and PAs.
3. Miscellaneous Interesting Points:
--Surveyed patients responded that they would pay a direct-to-consumer price of $19-29 per person per month for a primary care membership.
--Musculoskeletal complaints make up 1/4 - 1/3 of primary care visits at one of the largest health systems in America.
--24/7 Access of Emergency Rooms makes them one of the largest competitors to primary care, which is why expanded access is important for scaling primary care.
Source:
X=PC: www.xprimarycare.com
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[@mytube785]

Hi Dr. Blicker: The X=PC seems a fledging new initiative. Is it main objective to help PCP to go Direct Care? I’m also confused by what services that a DC patient would receive. $10-30/mon subscription fee for a membership, what are the services available? Could you elaborate?

[@otiliapopescu9264]

Excellent video and ideas 😊

[@ahealthcarez]

Thank you for watching and for your feedback.

[@ypcllc]

Optum CEO had something to say about DPC

[@NANA-nd1kq]

Joe The Patient (Informed Consent) I went to obtain an informed consent, And inform the patient what that meant, I spent the next several moments explaining Concepts I'd learned over eight years of training. Now, Patient Joe was frugal, didn't live beyond his means, And was dead-set on keeping his own body free of liens, Joe said fine, he'd be glad to sign, if I told him what the procedure would cost. Then I knew in my heart I was lost. I can go on and on on stents until my face turns cyanotic, Assure him we treat flatlines like they're merely asymptotic, But billing codes and DRGs are topics Gordian-knot-ic. Said I to Joe, I do not know, but if I knew I couldn't say, because third party payers insist it be that way. Joe asks '"how can he give informed consent if he hasn't been informed of price?" And I answered, who knows, but sign it or leave here 'against medical advice '. Patient Joe starts talking lawsuits, then he stops and says "aw shucks. Lets get this done, what do you say, how's cash, five hundred bucks?" I drew on all my experience and training and ethics and...and... (...meet me in the alley out back at nine. Here's cefazolin and some betadine).

[@mytube785]

What’s the gist? Lost Joe the patient or lost in DPC?