Michael Renzi, DO, FACP

Dr. Renzi, the Chief Medical Officer for Continuum, is a leader in the value-based care world. He is instrumental in developing payer/provider relationships and enabling services across the healthcare spectrum. Dr. Renzi is the founder and developer of Continuum’s Population Health program, and currently leads a large clinical team. A sought-after speaker and educator, Dr. Renzi presents at several conferences across the country annually.
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Recent Posts

Telehealth: the best idea that may never happen

Posted by Michael Renzi, DO, FACP on Mar 7, 2017 11:02:00 AM

Telehealth is the wave of the future for PHM and VBC—but who’s going to pay?

When it comes to defining the factors that will have the biggest impact on the future of healthcare in the United States, it’s no wonder that connected care is among them.  As our technology improves and new devices hit the market seemingly every week, the ability to capitalize on these innovations to improve care delivery and patient engagement is a no-brainer.

But, two questions come up when I talk to my clinical colleagues: Should I offer telehealth services, and how can I pay for them? My answers: yes, and maybe try a tip jar at the front desk.

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Topics: payer reimbursement, Telehealth, Telemedicine

Quality Where it Counts -- Focusing on Care & Patient Satisfaction

Posted by Michael Renzi, DO, FACP on Dec 20, 2016 1:59:00 PM

The amount of change hitting the healthcare industry is enough to make any provider dizzy. For primary care providers especially, implementing and optimizing new workflows and
technology to capture every healthcare dollar you’ve earned can easily make you lose focus on the single most important aspect of your practice: patient satisfaction.

New alternative payment models (APMs) are supposed to refocus patient care by incentivizing for the quality and cost of care delivered. To succeed in the new healthcare world, providers need to ask themselves: how can they help their local healthcare network deliver high quality care to their patients, when and where the patients need it, at the right price? We’ve put together a list of three key factors to help providers—and patients—make the most of APMs.

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Topics: quality of care, patient experience

Straight to the top:  The right kind of “top of credentials”

Posted by Michael Renzi, DO, FACP on Nov 29, 2016 11:02:00 AM

One of the key requirements of VBC success—and one of the components of Industrial Strength medical practices—is the notion of all organizational staff working at the “top of credentials.” The most basic, agreed-upon definition of this idea has its roots in the medical home world, and essentially boils down to this: it’s an effort to offset workflow inefficiencies by getting the existing staff working mostly within their skillset. That seems like common sense, but practices tend to limit what a team member can do based on their certification, rather than what they could do based on their capabilities.

There’s a prerequisite before a practice even starts this top of credentials journey: to get these new tasks done by the right people, the right people need to be in the office in the first place. As practices struggle to maintain financial stability and fight margin erosion, adding more capable (and expensive) staff simply isn’t an economic option. Instead, we’ve got to look to how to increase capacity within the capability confines of the existing team.

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Topics: Patient-Centered Medical Home, PCMH, top of credentials

Effective financial incentives drive value-based care (VBC) adoption

Posted by Michael Renzi, DO, FACP on Oct 18, 2016 11:22:00 AM

For years, providers and payers have been at odds with each other. Arguments about reimbursement rates, network inclusion, and claims management created relationships that were, at best, adversarial. The move away from fee for service (FFS) to value-based care (VBC), however, is triggering a shift all its own—new lines of communication are opening between payers and providers. This change is helping control costs and improve how care is delivered.

No matter how you slice it, there’s one clear path to increasing payer satisfaction and provider satisfaction at the same time: increasing the percentage of physician revenue linked to value-based contracts. While there’s critical and wonderful benefits that come along with value based care, such as better quality and outcomes, lower costs, and higher patient satisfaction, the only thing that will make providers adopt new practices is if there’s a strong financial benefit to do so.

Payers should be providing every willing physician with per member per month (PMPM) payments and shared savings, and those PMPM dollars should fund positive innovation in people, technology, and operations. Yet, shared savings programs have two inherent flaws that limit their ability to keep providers focused on the goals of the program: uncertain revenue streams and limited financial potential in terms of FFS revenue. Even a highly successful shared savings program will only yield a few percentage points in top line revenue—meaning that more than 95 percent of revenue is still FFS.

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Topics: Value-Based Healthcare, Alternative Payment Models, payer contracts

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