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What Arizona Docs are Saying...Value-based Care

From Print Issue - Fall 2021
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We are a quality-driven organization and we embraced this early to align incentives with our quality. – Kipling P. Sharpe, MD

 

A waste of time. Excellent care is not always measurable. – Jay Friedman, MD

 

Patient demand. – Anthony Yeung, MD

 

Health outcomes are improved, and our revenue is increased. – Arthur Chou, MD

Less waste and better outcomes - get rid of the profit motive. – Donald A. Opila, MD

 

Comprehensive evidence-based care reminders on each patient from data analytics. A whole picture snapshot is available each visit for each patient. And snapshots of the patients who don't come in. – Susan Whitely, MD

 

Potential in improving the quality of healthcare while reducing cost. – Arthur Chou, MD

Why does your practice or employer use a value-based care model?

What is the biggest upside from using a value-based care model?

Meet the participating Physicians:
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Anthony Yeung, MD

Practice: Desert Institute for Spine Care

Phone: (602) 944-2900

Website: sciatica.com

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Arthur Chou, MD

Practice: Horizon Health & Wellness

Phone: (833) 431-4449

Website: hhwaz.org

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Donald A. Opila, MD

Practice: Donald A. Opila, MD,  PLC

Phone: (480) 994-1166

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Jay Friedman, MD, FACP

Practice: Adult Internal Medicine of North Scottsdale

Phone: (480) 391-0707

Website: jayfriedmanmd.com

The financial risk of things that are truly out of your control. – Kipling P. Sharpe, MD

Value based care is not only based on outcomes but efficiency. Efficiency is another way of saying less costly to the insurance company. This is not in the patient's best interest. At times, we may need to opt for treatments that are in the patient's best interest but may not be viewed as being inefficient by the insurance company because it costs more. – Rahul Rishi, DO

Cut in incomes of MDs who are gaming the system. – Donald A. Opila, MD

 

The constant influence by payers, government, and competing providers all trying to survive by maximizing income. – Anthony Yeung, MD

 

Lower reimbursement. – Nathan Laufer, MD

We have extensive metrics on re-admissions, ER visits, and complications. – Kipling P. Sharpe, MD

 

Measure less emergency room and urgent care use and fewer hospital admissions. Less use of or reliance upon prescription and OTC medication over time. Also, ask patients about quality of life. – Rahul Rishi, DO

 

Patient choice, satisfaction, and safety with decreased complications. – Anthony Yeung, MD

 

The payors have data on each patient, from medical loss ratio to ER visits, ER readmits, but even more importantly to me, chronic disease management parameters in patients and populations, for example, diabetic A1Cs, lipids, or vaccine compliance rates. – Susan Whitely, MD

What is the biggest downside from using a value-based care model?

How do you measure whether quality of care or outcomes for patients has improved?

Meet the participating Physicians:
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Kipling P. Sharpe, MD

Practice: OrthoArizona

Phone: (480) 964-2908

Website: orthoarizona.com

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Nathan Laufer, MD

Practice: Heart & Vascular Center of Arizona

Phone: (602) 307-0070

Website: heartcenteraz.com

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Rahul Rishi, DO, FAAAAI

Practice: Arizona Allergy Associates

 

Phone: (480) 897-6992

Website: azallergy.com

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Susan Whitely, MD

Practice: Healthy Outlook Family Medicine

Phone: (602) 230-0777

Website: healthyoutlookfamilymedicine.com

It is a term created by insurance companies to reduce their costs at the expense of the patient's healthcare. – Rahul Rishi, DO

 

Red-tape, employee burn-out and another layer of governmental bureaucracy. – Jay Friedman, MD

 

Needs a team effort in a very fragmented healthcare system with numerous unaligned incentives. – Donald A. Opila, MD

 

It means getting off the E/M reimbursement treadmill in my specialty requiring a 25-40 patient day to make a living. It means reconfiguring office staff to bring in the patients who hide from us. It means using data in a meaningful way to help me address multiple complex medical needs. Simply put, better medical care for patients and more equitable reimbursement for physicians. – Susan Whitely, MD

 

Opportunity to make healthcare more accountable and truly see if we can improve healthcare outcomes. – Arthur Chou, MD

What does value-based care mean to you?

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Interested in having your voice heard by your fellow peer physicians in Arizona? Contact us at information@arizonaphysician.com