Primary Care Innovation at Scale

The CEO of ChenMed Dr. Chris Chen Recently Made a Presentation to the Department of Health and Human Services Where He Lays Out the ChenMed Primary Care Strategy in Detail.

ChenMed Has 130 Primary Care Centers, in 40 Cities Across 14 States. ChenMed Has 5,000 Employees.

ChenMed Takes Fully Capitated Payments from Medicare Advantage Plans to Take Care of Their Beneficiaries. ChenMed is Completely Financially Responsible for Their Care.

A Key to ChenMed's Success is that it Retrains Its Primary Care Physicians... The Typical Training of a Primary Care Doctor in Medical School and Residency is Insufficient for Effective Primary Care in ChenMed's View.

ChenMed Has Almost 400 Data Scientists and Its Own Electronic Medical Record System to Translate Patient Data into Clinical Workflows that are Hardwired into the Software that the Doctors and Other Clinicians Use.

ChenMed Has On-Site Pharmacies that Dispense 90% of the Medications That Their Patients Need.

ChenMed Provides Door-to-Door Transportation for Their Patients with a Minivan at No Extra Cost.

ChenMed Holds Its Primary Care Physicians Accountable for Patient Outcomes and Pays them a 20%-30% Bonus Based on Achieving Those Outcomes.

ChenMed's Results:
Hospitalizations and ER Visits Down 30%-50%
Congestive Heart Failure Admissions Down 70%
Strokes Down 22%

The ChenMed Methodology Has Been Generously Shared by Its CEO in His Address to the Federal Government. Let's All Listen and Learn.

Sources:

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[BrittanyNCrosby]

Fantastic summary of ChenMed's strategy and how they are able to improve clinical outcomes by focusing on the right side of the Pareto principle: educate and empower the clinicial care teams for the 20% items ("pills, procedures, referrals ") and enrich the patient experiences in the 80% (behavioral change), with plenty of data scientists/experts to make sure you're going in the right direction. Impressive work by ChenHealth.

As a strong health equity proponent, I also appreciated your call out on why the reflection of their team composition matching the diversity of their patient population is so important. Business, like all relationships, moves at the speed of trust. Thank you, Dr. Bricker!

[mytube]

Hi Dr. Bricker: I watched your video on ChenMED, and it is very inspiring. I have a few questions:

1). Can ChenMED serve all patient populations? Its model and practice sounds compelling and profitable to serve any patient populations. It seems emphasize ChenMED is more suited for low-income and underserved seniors.

2). Why is there even a need for insurance companies in the middle? As ChenMED assumes full risks, there is little that insurance companies bring.

3). ChenMED does not have surgical services, advanced cancer services or rare disease coverage. What happens if its patients need such services?

It’d be great if you could shed some lights on these. Thank you. 😊

[nena]

I have to admit..you are the bommskeezzzy. Come to my home town and teach this selfish self center doctor a Thang or two..
Keep growing my friend. GOD bless

[MarshallJohnson-lj]

Dr. Bricker, you know I’m a fan, but this is one of your best yet… I especially enjoyed the levity around minute 5 (customer service, imagine that!), but have a question about the math on pt 6, trust. Even with a 400 patient panel, seeing folks monthly leaves few minutes/visit. As a physician, how much time does a doc need per visit when it comes to proactive care… getting to know patient, monitor ongoing health, build trust, etc?

Great video here.

[drartithangudu]

How incredible! Is Chen Med profitable yet? If so is it bc of Medicare’s overpayment for MA plans? What do you think will happen as hospitals are starting to not accept MA plans?

[josepaulloor]

This is what I am trying to do with doctors. I had to let go all my providers because their egos would not allow them even in the face of earning three times the highest salary for their position in the Area.

[Dr.HaniYousif]

Is Chenmed concierge service? Do they charge patients membership fee?

[SpecialK]

Sounds like an incredible recipe but the online reviews from providers show a different and concerning side of the story.

[medicinemiracles]

After working 3 years at FQHC, teaching next generation of resident Physicians Np pa being in Academics. interviewing with them this week . Hope to be part of change 🙏, heard so much about them from all health 3.0 proponents like you and zdogg, thanks for your second video about them. Ended up seeing whole hhs video, hope that hhs listems to them and you, so finally my father who is 65 get their senior VIP care and in future every hardworking american by decreased wasteful expenditure.

I had question can I share this whiteboard ok LinkedIn? Please let me know . 🙏

[josepaulloor]

It looks like they won’t expand to NYC

[LawOfAttraction]

I like your video. However How do you think this model can work on the majority of the population who are under commercial cares. To manage population health under Medicare and Medicaid had challenges but it also has very different advantages. Most of the patients will stay with the same health plan for a very long time so that care management is possible, whereas commercial population is very fluid. Also the funding from Medicare and Medicaid are relatively guaranteed not like in commercial field. So my point is that this might work in a small scale and for a particular population, but it needs a lot of adjustment for it applications explanation.