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-based physicians, the report uncovers trends related to point-of-care ultrasound (POCUS) adoption and use—such as challenges with existing solutions, their perceived value of handheld POCUS devices, and the impact of new innovations such as artificial intelligence (AI) on medical imaging and ultrasound expansion into primarycare.
The last big change, which is fairly recent – let’s call it the WellBe Senior Medical model – is primarycare or longitudinal care in the home. A long time ago, home-based primarycare was the norm. We make money by keeping people healthy and out of the hospital. It’s completely flipped.
Patients should utilize a primarycare physician regularly and stay on top of routine care, along with diet and exercise. Patients may also be unaware of how broadly telemedicine has been adopted over the past few years in order to expand access to care, including at their local hospital.
Take a visit to your primarycare physician, for example. Kaiser Permanente uses digital twins through a system that improves patient flow within a hospital. It achieves this by combining structured and unstructured data to build a more complete view of each patient to anticipate what their needs will be at the hospital.
It wants to leverage its home-based primarycare capabilities to serve its patients in value-based models. BrightSpring’s home medication program, along with home care, has driven a 73% reduction in hospitalizations, it says. In terms of growth, the company plans to be very aggressive and acquisitive in the next year.
Effective discharge planning involves ensuring that patients understand their care instructions and have the necessary resources to manage their health at home. Clear communication between healthcare providers, including primarycare providers and specialists, is essential to ensure continuity of care.
We all know that there are a lot of problems in health care related to the fragmentation of home care services. Being on the platform really accelerated that vision of being able to provide everything from home-based primarycare to hospital at home, SNF at home, traditional home health, home-based palliative care and hospice care.
At Medicity, we were serving 1,300 hospitals, facilitating lots of data exchange across hospitals, primarycare and labs, but nothing we were doing was ever going to touch the home and community. There's no one-size-fits-all solution for establishing care-at-home models. Healthcare is hard.
To this end, the company’s first notable investment was in VillageMD – a home-focused primarycare provider – in 2020. “[It It was about] really helping Walgreens go beyond simply saying, ‘Hey, we dispense scripts, we sell bubble gum,’ but actually now we’re partnered at the hip with a national primarycare group,” Dr. Harry S.
So that’s a case in point, and I’ll share a little story about this, but I would say that before we end up in your ERs, our primarycare providers have an opportunity that needs to be formally presented. The manner in which I have to communicate with my mom’s primarycare provider is woefully behind.
Not for a hospital, it wouldn’t be that much, but whatever it is. $14 Preston (11:16): Alternative insurance models, I mean, we see it with direct primarycare, they’ve opted. Not for a hospital, it wouldn’t be that much, but whatever it is. What goes into all that?” 14 billion or something.
So medication and health compliance, discussing care plans, and certainly even follow up to the primarycare provider or that referring physician is impactful. For hospitals, it’s probably a little different as far as what ultimately persuades them. Here’s why you need to be on these particular medications.”
Preston (11:16): Alternative insurance models, I mean, we see it with direct primarycare, they’ve opted. Not for a hospital, it wouldn’t be that much, but whatever it is. We’re going to create something totally different and not even disrupt the system because it’s so useless to us. Jim (20:38): Gotcha.
We’ll get to WelbeHealth in just a second, but I am curious, did you always have this clear interest in home- and community-based care models, or did you gradually get into these areas? Le: I actually have an interesting backstory to your question. I thought, what the heck? Why don’t I just go see them in their homes?
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