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When In the Dip

When In the Dip

The dip is ominous to anyone except those who expect it.

“There you are…I’ve been waiting for you.”

The discomfort is real. Rather than retreating, it is wise to embrace it and charge forward. Hit harder than you’ve ever hit before.

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A New Way of Doing Things

A New Way of Doing Things

Until the 20th century, monarchies were the most popular form of government.

Until the 21st century, health care was perverse in treating patients like ATMs.

Patients don’t exist for health care’s utilization or exploitation. They are a blessing to us. To be human is to be grateful and to recognize their generosity.

What does the new business model look like anyways?

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Human

Human

There is harmony throughout the universe in everything except human relationships. Perhaps this is health care’s next frontier. Simple is often just as effective as complex.

Seek the thrill from being in the presence of another human being. You can accomplish far more working with others than working against them. We all sit on the same side of the table anyways.

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Reason to Fight

Reason to Fight

Change creates confusion. Tossing yesterday’s playbook leaves us with nothing.

In times of confusion, we’d rather sit on the sidelines rather than dare play out there.

It’s easier to consume than to create. Until we relocate our center of gravity.

The more changeless our core, the easier it is to confront change.

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Continuity

Continuity

Continuity of care is fundamental to high-quality care.

In its absence, fragmented care results in more ED visits, hospitalizations, and deaths. Especially among those who are already at a greater risk.

Continuity, like unity and generosity, is a human invention.

It doesn’t just happen; you have to make it happen despite what may happen: renegotiations, practice closures, provider turnovers, changes in insurance, new models of ambulatory care (retail clinics, commercial e-visit websites, smartphone apps, freestanding urgent care centers), and the inability of a provider to administer certain drugs.

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Seeing Them

Seeing Them

The only way to engage with someone is to begin where they are, to see what they see, to gain enrollment in a conversation that leads to forward motion.

“You can’t be angry and curious at the same time.” -Cat Hoke

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Have a Dream

Have a Dream

Strong leaders have a powerful vision for the future.

MLK Jr. didn’t wish for it…he dreamt about it.

“I slept and dreamed that life was a beauty. I awoke and found that life was a duty.” -Ellen Cooper

What is your dream for American health care?

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Shifting the Burden to Strapped Patients

Shifting the Burden to Strapped Patients

Provider: “Inflation is making it hard for us to pay our employees and keep the lights on. We need higher reimbursement for theses CPT codes. We’ll terminate the contract if we don’t hear back or cannot come to an agreement.”

Payer: “Due to inflation we are not able to entertain any rate increases at this time. Our CEO needs to continue his $25 mil base salary and if we give you an increase, he won’t meet his bonus goals.”

Provider: “No worries. Please notify your patients ASAP that they should find another provider. Their services aren’t covered here anymore.”

When two elephants fight, it is the grass that suffers. –African proverb

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Churn

Churn

A low churn rate means you can continue business as usual, but a high one means time to shake things up. Why do your patients discontinue your drug? Is it really because of safety/efficacy issues? Or could it be due to discontinuity of care?

Payers and providers can renegotiate their contracts mid-year, resulting in network changes. They’re not proud of it, but they do it due to financial pressure. What they don’t realize is that such simplistic across-the-board cuts only achieve marginal savings that often result in higher total systems costs and poorer outcomes.

What if one of your patient is left to find another provider in the middle of his treatment? The No Surprises Act helps with this…kind of.

The doctor-patient relationship cannot be overstated. It is the main factor that influences adherence.

What’s your churn rate?

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