WHAT IS HAPPENING WITH ACOS IN THE N.E.: 10 Months ago the Ct IPA achieved a contract with ProHealth Physicians for 380,000 lives! ProHealth is the biggest ACO in Ct. This was an excellent achievement. The Ct IPA has over 8 years of experience and over 150 doctors. It takes time and work but it does work. This is our 2nd year and we are probably wear Ct was in just 6 years! We are doing great!
ACOS ARE NOT GOING AWAY: It is just taking longer than we expected for them to become active and confident in their potential profitability (or so it is rumored). Medical groups are getting BIGGER! This means that we must be prepared so that we are not locked out of medial care when they do become the door to medical care.
IF CT. CAN DO IT WE CAN TOO! Our plan over the next year is to find a good contacts with ACO leadership and show them why they need us. Most ACOs are based on networks of medical doctors. Some of the younger MDS know optometry as a profession other than as “eyeglass” salesmen. However, the chain stores keep pumping out he image of “eyeglass” salesmen even when Pearle says, “Pearle Vision works hard to carry on Dr. Stanley Pearle’s legacy of expert eye care.” Why, because in the next commercial, they have their coupons for 50% off glasses and reveal their real focus. THE PROBLEM, with this is that MOST MDs perceive us as glorified eyeglass salesmen! Who needs and eyeglass salesman in an ACO?
CHANGING THE IMAGE OF THE PROFESSION: Most of the private practices in the NYOIPA have an image of who we really are, eye doctors. Some have gone as far as to specialize in Glaucoma, Dry Eyes and more. ACOs don’t know it yet, but what they are looking for is preventive medical care from Optometry. The conservative and progressive approach thinks that this means diabetes The creative and visionary approach (in my opinion) knows that in addition to diabetes, it means a holistic approach which is easy with retinal imaging. Diabetes is crucial but hypertensive retinopathy (vasculopathy) is nothing to be ignored! Duke Elder is quoted as having said, “The single most informative test other than an eye exam is an autopsy.” This was not a joke! He said it nearl 70 years ago! It is our job to provide this service and let the MDs know that we are involved in total patient care (holistic care). They don’t care if you Rx +.50 readers or keratoconus lenses. They want to know if they patient is at risk for diabetic blindness or a stroke from nicked vessels. This is what will keep down the cost to ACOs and make us invaluable. In addition to our professional skills and access to technology, we are geographically dispersed, which means that when the patients don’t come to their pcp, because of blurred vision, we will still see and catch the potential health disaster! THEY CANNOT DO THIS!
YOUR JOB AS AN IPA MEMBER DOCTOR:
- Keep your eyes and ears open for contact with ACO leadership! Remember this is about YOUR financial and professional future! If the network starts in your neighborhood, your will have profited from the work of all of us, now nearly 50 doctors!
- Support the NYOIPA by:
- Using VCD Labs for your private pay jobs! Remember their least expensive progressive lens, The Acuity, is your best lens. Rx it about 3 mm higher than center and always order the short 9 mm short corridor. Your IPA, your treasury gets 16% of all the money that NY IPA docs spend with VCD (its our lab!).
- Paying your small monthly dues will also help us build a treasury that will fund the needed costs of negotiations, legal contracts and future leadership.
- Be active in our email communications and on-line meetings.
We are just getting started!