At a national level, high performing health systems stand on a foundation of high performing primary care.  Without that foundation we would expect care to be expensive, quality to be […]

Physicians go through a lot of training: pre-med, medical school, internship, residence and some go on to further specialization in fellowships. It used to be that a physician would finish […]

U.S. health care costs are too high and are continually getting worse. This is especially galling considering the ongoing decline in life expectancy, the low ranking of the U.S. compared […]

A recent Health Affairs study of “zero burnout” primary care practices found that satisfaction with the electronic health record (EHR) was not a determinant of clinician burnout level. This is […]

Insurance protects against losses from unexpected events. Health insurance that protects against the unlikely risk of major surgery or hospitalization makes sense, since the financial impact of a major medical […]

As early as 1992, JAMA published a randomized control trial (gold standard for studies of impact) of telephone care. Patients liked it, doctors liked it, outcomes improved and costs went […]

“Almost any time we allow the life support systems of our planet or society to be commodified, it drives other breakdowns.” – Tristan Harris There is a tremendous amount of […]

If primary care is the foundation of high performing health systems, Advanced Primary Care (APC) is what primary care looks like when it is fully resourced. An efficient health care […]

More so than health care providers in other specialties, primary care physicians (PCPs) are especially attuned to both quality and cost of care. Although our ordering decisions are evaluated for […]

When I was a young primary care physician, all I wanted was more time to spend with my patients. Each day felt rushed, prodded by the fee-for-service system that incentivized […]

Health care payment is about how we write the checks. Health care finance is about how we design the way money flows.  We’re living in a system built by good […]

The work of Advanced Primary Care (APC)1 is different from what most primary care practices do today. In addition to using queueing theory and technology portals to provide access and […]