But what was clear is that younger surgeons coming in had fewer patients referred from primary care outside of our health system. Because of our collective pursuit of top-level orthopaedic care and the reputation we developed within the Chicago metro area, we were insulated from that process. Over the past decade, mergers and acquisitions as well as coalescence of healthcare systems have led to an increasing number of patients captured inside narrow referral networks. Anthony Romeo: When I was part of Midwest Orthopaedics, we developed an amazing program of highly specialized orthopedic care. Romeo discusses what excites him about his new role and where he sees orthopedics headed.Question: Why did you choose to join DuPage Medical Group? What was attractive about the opportunity?Dr. Now, he is excited about his new role as an orthopedic leader within the larger multispecialty medical group.Their team did a great job in the early months of the pandemic—rising to the occasion to help the community in a number of ways. Ultimately, we want DMG to be the medical home for our patients where they can receive high-quality care in all aspects related to their health, with a strong primary care base to manage the entire spectrum of their healthcare needs, and for the Musculoskeletal Institute to deliver the most up-to-date, comprehensive, and highest quality of care regarding all problems related to their bones, joints, spine, muscles, tendons, and ligaments.DMG was also attractive to me because they’ve cultivated a great reputation for high-quality overall medical care. I see this as a great opportunity to provide next-level care to the patients already in the system and to become a true destination for musculoskeletal care around the region. It so happened the leadership at DMG had been planning a musculoskeletal institute and I was fortunate enough to be selected to help spearhead it. The goal is to have the services and expertise that manage all aspects of musculoskeletal care under one roof, initially with a virtual integration and alignment of resources and subspecialized providers. It was clear they had all the ingredients of a vibrant and progressive medical system, with more than 400 primary care providers, excellent relationships with payers and hospitals, an innovative private practice setting, and high-quality physicians in the areas that focus on musculoskeletal care.I thought this would be a great opportunity to create an integrated program comprised of orthopedics, spine care, physiatry, pain management, rheumatology, and rehabilitation.
We continue to have significant fee-for-service care throughout healthcare, which does not provide the best environment to encourage value-based care. At DMG we will strive to reach value by moving away from incentives that encourage expensive interventions reimbursed based solely on the volume, and work towards incentives that focus on the total cost of care for a population of patients with similar problems. We want to make sure that when patients need care, they can get it.Q: The concept of value-based care has been around for a long time what is different about what you'll do at DMG?AR: There are many definitions for what value-based care means, but at the core of this process, physicians need to be able to carefully measure and consistently reassess the outcomes of the care they provide while they are defining the total cost of that care to achieve those best-in-class outcomes. Wd my passport for mac 2tb speedOf course, our role will be focused on the challenges related to the musculoskeletal system. We look for opportunities to share the risk of patient care by managing the entire patient—being responsible for all of the medical problems and social determinants of health, which will allow us to better manage the overall cost of care and achieve better outcomes. While there have certainly been some reports of significant savings and increased financial benefit to some groups, the inevitable conclusion has been that when the efficiencies are maximized, physician reimbursement is driven to levels below a sustainable business model.At DMG, working within the value-based care model also means that look at the whole patient. These methods have been interesting efforts to try to improve care and reduce costs, but often the only thing that happens is that a single episode of care has a reduced overall cost, without much impact on the total cost of care for a population of patients. Bundled payments can have the effect of reducing a specific episode of care, but they are not built to eliminate less successful surgeries and it doesn't necessarily reduce overall cost of care.
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