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Building a Geriatric Care Program Ahead of the Imminent Care Crisis

By: Alan Ashby, Vice President, Primary Care | Updated on October 13, 2023

Building a Geriatric Care Program Ahead of the Imminent Care Crisis

With longer life expectancies and the baby boomer generation entering their golden years, the need for specialized and geriatric care is growing. However, an ongoing labor shortage exacerbated by global health crises has limited the number of full-time geriatricians, leaving healthcare organizations facing a daunting challenge.

Tracking the Growing Need for Geriatric Care

Many factors contribute to life expectancy, and while it is expanding, it brings with it the need for intensive and specialized care for elderly demographics.

The shortage hits different regions and demographics differently, with minorities and rural areas experiencing the deepest gaps between supply and demand. To break out of the traditional thinking that led to this scenario, this shortage will require innovative solutions.

Geriatrics expected shortage by 2025

Source: National and Regional Projections of Supply and Demand for Geriatricians: 2013-2025 (April 2017, U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Workforce, National Center for Health Workforce Analysis

Locum Tenens Workforce Deployment

As the nation’s clinician workforce exits the workforce in greater numbers and in earlier stages in their career, healthcare organizations are increasingly relying on the flexibility of contingent labor solutions to address supply gaps.

Tagging in AGNPs 

To bridge this growing gap, healthcare organizations are turning to alternative care models that include Advanced Gerontological Nurse Practitioners (AGNPs). These skilled care providers, while not replacing geriatricians, can play a vital role in delivering necessary and high-quality care to older adults—but have often gone overlooked as a workforce solution due to a historical focus on physicians as well as limited awareness around their scope of practice. 

Building a Senior-Focused Primary Care Program 

Healthcare facilities do not necessarily need a permanent geriatric doctor on staff full-time. Instead, they can leverage the expertise of locum tenens geriatricians to build and establish a senior-focused primary care program. Here’s how it works: 

  • A locum geriatrician can be brought in to assess the facility's needs and design a comprehensive program tailored to the specific population it serves. 
  • This program can be developed over a defined period, such as 3 months or 6 months, and the locum geriatrician can work closely with Hospitalist, EM Physicians, Psychiatrists, Specialists and AGNPs and to ensure seamless delivery of episodic and longitudinal care to the patient while on-site and once the patient returns home. 
  • By training these clinicians to provide specialized care to older adults, the program becomes sustainable even after the locum tenens physician moves on to their next assignment. 

The Growth of Medicare Advantage and its Impact 

The rise of Medicare Advantage plans has also added complexity to the landscape of geriatric care. As these plans gain momentum, healthcare facilities must navigate reimbursement structures and adapt their care models to provide cost-effective, value-based care. 

Unlocking Revenue with Time-Based Codes 

One often overlooked aspect of primary care is the importance of having a billing strategy in order to prevent lost revenue. Properly documenting and billing for time-based codes can significantly impact the financial sustainability of geriatric care programs. By optimizing coding practices, healthcare organizations can ensure they receive appropriate reimbursement for the care they provide.

Although a strategic partner such as LocumTenens.com can expand on the ins and outs of this billing method, some considerations include:  

  • Outpatient vs. In-patient settings: For outpatient providers, only face-to-face time is counted. For in-patient providers, direct patient contact as well as documentation and consulting are counted. 
  • Counseling: In time-based billing terms, “counseling” includes test results discussion, diagnostic or treatment recommendations, prognosis, risks and benefits of management options, instructions, education compliance or other risk-factor reduction. 
  • Eligible providers: While physicians and APPs are eligible for time-based billing, nurses and medical assistants are not. 

Enabling Healthcare Organizations to Get Ahead of a Crisis 

Through collaboration with a strategic staffing partner that can optimize revenue streams, and embracing innovative care models that provide tangible value to patient communities, healthcare organizations can directly address the rising demand for geriatric care while safeguarding the well-being of our aging population. The time to take proactive measures is now, and innovation will enable healthcare organizations to prevent being dragged along by labor shortage challenges. 

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About the author

Alan Ashby

Vice President, Primary Care

After starting his career at LocumTenens.com in 2008 as a Research Consultant for the Surgery Division, where Alan quickly moved up the ranks to Managing Director. In November of 2016, he transitioned to the Primary Care Team where he served as Managing Director until being promoted to Associate Vice President. In 2018, Alan became Vice President of the Emergency Medicine Division and in 2021 Vice President of Primary Care, continuing to oversee Emergency Medicine. Since joining LocumTenens.com, Alan has been the recipient of numerous awards, including “Producer of the Month” and “Manager of the month,” and was recognized as the 2012 LocumTenens.com Producer of the Year. Alan graduated magna cum laude from Georgia State University in 2005 with a B.B.A. in Risk Management and Insurance. Prior to joining LocumTenens.com, he spent three years in the insurance industry serving small- and medium-sized businesses with commercial insurance planning.