PDA and the Flagship Physicians Network are working to develop new revenue streams for our physicians. Our goal, as we have repeatedly stated, is to help our physicians make more money with less hassle and no extra time commitment.
The time has arrived for us to present a significant opportunity. This avenue will bring in NEW REVENUES to any physician who wishes to participate. There will be a higher reimbursement than you can generate in your office practice, so every hour you decide to contribute will generate higher cash flow than you currently achieve. The appeal will be particularly strong for primary care physicians, but there may be specialists interested as well.
We are preparing to unveil a concierge, cash-only physician visitation program. Medicare patients will be excluded from this program unless they sign a waiver of benefits, and patients with commercial insurance will be responsible for dealing with their own insurance companies. A billing service will be contracted, so the physician’s only responsibility will be to visit and practice medicine. Even travel time will be reimbursed at better-than-office rates.
Our patients may be at home, or they may be in chronic care facilities or short-stay sites. In either case, demographic selection will produce a successful program. There is a critical need for improved medical care outside of the hospital. We can’t provide this level of service to all comers, but we can accommodate those patients willing to pay for it.
If you have time availability during your workweek to participate, please contact the PDA office. A quick phone call, email, or faxed note will suffice. If your week is filled, perhaps you would like to substitute a day or part of a day with higher reimbursement, less paperwork, and lower overhead. There will be no night call, no marketing, and no billing responsibilities. The only qualifications are that you care about patient and family needs, you have the ability to practice high-quality general medicine, and you are willing to communicate effectively with patients, families, and facility administrators.
PDA is an independent physicians association that strives to generate new revenues for its practitioners, eliminate hassles, and not require any more time. The organization contracts with commercial managed care payers, Medicare Advantage Programs, and Medicaid opportunities. Current new business development is directed at Employee Retirement Income Security Act (ERISA) contracts, i.e., Direct Contracts to employers and Department of Defense healthcare programs. Day-to-day operations issues at the physicians’ offices relating managed care are supported by PDA resources. PDA colleagues provide medical marketing to grow practice revenues and profitability, full service insurance benefits including medical malpractice, and interim healthcare operations management. The Chairman and board of directors are independent physicians. Bylaws equally include nurse practitioners, physician assistants, nurse anesthetists, podiatrists, and other allied health professionals. Through various marketing and contractual means, PDA is engaged with 780 practitioners in seventeen counties.
Because PDA is a physician-run company, the struggles involved in running a medical practice are understood. Facing as many obstacles as physicians face today, perhaps it would be simpler to just turn the keys over to a big hospital system. Their siren song of “you practice medicine and we’ll run the business” may sound too good to be true, but being an employed physician is a good fit for some doctors. If you fit this category, in good spirit, we encourage you to move in this direction.
But for others, it is too good to be true. The honeymoon period will have smiles on everyone’s faces, but then the honeymoon ends. “Practice parameters” will find an important place in your vocabulary as you strive to reach your assigned performance goals set by your new master.
Independence, with its “burden” of practice management, can be a pretty good deal. Somebody is going to be managing your practice. The best option is to operate your own enterprise. You can set your own goals and consider the ideas of both PDA and your independent colleagues.
PDA is here to help you navigate the world of ObamaCare. Our mantra is that we must make you more money with less hassle and no extra time commitment. Three major strategies are advancing through development stages. They have moved from the concept phase and are ready for focus group analysis.
Each of these has been successfully operated by our management in the past:
- Transitional Care Center to reduce hospital readmission rates.
- Primary care management of rehab and long term care continuum.
- Professional contingency staffing.
We will keep you up to speed on the progress of these exciting programs.
Encouraging internal referrals within PDA continues to be an important theme. This week we highlight the practice of Dr. Naresh Gupta. He completed his fellowship in Medical Oncology and Hematology at University of Pittsburgh Medical School, and he is an outstanding member of our medical community. His phone is (972) 758-2600 and his address is 4712 Dexter Dr, #200, Plano, TX 75093. Consider referring to this proud PDA physician.
Rhetoric and marketing-speak abound in healthcare. Many organizations contentiously claim to be the “real” portal for the independent physician. At a physician breakfast Saturday, the conversation was centered on several articles describing physician independence. For example, the Dallas Morning News had an article on page one of the business section discussing practitioner independence. That article was very informative and prompted a great deal of PDA discussion. We agree that independence, the generality, was widely addressed. Independence, the specific, is self governance, sovereign rights, self determination and self regulation, freedom to act, and most importantly self-sufficient resources. Hold these definitions because we are going to ask you to apply them to your physician organizations.
But First, There Is the Question of Who Cares?
There is much to be said about “integration of medical care” and physician employment. But the real determinants in directing how physicians position themselves in the era of the Accountable Care Organization are twofold.
· Physician Apathy
Apathy stems from the basic lack of understanding of how many problems physicians face. Apathy, or more specifically, lethargy may reflect a sense of hopelessness or denial. If an IPA claims to be independent but accepts hundreds of thousands of dollars to link members’ electronic medical records to THR, who is kidding who? That IPA has committed to a specific healthcare system and may have lost whatever independence it once had. But, if no one in the IPA cares that this is a defacto acquisition, THR succeeds in adding connected physicians at minimal cost. When the ACO time comes, THR will be in good position to acquire the physicians it wants. The unselected may then define “independence” as “no place to go”.
· The Power of Capital
Money does drive the engine of business. There is a price to freedom and a cost to being owned. If physicians are uninvolved, apathetic, and looking for a free ride into the ObamaCare era, the ACO can certainly be the vehicle for many. Those who get acquired will definitely have a time clock, quotas to make, and a suit-clad observer with a clipboard. Those who don’t get acquired risk not having a seat at the table. Put those ideas together and there is a strong case for the level of independence offered by PDA.
Subsequent blogs will forensically analyze the “what and where” of healthcare integration. We will examine the ACO development companies, IPAs and 501.a companies of Dallas/Fort Worth. Our challenge is to organize the practitioners who still have the energy and the desire to remain independent. This organization will make its own seats at the bargaining table