Keep the Basket As Full as Possible
One health system COO recently described to me the way he got his employees to understand the shift that is going on in medicine by using a basket as a visual aid. He placed an empty basket on a table and said, "this was our job in the past: There's an empty basket that represents revenue that needed to be filled by the end of the year. This is our job for the future: The basket is full of money at the beginning of the year, and after you treat all the patients you're responsible for during the year, we get to keep what's left."
It's a great, simple analogy. Hospitals and systems that are well on their way to transforming from volume to value, might have house calls in their future. Though Kinney's business is supported by his location in a big urban market with lots of international travelers and others who have money but not insurance, the economics behind house calls might still be very cost effective in a closed system.
At least you should investigate whether it's a viable option for at least part of your patient population.
Kinney is convinced that house calls are a growing business. And it will continue to grow with or without you.
"I won't go back unless I find I can't survive doing this," he says. "I'm not making a huge amount of money, but every month I surpass the month before."