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This book takes a fresh look at how caring for Medicare beneficiaries can lead to success in today's healthcare marketplace. Using examples from highly successful practice models, the book will take the reader through the key components necessary to run a profitable geriatric practice. The author, who co-founded what became one of the largest geriatric private practices in the country, discusses each part of the continuum of care from the perspective of the provider-client relationship, highlighting the importance of business cultures in this environment. The text also features an overview of payment models, starting with traditional fee-for-service, insurance (Medicare HMO's), and finishing with the concept of bundled payment models that have been heralded as the future of physician reimbursement. Finally, this book focuses on the practical aspects of business planning, budgeting and hiring and concludes with chapters about the key challengesfaced by a geriatric practice, focusing on provider productivity, coding and billing, and dealing with potential competition in the marketplace. The Business of Geriatrics is the ultimate business guide for primary care physicians, geriatricians, residents, medical students, healthcare administrators, policymakers, business and medical administrative students, and practice managers.
List of contents
A Geriatrician's Success Story.- Why Geriatric Medicine Matters.- Matching Clinical Strengths to Revenue.- Taking Full Risk: A Real World Experience.- The Psychology of Geriatricians.- Going to Battle.- By the Numbers.- Swimming with the Sharks.- Me and the OIG.- Nursing Homes: Survival of the Fittest.- Assisted Living: Health Care or Real Estate?.- House Calls: A "New" Old Fashioned Approach.- Care Coordination: The Heart of Geriatrics.- Medicare Advantage: Past, Present and Future.- Business Planning for Geriatrics Success.- They Don't Call it Risk for Nothing.- ACO's: Days of Future Past.- Bundling and Alternate Payment Models.- MIPS and Geriatrics.- Fee for Service: Will it Ever Die?.- Competition: Not an Effective Strategy.- Getting the Most out of Providers.- Electronic Health Records.- Opportunities in Today's Healthcare Marketplace.
About the author
Dr. Michael Wasserman completed his medical degree at the University of Texas, Medical Branch before completing his residency at Cedars-Sinai Medical Center. cofounded Senior Care of Colorado, which became the largest privately owned primary care geriatric practice in the country within ten years.
Dr. Wasserman previously was president and chief medical officer for GeriMed of America, a geriatric medical management company in Denver, Colorado. Dr. Wasserman is past chair of the American Geriatric Society’s Managed Care Task Force and presently serves on the Public Policy Committee. He was formerly a public commissioner for the Continuing Care Accreditation Commission. He actively supports the Wish of a Lifetime Foundation and previously served on the Board of the Denver Hospice. Dr. Wasserman has spoken extensively and been published on a variety of topics, involving geriatrics, Alzheimer’s disease, practice management, and managed care.
Summary
This book takes a fresh look at how caring for Medicare beneficiaries can lead to success in today’s healthcare marketplace. Using examples from highly successful practice models, the book will take the reader through the key components necessary to run a profitable geriatric practice. The author, who co-founded what became one of the largest geriatric private practices in the country, discusses each part of the continuum of care from the perspective of the provider-client relationship, highlighting the importance of business cultures in this environment. The text also features an overview of payment models, starting with traditional fee-for-service, insurance (Medicare HMO’s), and finishing with the concept of bundled payment models that have been heralded as the future of physician reimbursement. Finally, this book focuses on the practical aspects of business planning, budgeting and hiring and concludes with chapters about the key challengesfaced by a geriatric practice, focusing on provider productivity, coding and billing, and dealing with potential competition in the marketplace. The Business of Geriatrics is the ultimate business guide for primary care physicians, geriatricians, residents, medical students, healthcare administrators, policymakers, business and medical administrative students, and practice managers.
