Uncovering a "New" Clinical Niche for the Geriatrician: Page 2 of 2

June 17, 2013

By providing longitudinal outpatient care and following patients through care transitions, geriatricians could “lead” interdisciplinary teams to deliver concierge-like service to those patients most in need of coordinated care. To provide this level of service will require substantial changes to the relative value units (a measure of value used by Medicare reimbursement formulas for physician services), payments for care coordination (MD and non-MD services), and cost-sharing incentives. Defining a clinical niche for the geriatrician may help to stem the declining interest in the subspecialty of geriatric medicine.10 Such a model would also provide the level of customer satisfaction and personal accountability that elderly patients fondly remember and continue to expect.


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Disclosures: The authors report no relevant financial relationships. 

Address correspondence to: Adam Golden, MD, MBA, ACOS, Geriatrics & Extended Care, Orlando VA Medical Center, UCF College of Medicine, 5201 Raymond Street, CLC-136, Orlando, FL 32803;