Abstract
Americans are increasingly demanding the same level of service in healthcare that they receive in other services and products that they buy. This rise in consumerism poses challenges for primary care physicians as they attempt to transform their practices to succeed in a value-based reimbursement landscape, where they are rewarded for managing costs and improving the health of populations. In this paper, three examples of consumer-riven trends are described: retail healthcare, direct and concierge care, and home-based diagnostics and care. For each, the intersection of consumer-driven care and the goals of value-based primary care are explored. If the correct payment and connectivity enablers are in place, some examples of consumer-driven care are well-positioned to support primary care physicians in their mission to deliver high-quality, efficient care for the populations they serve. However, concerns about access and equity make other trends less consistent with that mission.
Highlights
Americans are increasingly demanding the same level of service in healthcare that they receive in other services and products that they buy
The movement towards value-based purchasing and the broad adoption of alternative payment models is driving an evolution in the role of the primary care physician
As discussed elsewhere in this JGIM symposium, primary care physicians must leverage ancillary staff to operate at the top of their licenses,[1] apply systematic screening, analytics, and technical tools[2] to guide resource use, and promote evidence-based utilization of health services,[3, 4] even when patients request otherwise
Summary
Americans are increasingly demanding the same level of service in healthcare that they receive in other services and products that they buy. This rise in consumerism poses challenges for primary care physicians as they attempt to transform their practices to succeed in a value-based reimbursement landscape, where they are rewarded for managing costs and improving the health of populations. Three examples of consumer-riven trends are described: retail healthcare, direct and concierge care, and home-based diagnostics and care. If the correct payment and connectivity enablers are in place, some examples of consumer-driven care are well-positioned to support primary care physicians in their mission to deliver high-quality, efficient care for the populations they serve. Concerns about access and equity make other trends less consistent with that mission
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