ST. LOUIS, Aug. 23, 2017 /PRNewswire/ -- The very best healthcare delivered sustainably and profitably by contented, engaged clinicians. Sound like a pipe dream? Well according to Dr. Tom Davis, an expert in value-based healthcare contracting and delivery, it can be a reality---and indeed it must be if every individual is going to have access to affordable, high-value healthcare.
"Currently, healthcare delivery is measured by "quality" care measures mandated by insurers and the government. As opposed to this 'metric-based care', true 'value-based care' refers to healthcare delivered through a trusting collaboration between a patient and their long-term personal clinician. By tempering the patient's needs and concerns through the compassion and expertise of their own personal clinician, tailored care can be delivered efficiently and cost effectively---unlocking the vast value of healthcare without the vast costs."
"When executed with a value-based approach, managed care Medicare, Medicaid and direct contracts with businesses can truly be a success story," said Dr. Davis. Davis consults with healthcare delivery organizations (HDOs), insurers and individual clinicians looking to excel in healthcare delivery through value-based contracting.
Dr. Davis is now reaching out to thousands of HDOs, clinicians and patients through his newly enhanced web presence, centered on his website TomDavisConsulting.com.
With high-value content published daily and weekly, Davis states "We're educating whole generations of healthcare executives, administrators, clinicians and patients with mountains of information, produced across a broad spectrum of media types and channels, all freely available." From general strategic contracting principles all the way down to granular, easy-to-execute performance improving tips, Davis is intent on sharing the insights he gained through more than two decades of experience while leading his own multi-specialty group.
"Effective primary care services are the lynchpin to the long-term success of these value-based programs. As we consider the challenges of Medicare-For-All, Managed Care Medicaid, and single payer systems, it's critical to understand that a trusting, long term relationship between a patient and their personal clinician is the true value-generator in healthcare," he said. Despite this lynchpin role, experienced primary care physicians, like Dr. Davis, are rare in the health-care consulting world. "Without this specific expertise, the high-stakes challenge of value-based care delivery is being left to chance."
According to Davis, 2/3 of clinicians are working as employees within large systems. As payments for delivering healthcare falls below costs, these organizations are struggling to make ends meet. As a result, they are commoditizing their clinicians' services, working their information systems for additional revenue streams and strip mining the medical record for diagnostic codes to gain additional government payments---and patients are the big losers.
"None of these strategies are sustainable in even the medium-term," said Davis.
"Instead, providers should realize that true value-based care delivery is not only sustainable, it's a big winner--especially for patients," he noted. "With appropriate contract design, rational care delivery systems and aligned incentives; value-based care will be a big part of the solution of how to provide quality healthcare in a world with diminishing financial resources. "We were extremely successful doing it in my own group and now we're going to show everyone how it's done."
Davis isn't satisfied with just educating healthcare professionals on how to succeed.
"In the months to come, we look to create additional media channels directed toward answering the most pressing questions patients have as well. Using podcasting, video and a curated online community we are dedicated to answering patients questions and addressing their concerns," he said.
"Value-based healthcare is going to play a vital role in the delivery of medical services that are financed by third parties," said Davis. "My goal is to educate and enhance the experience for all the participants, from large organizations all the way down to clinicians and patients. That way, everyone can share in its success."
A family physician for over 25 years and a founder of 12 businesses, Tom Davis, MD has successfully cared for thousands of patients under Medicare Advantage and other value-based care programs. He is a sought-after consultant, speaker, and trusted advisor.
Practicing medicine in St. Louis, Missouri, Dr. Davis serves on the faculty at the Washington University School of Medicine. He is a graduate of the University of Missouri–Columbia School of Medicine, a Diplomate of the American Board of Family Medicine, and a Fellow of the American Academy of Family Physicians. As a member of the American Academy of Professional Coders, he holds certifications as a professional compliance officer and risk adjustment coder.