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Medical Economics spoke with [Gary] Jacobs about what is really driving premiums, why value-based care has taken so long to prove itself, what independent physicians need before taking on risk and how he reads the leadership now running CMS under administrator Mehmet Oz, M.D.

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As AI adoption continues to grow throughout the healthcare sector, primary care specialties will need to plan for patients who are both excited and fearful of how the technology affects their care.

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While participants were not given a specific definition of AI, many mentioned specific tools and use cases. AI tools and their adoption are rapidly evolving, as well as the evidence base on their effectiveness. This brief reflects the knowledge and experiences of primary care patients during the study period.

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Health systems will not reconnect staff to meaning through wellness programs. They must examine the job itself and identify the sediment of nonclinical tasks. The solution is not to work harder, or faster, or more resiliently through that sediment. The solution is to remove it.

At Clalit Health Services, AI has driven more than 250,000 care management changes in a single month, helping analyze data to present evidence-based recommendations for clinical decision support. Clalit Chief Innovation Officer Ran Balicer explains.

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Primary care is quietly collapsing. The share of doctors in primary care just slipped from a third to a quarter, and it tracks almost exactly with the years most doctors became corporate employees stuck on a referral treadmill. Ken Terry, a health care journalist and author of Beyond Medicare for All, argues the fix is not Medicare for All but a model that frees primary care doctors into competing groups they own, while insurers keep a narrower role.

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For the longest time, physician practices have operated on a fee-for-service model that pays for visits, tests and procedures. We’re finally seeing a shift toward more value-based care models that base compensation on the quality of care and a patient’s longevity of health, a shift that I believe is better for all parties involved.

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To expand access for medically complex children, health systems need to rethink the medical home through continuous virtual and in-home care, rather than simply adding providers or clinics, said Dr. Patricia Hayes of Imagine Pediatrics.

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Primary Care Physicians as the Gatekeepers of HaH Enrollment

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• Rocket Doctor signs its first value-based primary care agreement, enabling physicians to manage assigned patient panels under a recurring per-member-per-month care model.
• Rocket Doctor will add hundreds of patients to primary care provider panels, marking an important milestone in Rocket Doctor’s U.S. growth strategy.
• Through this speciality services agreement, Rocket Doctor will be able to provide in-network coverage to over 5 million patients across 9 payers and 65 health insurance products spanning Medicaid, Medicare advantage, commercial and dual covered lives.

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