KatieOverV Profile picture
Mar 26, 2022 9 tweets 5 min read Read on X
Fantastic real world application of the financial implications of the #ETC model - what’s the dollar amount of the penalties/bonuses? By the wonderful Terry Ketchersid at #RPA22 Image
And with these numbers personally the relevance of #ETC drops significantly.
What about JV owners? The monetary amounts are bigger but is it enough to drive investment and change practice? I don’t think so. The dialysis companies have more to risk so may drive the response to ETC. Nephrologists need to be at the center! Image
How do you earn back the 5% quality withhold in the #CKCC? By achieving in these 3 measures. Seriously, this talk is great. Value of #RPA22 registration just in these 45 minutes. Image
When looking at your #VBC partnership, make sure you know where all the #CKCC revenue streams are going. #RPA22 Image
CKCC bottom line - lots of assumptions built in, YMMV, but great to have some idea of what you can expect. #RPA22 Image
There are other revenue streams in CKCC besides the CKD capitated quarterly payments! Here’s slide 2 of projected revenue: Image
“The levers or success are simple… in ETC you’re already doing these.” -Terry Ketchersid #RPA22 Pay attention to the dementia diagnosis! Image
RPA members should access our #VBC guidance document on our website to learn the pros and cons of partnering with a company. #RPA22

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More from @KatieKwonMD

Jun 6, 2022
Just had a patient visit that illustrates some of the worst of our health care system. High risk CKDG3b/A3 patient with DM, HFrEF. Have spent the last three months and hours of staff time fighting to get SGLT2i and GLP1a covered. @Humana has fought us every step of the way. 1/n
Finally got them the medications using patient assistance programs. Humana sent a doctor to her house for a "care management" visit. Patient says this doctor spent bulk of time raving about the benefits of apple cider vinegar.
Patient's "to do" list from this doctor including asking me how much apple cider vinegar she should drink. Hey @Humana if you're willing to put an SGLT2i in the vinegar I'll tell her to drink it.
Read 6 tweets
Mar 28, 2022
Lessons from #RPA22 which just wrapped up in Dallas, a 🧵 1) Value-based care (#VBC) has injected a jolt of energy into the private practice sphere. Half the exhibitors on the convention floor were new since 2019. It was THE topic of conversation during the breaks - who are you
working with, have you signed up with anyone? The 3/25 deadline for KCE participation added to the frenzy, as did news of the Cricket-Interwell-Fresenius merger. Talks about VBC and the new payment models were well attended and garnered lots of questions and discussion.
2) The mandatory #ETC model is a dead letter, at least on the nephrologist side. For all but the big practices, the dollars at risk are too small, and the performance results too long delayed, to warrant making any changes. The dialysis companies have more $ at risk, but it was
Read 14 tweets
Mar 15, 2020
Nephrologists: we need to prepare to stop our routine CKD and HTN clinic visits. I've been diving into options for #telehealth. I am by no means an expert but here's what I've learned. Would love more experienced people to chime in. A thread: 1/n
Disclaimer: I'm in private practice and I'm thinking about revenue. I'm committed to paying my staff their full salaries plus paid sick leave throughout this, and I expect to stay closed for two months. It would help to have some income coming in. 2/n
We can and should debate the structure of the US healthcare system another time. For now, I want to protect my patients, not have a six month backlog in clinic when we reopen, and keep the lights on. 3/n
Read 16 tweets

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