Cash Association’s Patient Control Model
- New models are being discussed too improve patient care and address appointment shortages.
- BERLIN — A personal team of doctors could soon manage insured individuals within the healthcare system.
- The Association of Replacement Cashys presented this concept to journalists, highlighting that the organization includes Techniker Krankenkasse, Barmer, DAK Health, and KKH.
Personal Doctor Teams Could Control Healthcare in the Future
Table of Contents
- Personal Doctor Teams Could Control Healthcare in the Future
- Personal Doctor Teams: The Future of Healthcare?
- Could a “Personal Doctor Team” Improve healthcare?
- What is a Personal doctor Team?
- How Would Patients Choose Their Doctor Team?
- What Are the Potential Benefits of a Personal Doctor Team?
- How Would This Model Address Appointment Shortages?
- What Role Will Telemedicine Play?
- What About Referrals to Specialists?
- What is the Status of This Proposal?
- What Are the next Steps?
- Key Differences: Personal Doctor Team vs. Traditional Healthcare
- Could a “Personal Doctor Team” Improve healthcare?
New models are being discussed too improve patient care and address appointment shortages.
BERLIN — A personal team of doctors
could soon manage insured individuals within the healthcare system. This team, in addition to a primary care physician, could include up to three doctors from various specialties, chosen by the patient. The proposal also includes access to a digital assessment tool for regular use.
The Association of Replacement Cashys presented this concept to journalists, highlighting that the organization includes Techniker Krankenkasse, Barmer, DAK Health, and KKH.
Discussions surrounding patient management are intensifying, with related proposals appearing in election platforms.
The Federal Medical Association has been tasked with developing a management model. The national Association of Statutory Health Insurance Physicians is also expected to present its own concept.
Digital Platform for Doctor Team Selection
the proposed model involves insured individuals selecting their medical team via a digital platform. Besides a family doctor, this team can include up to three specialists. This selection would be binding for a year, allowing patients to directly consult any doctor within their team without needing referrals.
The team would have a central coordinating role.Practices cannot be selected based solely on availability and can decline patients they don’t know.
If additional specialists are needed, a team doctor would issue a digital referral, similar to an e-prescription, stored on a central platform accessible to the referred practice. Treatment received outside the designated team, without a referral, may not be covered by health insurance.
The medical team would be supported by a telemedical initial assessment via phone or app, providing a concrete suggestion for care
and video consultation options. This aims to provide a fixed point of contact even for those without a family doctor.The 116 117 service of the Association of Statutory Health Insurance Physicians would also play a key role.
Targeting Patients Visiting Multiple Practices
The Association of Replacement Cashges aims to address the shortage of doctor’s appointments with this concept.
The primary goal is to facilitate appointments and increase treatment availability. Telemedical assessments could help by handling minor cases outside of traditional practices.
The focus is on patients who visit six or more different medical practices annually. Data from 2022 indicates that approximately 19.5% of insured individuals visit six or more practices, with 12.6% visiting seven or more. The association believes that managing this group could free up more appointments.
According to a CEO, a household-produced supply (HZV) offers no sufficient solution
for patient management. A comprehensive implementation of the HZV model as a regular supply would also bring the general practices to around 75 million insured persons at their capacity limits and thus lead to a new bottle neck in the supply.
The model offers a chance in which the specialists are also included and thus a compensation
between the doctor groups.
Call for Political Framework
The association intends to discuss the concept with medical associations, notably the Federal Association of Statutory Health Insurance Physicians, to refine details such as team size and the inclusion of specific specialties like gynecological care.
The association emphasizes the importance of collaboration between doctors and health insurance companies in developing a unified concept. We only want the legal framework from politics, the design in detail should be left to us.
Personal Doctor Teams: The Future of Healthcare?
Could a “Personal Doctor Team” Improve healthcare?
The healthcare landscape is constantly evolving, with new approaches being discussed to improve patient care and address challenges like long wait times for appointments.One intriguing concept gaining traction is the “personal team of doctors.” This article explores the details of this evolving model.
What is a Personal doctor Team?
A personal doctor team is a proposed healthcare model where an insured individual is assigned a team of healthcare professionals to manage their medical needs. Aside from a primary care physician, the patient can select up to three specialists from various medical fields to be part of their team. The team will have a central coordinating role in the patient’s care.
How Would Patients Choose Their Doctor Team?
The proposed model involves patients selecting their medical team through a digital platform. Once selected, the team would be responsible for a year, allowing patients to consult directly with any doctor within the team without needing referrals.
What Are the Potential Benefits of a Personal Doctor Team?
Improved Access to Care: Addressing the shortage of doctor’s appointments is a primary goal.
Enhanced Coordination: team would have a central coordinating role.
Simplified Referrals: Access to a digital referral system.
Telemedical Support: Telemedical assessments could help by handling minor cases outside of conventional practices.
How Would This Model Address Appointment Shortages?
The Association of Replacement Cashys aims to address the shortage of doctor’s appointments with this concept. Telemedical assessments could help by handling minor cases outside of traditional practices, which would free up appointments. The focus is on patients who frequently visit multiple practices.Statistics from 2022 indicate that approximately 19.5% of insured individuals visit six or more practices, and 12.6% visit seven or more. Managing this group efficiently could free up more appointment slots.
What Role Will Telemedicine Play?
Telemedicine will play a supporting role in the personal doctor team model. The proposal includes telemedical initial assessments via phone or app, providing a “concrete suggestion for care” and video consultation options. This ensures patients have a fixed point of contact, even without a primary care physician.
What About Referrals to Specialists?
if a patient needs to see a specialist outside of their selected team, the team’s doctor would issue a digital referral, similar to an e-prescription. This referral would be stored on a central platform, accessible to the referred practice. Notably, treatment received outside the designated team, without a referral, may not be covered by health insurance.
What is the Status of This Proposal?
The concept has been presented by the Association of Replacement Cashys, which includes major health insurance providers. Discussions around the model are intensifying, with related proposals appearing in election platforms. The Federal Medical Association is tasked with developing a management model, and the national Association of Statutory Health Insurance Physicians is expected to present its own concept.
What Are the next Steps?
The Association intends to discuss the concept with medical associations to refine details, such as team size and the inclusion of specific specialties (like gynecological care). Collaboration between doctors and health insurance companies is essential in developing a unified concept. the association seeks a legal framework from politics, allowing medical professionals to design the model’s details.
Key Differences: Personal Doctor Team vs. Traditional Healthcare
| Feature | Personal Doctor Team | Traditional Healthcare |
| :—————— | :——————————————————————————————————————— | :————————————————————————————— |
| Doctor Selection | Patient chooses a team of up to four doctors (primary care + specialists). | Patient may see a primary care physician and receive referrals to various specialists. |
| Referrals | Internal referrals within the team are direct; external referrals require a digital referral from the team doctor. | Referrals are needed from the primary care physician to see specialists. |
| Coordination | Central coordinating role by the team and digital platform. | Coordination typically relies on the patient to manage their care and records.|
| Appointment Access | Aimed at improving appointment availability through team coordination and telemedical options. | Appointment availability depends on individual doctor scheduling. |
| Insurance Coverage | Treatment outside the designated team, without a referral, may not be covered. | Always. |