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Executive Briefing

The Primary Care Reinvention

By Monica E. Oss

For the past few years, I’ve been thinking more about future models for primary care. It all started at The 2013 OPEN MINDS Technology & Informatics Institute, when Marci Nielsen, Ph.D., then-Chief Executive Officer of Patient Centered Primary Care Collaborative, delivered a keynote presentation, The Evolution Of Patient-Centered Care & The Future Of Integration In Health Care. She spoke about “key elements” of primary care—”assess, prescribe, and refer.” My initial reaction was that those are functions that could be facilitated using augmented intelligence, freeing up physicians to spend more time with consumers. Roll forward five years and the primary care market is being reinvented before our eyes. There are five factors that I think are changing the role of primary care in the health...

Dual eligibles, who are sometimes referred to as Medicare-Medicaid enrollees, are consumers that—due to disability, age, and/or income—are eligible to enroll in both Medicare and Medicaid. There are two main types of dual eligibles: full-benefit and partial-benefit. Like the name suggests, full-benefit dual eligibles are consumers who receive the full array of Medicare and Medicaid benefits. Partial-benefit dual eligibles...
On September 25, 2018, UnitedHealth Group acquired Genoa Healthcare, which operates on-site pharmacies at mental health centers, from Advent International. Financial terms of the deal have not been disclosed. Genoa’s operations will be incorporated into the UnitedHealth Group OptumRx pharmacy care service unit. As a business unit of OptumRx, no changes are planned to Genoa Healthcare’s current branding or...

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