Direct Primary Care (DPC) With Revenue Cycle Management Software
Direct primary care (otherwise known as DPC) is taking the healthcare system by storm. This model alters how healthcare professionals are compensated and opens doors for constant improvement of how individuals can manage their own health.
Traditional healthcare is facing shortcomings as healthcare providers must focus more attention on prevention and improve accommodations for people with chronic conditions. Direct primary care can put the patient experience and needs first. A Miliman report, “Direct Primary Care: Evaluating a New Model of Delivery and Financing”, showed 96% of physicians found the “potential to provide better primary care” as a primary motivation to operate a DPC practice. The convenience, coupled with increased awareness of providing employees with ample opportunities to improve their health and wellbeing are motivating more healthcare providers to re-think the traditional way they approach healthcare – and how they charge for it.
What Should a Network or Hospital System Consider Before Taking Steps Towards the Direct Primary Care (DPC) Model and Setting Up Subscription Plans?
Before shifting to the direct primary care (DPC) model, a hospital network system should consider that a new set of product lines will need to be developed and retire other product lines that aren’t as profitable and are less meaningful as the patient population sees changes in health status and literacy. If a hospital is having difficulties providing a certain product line, they can potentially outsource the product line by developing a referral relationship and setting up specific services at different practices.
There is a misconception that a hospital has to become an insurance company and accept financial risk from a population to gain financial terms. However, with the right revenue cycle management (RCM) software solution, Direct Primary Care (DPC) Hospitals can get the benefits of payment without accepting any responsibility for financial risk.
What’s the Alternative to the Direct Primary Care (DPC) Model for Networks?
The alternative to direct primary care is a fee-for-service model that is driven by Medicare rules that were developed around 1965. Not knowing then what we know now; if you have a fee-for-service system in play physicians are going to leverage and maximize the model by providing care that is potentially unnecessary but is payable by the benefit plan. This model creates a set of perverse incentives of the more services that are provided, the more money is made as a source of primary care. Due to this model being the common model that people know the most, it creates the difficulty of introducing an alternative model that can be more beneficial.
Jed Constantz, Dr.B.A., an independent consultant on primary care who works closely with Accresa, made this comment on the benefit of subscription primary care, “being paid on a per person per month allows the ultimate flexibility for the patient.”
DPC Challenges That May Develop Without a Strong Revenue Cycle Management Software Solution Created for Subscription Healthcare
Getting access to prepayment arrangements can be an uphill climb due to not being a part of a larger community. Additionally, any type of primary care practice setting up subscription healthcare themself will miss that geography is very important. While they might be great in a certain geographical area, it is impossible to be great in ALL geographies.
With respect to what it does and what needs to be made available, Accresa has maintained its focus. Other RCM softwares are overly complicated with added features that don’t create value for the patient.
With 14 hospitals, two independent behavioral health facilities, more than 150 employed physician practice locations, and more than 12,000 staff members in Nebraska and southwestern Iowa, CHI Health Clinic is based in Omaha, Nebraska where they currently operate on a direct primary care (DPC) program supporting 5,000 employees, small groups and individual members. CHI faced the challenge as outside membership was increasing (members that were not employees), they found they did not have an efficient way of collecting membership fees, selection of the DPC provider, and accurate tracking of panel sizes. They were able to understand that hospital systems moving forward will need to implement new strategies, ones not rooted in historic payment methodologies. In order to face the challenges of having to manage all of the payments themselves in a spreadsheet format, Accresa was able to use its platform to simplify the billing process
Leading Direct Primary Care Providers Utilize Accresa to Simplify Medical Billing and Revenue Cycle Management Through the Subscription Healthcare Model
Finding a community of direct primary care that is accessible and transferring funds from the source (employer/covered person) to the primary care practice can be made easier with Accresa. It is the most fully developed, sophisticated, and easy-to-use technology platform that allows accessibility to a variety of patients. In order for the patient and the practice to concentrate on their relationship, we simplify the enrollment and ongoing membership management processes. Based on the needs of an employer or group, Acrcresa can help with the recruitment of doctors. To meet the demands, these doctors will be connected in Accresa via the affiliation manager. We’ve established an important trusted infrastructure of enrolling members in direct primary care (DPC) and handling transactions.
Accresa Allows Healthcare Enterprises to Manage Subscription Healthcare Plans with Ease
Subscription healthcare such as direct primary care reduces cost and operations expenses for not only healthcare providers but employers and patients as well. Healthcare facilities can implement a secure subscription healthcare model with Accresa’s assistance without having to deal with the usual administrative challenges. All healthcare providers can access a single, streamlined, automated, and simple-to-use solution through our platform, enabling them to provide higher-quality patient care. In addition, the Accresa team will help you tremendously with the execution and give important staff training on how to fully utilize the platform.Enterprise healthcare networks and providers can design, improve, and implement a subscription-based model with the aid of Accressa’s platform and services. Contact Accresa to set up your subscription to direct primary care services today.