Episode 13: Real-world Perspectives on the Practicality of Prospective Payment Models
As we continue to move away from fee-for-service and toward prospective payment, it’s helpful to talk with doctors who have dealt with both payment models. Dr. Stephen Buksh sits on our board of directors here at Catalyst Health Network, but is also a practicing physician who deals with both fee-for-service and capitated payment models through programs like Medicare Advantage. In this episode, we discuss some of the benefits and drawbacks that come along with a capitated payment model, and the ways that his practice has pivoted to optimize for patient care instead of visit volume as they continue to pursue better patient outcomes.
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Why Healthcare Spending’s Tipping Point Is In Sight
It’s hard to see reports of the astronomical costs of American healthcare and not become immediately desensitized to the enormity of it all. In 2021, fueled somewhat by the pandemic, American healthcare costs topped $4.3 trillion (membership required). By 2028, that number could surpass $6 trillion.
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Like many other industries, the healthcare business in North Texas has been robust over the years, with unprecedented growth and a diversified economy helping to lift all boats in the region. Corporate relocations, relatively inexpensive housing, and a business-friendly climate have led to a booming economy that has weathered recent…