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Ryne Natzke is Chief Revenue Officer at TrustCommerce, a Sphere Company.

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Practices have tools at their disposal that can help alleviate some of the problems that women face with health care affordability and access. 

How digital tools can alleviate health care access and affordability issues for women

Your monthly collection of insights from the Physicians Practice Pearls writers is available now!

Physicians Practice digital edition: Best states to practice

Nance Goldstein, MDc, ACC, PhD, partners with physicians as a leadership coach to find ways through today’s tough times and enjoy medicine more.

Her evidence-based work enables physicians to sail through the challenges of influencing others to deliver excellent care. Her clients learn simple, quick ways to lead high quality, thriving care groups – one conversation at a time. She’s an Affiliate Faculty at AriadneLabs (Brigham & Womens Hospital and Harvard’s Chan School of Public Health), as well as a scholar at Brandeis University WSRC. 

https://www.linkedin.com/in/nancegoldstein/

, curates recent research and stories of physicians making medical practice better – leadership that honors their purpose 

 improves their experience of practicing.

Her podcast offers conversations with seasoned women MDs talking about how they navigated the competing demands of practice, family and the rest of life.

She’d like to hear what troubles you in your practice. Email her: 

De-escalating situations and emotions can settle disagreements between staff members.

Messy Moments: Dial down the drama

Marcel Barbey serves as Vice President of Search Services for

. With more than 20 years of experience, he is recognized nationally for his specialization and expertise in recruiting academic physicians and faculty leaders for complex medical schools, academic medical centers, academic children’s hospitals and integrated healthcare systems. Barbey earned a bachelor’s from the University of Alberta.

Considerations to make before taking over leadership at a medical practice.

5 tips for leading a medical practice

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Physicians Practice® spoke with Scott LaRoque, CEO of MPOWERHealth, about why some physicians may be hesitant to adopt value-based care models and how they can overcome these hesitations.

Overcoming Value-Based Care Hesitations

Podcast. In this podcast, we'll aim to bring you some of the most interesting, influential guests in the healthcare industry. If you have any ideas for podcast guests or topics, shoot us an email at 

The way Holston Medical Group President and CEO Scott Fowler, MD looks at it, physicians in his organization are both owne[[{"type":"media","view_mode":"media_crop","fid":"64969","attributes":{"alt":"","class":"media-image media-image-right","height":"224","id":"media_crop_8112887235195","media_crop_h":"0","media_crop_image_style":"-1","media_crop_instance":"8318","media_crop_rotate":"0","media_crop_scale_h":"0","media_crop_scale_w":"0","media_crop_w":"0","media_crop_x":"0","media_crop_y":"0","style":"float: right;","title":"Scott Fowler, MD","typeof":"foaf:Image","width":"149"}}]]rs and employees.

"Revenue cycle is centralized. A lot of the economies of scale and business functions are centralized…but it still recognizes the inherent value of having the physician being an owner in a group practice," Fowler says in the podcast.

The professional model of medicine, as he calls it, is not a confederation. And unlike an IPA, Holston Medical Group is a centralized company. In that sense, physicians do answer to a central hierarchy and adhere to its standards. However, unlike a traditional medical group, physicians recruited to join Holston automatically become owners and have a say in the overall direction of the organization.

"Once you are in Holston, you are an equal owner….you're part of that partnership of peers that make up a professional organization. Inside of that, you're the captain of the ship for the pieces in the puzzle you deal with."

Later in the podcast, Fowler talks about the challenges Holston Medical Group faces in recruiting young physicians to join the professional model, rather than a large health system in terms of income and scheduling. He says that while the latter can often offer a higher income because of their non-profit status, Holston allows physicians to profit as owners when the group does well financially. And while it doesn't offer a fixed schedule, being a part of the professional model "isn't about showing up from 9 to 5…we think it's a more satisfying model, less burnout."

Fowler also talks about some of the investments the medical group has made to stay relevant in IT infrastructure. These investments, he says, allow Holston to succeed in a value-based environment.

"To succeed in those contracts you have to have great relationships with your patients, they have to be engaged, doctors have to have data at the point of care. That is what sets [Holton] apart. Most independent practices can be a little [quicker] on their feet to adopt these new ideas," Fowler says.

The professional model of medicine is trying to reach a sweet spot, allowing physicians to remain independent but maximize the power of a larger organization.

When Physicians are Owners AND Employees

VBC and its payment models are not designed or implemented in such a way that makes it possible for primary care physicians to take part.

Helping make value-based care work for primary care

Specialty providers can take steps now to succeed with MIPS and VBC while prioritizing caring for their patients.

How specialty practices can succeed in MIPS and value-based care

‘Winging it’ is not the right approach when providers integrate social determinants of health into care models.

5 biggest barriers when moving to value-based care

The crucial decision of which ACO to join requires careful consideration of various factors.

Navigating the ACO landscape: A guide for providers striving for value-based care

Key strategies for profitability with new payment models.

7 Tips for making the most of value-based care

Anders Gilberg, senior vice president of government affairs for MGMA, discusses what is expected in regard to value-based care this year.

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What is expected in regard to value-based care this year.

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Value-based care this year

, discusses the tools and technology available to help independent practices make the most out of their value-based care strategies as well as some best practice tips.

The tools and technology available to help independent practices make the most out of their value-based care strategies.

Technology and best practices available for value-based care strategies

, discusses how the pandemic and responses to the pandemic effected independent practice value-based care reimbursements.

How the pandemic and responses to the pandemic effected independent practice value-based care reimbursements. 

How the COVID-19 pandemic effected value-based reimbursement

Dr. Emad Rizk, CEO and president of analytics company 

 discusses the element to value-based care success and what it looks like in independent practices.

The element to value-based care success and what it looks like in independent practices.  

The secret behind value-based care success

, Vice President, Population Health Services at Tandigm Health, discusses what practices need to consider before and during the set-up of their value-based care program.

What practices need to consider before and during the set-up of their value-based care program.

Setting up value-based care systems

, Vice President, Population Health Services at Tandigm Health discusses how value-based care strategies have helped practices during the COVID-19 pandemic.

How value-based care strategies have helped practices during the COVID-19 pandemic.

Value-Based Care

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