Getting Paid to Do the Right Thing
A Fieldbook for Turning Better Longitudinal Care into a Sustainable Business
American healthcare is accused of paying only for sickness and visits, and the charge is mostly fair. It is also incomplete. Medicare now pays for chronic care management, transitions after discharge, remote monitoring, behavioral health integration, illness navigation, caregiver training, advance care planning, and monthly advanced primary care bundles. Most practices collect a small fraction of it, because the administrative work of earning that payment costs more than the payment itself.
This fieldbook is the operating manual for closing that gap. It introduces the Attention Loop, the Capture Ladder, the Administrative Denominator, the Care-Delivery Operating System, and Practice Math, and works each one through the same practices month after month: a three-physician primary care office, a cardiology group that nearly drowned in device readings, an endocrine practice that enrolled six hundred patients and regretted it, and a health system that built a care-management department that cost more than it collected.
The goal is not to bill more codes. It is to build an operation where better care pays for the people and software that make better care repeatable, and where a service that isn't helping gets stopped.
It is the companion to Doing the Right Thing Is Not a Business Model: where that book asks who pays, this one shows what to do when Medicare already does and the practice still cannot deliver the care.
Machines remember. Humans decide.
Inside, you will learn how to
- find the between-visit care Medicare already pays for, grouped by the patient problem it solves;
- run the Capture Ladder from eligible to helped and fix the rung where your patients actually fall off;
- measure admin minutes per patient-month and cut them without cutting care;
- decide what software should remember, what AI should draft, and what only a clinician should decide;
- model any program at low, base, and high scenarios before you hire anyone; and
- launch with one program and one cohort, and scale only when the operation can prove it works.
Details
- Category
- Business & Economics / Healthcare
- Series
- Fieldbooks
- Publisher
- Intellectual Frontiers Press
- Format
- 7x9.19in fieldbook, 17 chapters
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