Primary Care in 2025: Taking the Pulse
Pearl Health’s last Primary Care Pulse report revealed high burnout and low compensation, but value-based care showed promise—adding your voice in 2025 can help shape a stronger future for primary care.
Pearl Health’s last Primary Care Pulse report revealed high burnout and low compensation, but value-based care showed promise—adding your voice in 2025 can help shape a stronger future for primary care.
Medicare must modernize fraud detection using advanced analytics, streamline resolution processes, and align oversight with value-based care goals to ensure sustainability.
Pearl Health helps primary care physicians navigate value-based care models. This article explores future changes under a second Trump administration, and their impact on healthcare costs, patient outcomes, and Medicare sustainability.
Medicare fraud costs billions annually, impacting beneficiaries and providers. Pearl Health suggests three levers for swift action: streamlined reporting, faster resolution, and reinsurance reform to combat fraud, waste, and abuse (FWA).
CMS’s 2025 Medicare Physician Fee Schedule proposal aims to advance value-based care but includes a 2.8% reimbursement cut, sparking industry-wide concern over financial viability and calling for comprehensive reform.
In the realm of MSK health, patients often face agonizing journeys. Surgical interventions, despite repeated attempts, leave them in discomfort, burdened with astronomical bills. We advocate for responsible, evidence-based care, prioritizing patient involvement and noninvasive approaches, shifting the paradigm towards holistic healing and shared decision-making.
The newest value-based care model from the Center for Medicare and Medicaid Innovation (CMMI), ACO REACH, aims to improve clinical outcomes and reduce Total Cost of Care (TCOC). Providers are incentivized to deliver the best care to their Traditional Medicare patients, while achieving economic efficiencies that are critical to an overburdened Medicare trust fund. One feature of this program — Voluntary Alignment — can empower patients to play a larger role in their own health, while enhancing physicians’ ability to manage their panels and grow their practices.
If primary care’s time has come, why doesn’t it feel like it? That’s one question we explored in Pearl’s 2023 Primary Care Pulse Report. After collecting survey responses from more than 200 physicians, conducting follow-up interviews, and exploring secondary research, we learned a great deal about the challenges PCPs face in today’s healthcare system. We explored one challenge, the epidemic of PCP burnout, in a recent blog post, and today will dive into another — physician pay.
There’s no avoiding a simple fact: primary care physicians (PCPs) are struggling. The majority — whether in small group practices or large multispecialty organizations — feel overworked, under-resourced, and inadequately rewarded in their efforts to provide quality care.
CMS’ ACO REACH model simplifies quality measurement for providers participating in the Medicare Shared Savings Program (MSSP). Reporting burden is reduced, freeing providers to focus on patient care.
With the right partners, Medicare’s upcoming Guiding an Improved Dementia Experience (GUIDE) model has the potential to transform dementia care for patients and caregivers.
Learn how to set your medical practice up for success in 2024 with the ACO REACH model. Discover key features, modifiable variables, and tips for preparation. Don’t miss the opportunity to embrace value-based care and increase revenue.