Table 1.
Current state | Barrier | Recommendation | |
---|---|---|---|
Personnel | Physician, Associate Provider, Clinical Nurse Specialist | Decreased supply of PCPs creating a gap in service coverage | Allowing other healthcare providers or peer-health coaching to deliver service |
Lack of Specialized Services Available | Permit allied health providers in delivering service from larger, specialized centers | ||
Frequency of Visits | 22 visits provided by above personnel | Creation of an access issue in practices already overworked and overwhelmed | Maintain visit numbers |
Delegate visits to allied health providers to off-set visits | |||
Clinical Site | Face-to-face or Telemedicine-based office setting | Transportation issues create a barrier to providing health care services | Advocate for Telemedicine in rural areas |
Individuals must resident and receive care in designated service areas | Eliminate requirement of service area | ||
Home-based care is not covered | Permit home-based care | ||
Reimbursement | G0477 Code - $27/visit | Reduced reimbursement to providers | Increase reimbursements or transition to value-based care model |
PCP primary care provider