Kristy Shell (Dalechek), BSN, RN, BCPA’s Post

Although I think the article is harsh on FQHCs, this article hits on some key points that need to change to move the needle in primary care. #valuebasedcare

Clearly Bismarck Healthcare used in Germany, Switzerland, Japan and other democratic nations is the answer enabling access for all citizens to quality affordable private insured and private #ffs manufactured medical care with more private insurers and private hospitals per capita than in America and better clinical outcomes and costs than in the USA. How’s this achieved, simply by making health insurers profit-neutralized utilities instead of luxuries. Read about Bismarck Healthcare Here; https://lnkd.in/ecUwsHWP

As folks "try" to move to value based care the corporate robbers are moving faster to extract profits from what is supposed to be a care system, but has become a system of transactions, in which instead of transactions supporting success for care, care is now the excuse for billing the transactions. This is progressing along, and has for 45 years. Stopping it requires reinventing healthcare altogether: healthcare access should be a RIGHT, with everyone covered for the vast majority of care, and every community with adequate primary care, regardless of location. National consensus will require a grassroots movement of care providers and patients. It's past time.

There’s simply no evidence that 60 years spent building vertically and horizontally integrated, segregating, rationing and inequitably subsidized mega-profitable health insurance conglomerates has improved most Americans medical care access, outcomes or costs. #tripleaim #valuebasedcare #vbc #healthcare #medicareadvantage #healthinsurance #sdoh

Provider access challenges are real. Innovative primary care policies are transforming access to team-based care, providing new pathways for primary care providers (PCPs). CHWs support the need for PCPs to address SDOH and take that off their plate. The 2024 Scorecard on the Health of US Primary Care from @MilbankFund highlights the value of essential team members like community health workers (CHWs) and medical assistants. https://lnkd.in/eZyMd5Sa #ValueCHCs #HealthcarePolicy #HealthEquity #SDOH #CHW Activate Care

"No One Can See You Now...." Another day, another headline about primary care in crisis. Of the reasons outlined as contributors to the crisis, what resonated with me was #3 "The US continues to underinvest in primary care...since 2019, primary care investment has steadily declined for all payers. This decline is most pronounced in the Medicare population...." Without addressing this, it will be challenging to address the rest. I would add to #4 that it is not just EHRs that have contributed to burnout, but the inefficiencies of the system as a whole, for which the EHR is really just a tool... https://lnkd.in/ey7J7ivh #primarycarephysician #primarycarecrisis #physicianwellness #physicianburnout

The Milbank Memorial Fund’s new Primary Care Scorecard underlines a troubling trend: the systemic neglect of primary care in the United States. This neglect not only weakens our health system but also adversely affects the nation's health, evidenced by long wait times for primary care visits and a shrinking number of primary care physicians. Despite the clear benefits of primary care in improving population health, reducing health disparities, and saving healthcare dollars, its support continues to wane. This decline has significant consequences, including stagnating life expectancy and an alarming 60,000 excess deaths annually due to disparities in basic care services. Click below to read Milbank’s full report, including 5 key reasons why access to primary care is worsening and a suite of policy recommendations for turning the tide.

Health care providers can only treat patients if we can reach them. At Advocate Health, we find ways to remove the barriers that patients sometimes run into when seeking care. That can mean expanding eligibility for financial assistance, connecting patients with resources that address unmet social needs, and even deploying mobile clinics that literally meet patients where they are. As our health system grows, we’re bringing more resources and expertise back home to the communities where our patients live. Find out more about how we’re bridging gaps in access to care and investing in programs that lead to more equitable and resilient communities: https://bit.ly/3LjftZg

Primary care has been shown to improve health outcomes, yet historical underinvestment and projected workforce shortages threaten progress. The second annual primary care scorecard explores strategies to strengthen primary care and improve health outcomes. Read more: https://bit.ly/3SUBFfG