"The headlines read, 'These are the worst of times.'"
I have devoted a fair amount of space in this blog to innovative, advanced primary care practice models -- the Advanced Primary Care Alternative Payment Model (APC-APM), patient-centered medical homes, accountable care organizations, the Independence at Home model, and direct primary care (DPC). My posts on these subjects typically produce a robust discussion regarding the pros and cons of the various models.
The AAFP continues to have a healthy curiosity about how best to design delivery and payment systems that emphasize the important, foundational role of primary care; ensure all individuals have access; place a priority on care delivery and not on administrative functions; and deliver high-quality care to patients. It's a great set of goals, but to date, it has been an elusive unicorn to lasso. We also recognize that delivery and payment models need to have flexibility and nuances that reflect the physicians, the primary care team and the community served. And finally, we understand that models of care must also be adaptable to new technologies and innovations.
In May, CMS issued a request for information (RFI) on what it classified as direct provider contracting that asked for feedback on many of the issues outlined in the previous paragraph. In our response, the AAFP provided input based on our more than three decades of work in this area. We discussed the need for greater investment in primary care and the importance of prospective payments for not only direct patient care, but also for population management and care coordination. And we outlined several steps CMS should take to reduce the administrative burden of coding/billing, quality reporting and the electronic health record.
We also devoted a significant portion of our response to the RFI on direct primary care (DPC). Although the RFI didn't focus on DPC exclusively, it allowed an opportunity for the AAFP to provide an overview of our policies and work on the practice model, as well as submit recommendations on how DPC could be incorporated into public health care programs (Medicare, Medicaid, CHIP).
This spring, the AAFP conducted a survey on DPC and DPC practices. We surveyed both DPC practices and non-DPC practices to ensure that we had a comparison group to determine interest in the model among physicians. The AAFP survey is the largest analysis of DPC to date. Our survey instrument was designed to identify and better understand the attitudinal factors that are driving interest and growth in the practice model among current DPC practices and non-DPC practices.
Here are some key findings:
The AAFP has a large collection of resources available to inform and educate you about DPC and, if appropriate, assist you in your transition to the model. I would start with our FAQ. From there, you can move to our toolkit for a step-by-step guide on how to transition your existing practice or open a new DPC practice. For ongoing support and technical assistance, I urge you to join our DPC Member Interest Group.
And, for those looking for more hands-on education and networking, I present to you the …
The AAFP is pleased to once again co-host the Direct Primary Care Summit, which is scheduled for July 13-15 in Indianapolis. This is the premier DPC education and networking event, featuring a stellar faculty of nationally recognized DPC physicians who bring their real-life experiences to the educational programming. The program features two tracks -- Starting a Practice and Growing Your Practice, so regardless of where you are in your DPC journey, we have practical education content for you. In addition, the program has been approved for up to 14.75 Prescribed CME credits.
If you are a DPC physician or if you are interested in transitioning to a DPC practice, this is a must-attend conference. I urge you to register today and join us in Indianapolis.
Stephanie Quinn, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy. Read author bio »