In this Expert Insight Interview, Aaron Hartman discusses the future of the medical practice. Aaron Hartman started Richmond Integrative & Functional Medicine to provide access to advanced integrative and functional medicine, evaluations, and treatments to patients in the greater Richmond area and by way of telemedicine.
This Expert Insight Interview discusses:
- How the medical reimbursement system works
- The idea behind membership models
- Why the current reimbursement system makes patients feel like they’re on a conveyer belt
Same Old System
Medical practices have not changed very much over the past couple of decades in terms of the way they’re set up. It is really the doctors that are different, rather than how they operate. The way our grandparents went to see a doctor in their youth is basically the same system we’re using now.
With the reimbursement system, the big payers — big companies, Medicare, CMS, etc. are asking for value, so they keep using the same old method to create value via quality metrics. However, the actual science of medicine is going in a different direction.
Doctors trying to keep up with the times are stuck between the industry and science. This results in people jumping ship and doing direct primary care, whereby they do not accept insurance and charge their patients a monthly fee instead.
The underlying idea behind these membership models is that they allow medical professionals to minimize the overhead and run micro-practices. Many people don’t realize that 25% of their doctor’s overhead goes toward dealing with insurance companies, so if they can get rid of the insurance, doctors can create more value for the same cost.
Time vs. Procedure
The problem with current medicine is that it requires cognitive work and time. It takes time to think about patients, but the system pays for procedures. This means that we have a system of driving procedures, while what we really need is cognitive time.
Unfortunately, the fact that the system drives procedures leads to a situation where patients feel like they are not being given enough time with their doctors.
John is the Amazon bestselling author of Winning the Battle for Sales: Lessons on Closing Every Deal from the World’s Greatest Military Victories and Social Upheaval: How to Win at Social Selling. A globally acknowledged Sales & Marketing thought leader, speaker, and strategist. He is CSMO at Pipeliner CRM. In his spare time, John is an avid Martial Artist.