read this? this is important I think to primary care doctors Would someone cross post to the AAFP list serv for me ? thank you Last week I went to Washington DC( free flight due to cr card points, stayed with Gordon Moore IMP #1 so cheap:) )when the law about Macra and MIPS was enacted, Congress enabled a committee called physicians technical advisory committee - PTAC- to review proposals for innovative payment reform some of you may know that I wrote up a modelhad some help from a few people -although it was still an amateur deal. What I proposed was a prospective monthly payment based on risk risk to be determined by Hows your health most practices have 15% of people that are high-risk; low and medium is to be paid a dollar a day prospectively paid monthly; high risk three dollars a day; withhold 15%- if you don't meet benchmarks 15% of tota annual payment is withehld how's your health would measure, risk would also be the measurement, So I was prepared to be eviscerated and sent home and that's too bad-- had I been more confident when I went I would've started out more strongly however the bottom line is they loved it it was a really positive experience because I am not in Academy of family practice or have armies of risk management and data analysts behind me that's what made it somewhat amateurish however they loved itthey thought it was incredibly innovative and debated a lot how to push this forward I'll stop there it's unclear where this will go and John Wasson of HYH is also working behind the scenes to see how we could push this forward I have a list of about 30 doctors whose names were emails I've kept form posting before and asking about interest.It may become extremely importantThey thought noone was interested because noone commented on their web site PCPs do not know about their web site and/or unfortunately always say they are too busy.(I did not even myslef know about the open comment period or I would have begged people to comment_if this would go to a trial project.I going to ask you here, ask at AAFP list serve, iask you all to bring it to your state or county or your friends or wherever, to ask whether they be interested in a pilot your panels would be capped at 1500 patients you would be required to meet certain benchmarks in hows your health, especially about access, confidenc,e and so forth you would have to have hyh incorporated into your flow so that patient took it before their yearly preventative visit so at least you'd have to do 60 to 100hyh surveys in the first few months then 50% of your practice/yr understanding that noone ever gets 100% of patients to do anything I'm happy to say more please get back in touch with me as soon as possible I may be getting In touch with some of you whose names I have to see if you'd still be interested you would need to have a minimum number of Medicare patients if you have five Medicare patients or if you have only advantage plans this does not countstraight Medicare you really need to have about 100 Medicare patients to be in the project but many of you do I had a good time in Washington DC although it was hotter than hell there are people in Washington who really know they've got to do something about primary care so there's a little bit of encouragementget in touch with me if you need email@example.com phone 207 778 3313
This is great stuff. I am impressed by your efforts. I have about 150 or so medicare patients and ask all patients do HYH before PEs (not sure how many of these responses are medicare, we have about 2000 active patients) ...I'd say we have about 300 or so responses per year and close to 10 years of data if that would be in any way helpful. However...we are a medicare opt-out practice, so not sure if we can be of any benefit. For sure....if this came to fruition and resulted in meaningful bonus payments without additional work (ie relied on HYH data) it might obviate the need to opt out in the first place!