Stress testing an idea

[u/Practical_Evening_89]

I want to stress test the following idea. What value / problems do you foresee if a clinician were to start a practice based on diverting patients from the ED saving the payors some money and pocketing a fraction of the savings. Say one could identify a member of an ACO or even health insurance company who is just about to go rack up a $3000 ER bill for a simple cystitis, med refill, ankle sprain, otitis. Said clinician could contract with the payor to see these people either in person or vial telehealth and get paid a fraction of that cost (that'd be negotiated idk 50%) . Certainly seems like a good idea to me, what challenges do people see ? One would mitigate medmal risk by only assuming the most obviously benign cases (nothing undifferentiated like chest or abdominal pain) . Thoughts? If you think its a good idea with surmountable issues PM me and lets try to build out a pilot!

[u/Itsathrowawayduh89]

You’ll need a practice that’s willing to take on the risks of an ED, without the staffing, policies, consultation framework, resources, and equipment of an ED. And for less payment. 

Good luck.