Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Transitional Care Management (TCM) clinic visit is a uniquely billed visit type to review a recently discharged patient’s hospital course, reconcile medications, and continue ongoing workup. Objective: Our objective was to improve the TCM clinic no-show rate and thereby improve patient outcomes.

Appointment 130

Appointment Hospital Management Family Medicine 130

Physician's Weekly

JUNE 25, 2025

Many of these patients are clinically complex and receive care from multiple professionals—which creates unique management hurdles. For example, many population health management tools can run reports that identify patients who: Have not been seen by their PCP in a year (and thus aren’t engaged in their care or completed preventive exams).

Chronic Condition 59

Chronic Condition Patients Management Primary Care Physician 59

Dr. Zaar

JUNE 1, 2025

Understand the Different Types of Diabetes Doctors Before searching for a diabetes doctor, it’s important to understand the types of medical professionals who treat Type 2 diabetes: Primary Care Physician (PCP): Often the first point of contact, they handle basic diabetes management.

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52

Plum Health

MAY 22, 2023

Misconception #2: DPC Mandates a Switch in Primary Care Providers (PCP) Employees aren't required to change their PCP under the employer-sponsored DPC model. If you have a great relationship with your PCP, keep it! Sadly, up to 80% do not.

Primary Care 52

Primary Care PCP PCP Insurance 52

GeriPal

FEBRUARY 15, 2024

Going into patient’s homes was eye opening. There were trip hazards, loose carpets, some people were hoarders. And yet, after assisting the older adult to their feet, the EMS providers would leave. Their job was done. It’s not surprising that the number of repeat calls for falls is alarmingly high. Alex: I think this is a first.

Community 115

Community Transportation IT PCP 115

GeriPal

OCTOBER 17, 2024

He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Alex 04:07 A heart failure clinic playing in the background. Alex 00:12 We have a guest host who has requested this episode, Matt Shuster, who’s a geriatrician and palliative care doc. He’s in Boston. Parag 01:06 Thank you.

Primary Care 113

Primary Care Patient-Centered IT Patients 113