Innovative Contracting for Private Practice Physicians, Part I

In this episode, we continue our conversation with Mike Grodus, Chief Administrative Officer at Professional Medical Corp., a Physician Health Organization (PHO). He addresses recent trends in commercial payer contracts such as “value-based” contracts, cost and quality provisions and telehealth adoption. We also discuss AMA’s recent work and overall thoughts on innovative contracting opportunities and advantages for private practices and PHOs.

In this episode, our guest Mike Grodus, Chief Administrative Officer at Professional Medical Corp., a Physician Health Organization (PHO), discusses recent trends in commercial payer contracts such as “value-based” contracts, cost and quality provisions and telehealth adoption. We also discuss AMA’s recent work and overall thoughts on innovative contracting opportunities and advantages for private practices and PHOs.

In this episode, we hear from Marie Brown, MD, on how to get into an efficiency mentality and make changes at your practice to improve workflow challenges and decreasing unnecessary work “because you’re the boss.” Learn how to improve quality of care by adapting your workflow. To get the AMA resources mentioned in this episode, visit ama-assn.org/staying-open or stepsforward.org

Guest Carolynn Francavilla Brown, MD, of Green Mountain Partners for Health, discusses the steps she took to start their private practice shortly after residency and how other residents can prepare themselves for private practice setting in the future.  

AMA’s vice president of professional satisfaction Christine Sinsky, MD, joins the conversation to discuss how burnout shows up in private practices, how the AMA is addressing burnout and tools to improve physician well-being. 

Physician practices are often no strangers to government and commercial payor audits. In this episode with Kathleen Blake, MD, we discuss trends in both Medicare reimbursement audits and commercial payor audits, as well as strategies for audit response.  

Our guest, Sonal Patel, MD, of Magnificent Minds Neurology Center, shares her experience moving into a private practice setting affiliated with a health system; what surprised her, how she adapted, and other lessons learned.

In this episode, our guest Daniel E. Choi, MD walks through the essential skills and tools you’ll need as an entrepreneur launching your own private practice.  

AMA prior authorization experts Heather McComas and Emily Carroll discuss what private practice physicians need to know about recent changes in prior authorization, including regulations for doctors such as the “gold carding” process in Texas and how the AMA is supporting it. 

In this inaugural episode AMA vice president of healthcare quality, Kathleen Blake, MD, MPH dives into the findings of the AMA-Mathematica qualitative research which informed the AMA’s private practice toolkit and how physicians can implement these vital resources to improve internal business operations, clinical workflow and team culture.