Getting Ready for Bundled Payments: On Your Mark. Get Set. Go.

By: Dr. Mansoor Khan So you have decided to join the bundled payments train, now what? CMS has not yet announced the dates for when the application period will start and what the other associated dates will be. But we do know that the start date for the next BPCI Advanced program will be Jan 1, 2020. If we assume that the application process will follow the same timeline as 2018, we can expect the application portal to be open in late March or early April. There are a number of things that you do right now that will help you be ready to apply for, launch, and successfully manage your BPCI-A program. Required activities can be grouped into two categories: what you need to do to prepare to apply, and what are the tasks you’ll need to accomplish to successfully run your BPCI-A program. Figure 1, below, lists both the high-level activities that will need to be performed as well as the recommended order and duration of each ... read more

Urgent care is taking over Primary Care – how will you respond?

By Dr. Mansoor Khan
The business of health care is changing; faster than most of us would like. The Urgent Care sector is projected to grow to over $26 Billion per year by 2023. Between 2007 and 2016 the number of claim lines for Urgent Care grew by 1,725%. Interestingly from 2012 to 2017 the number of patients using non-face-to-face services grew by 600% and is expected to accelerate. You see the pattern(s)? There are actually 2 primary takeaways from this data: 1) Urgent care is taking business from traditional brick-and-mortar care (remember this term from the dot com days?), yes, it is finally happening to medicine! 2) The non-face-to-face visit is growing even faster. I very purposefully use the term non-face-to-face rather than e-visit or telemedicine because the later 2 terms have a lot of reimbursement limitations that make them of very marginal value for the average practice. However, the non-face-to-face visit encompasses ... read more