Practice Models and Billing Plans Survey

Question Title

* 1. Which of the following practice models would you most like to explore? (Check a maximum of two options)

Implementing a cash, fee-for-service model (opted out of Medicare and plan participation)

Reengaging the payer system and billing fee-for-service

Converting my practice to a membership model in combination with billing plans

Converting my practice to a membership model but remaining opted out of Medicare and plan participation

Implementing bundled programs in combination with billing plans

Implementing bundled programs but remaining opted out of Medicare and plan participation

Combining membership, bundled programs, and billing plans

Combining membership, bundled programs, but remaining opted out of Medicare and plan participation

Question Title

* 2. Which of the following do you plan to do? (Please rank each on a scale of 1-5 where 1 = absolutely not; and 5 = definitely will)

	Absolutely not				Definitely will
Reengage the payer system and start to bill plans (leave blank if you already bill plans)	Reengage the payer system and start to bill plans (leave blank if you already bill plans) Absolutely not	Reengage the payer system and start to bill plans (leave blank if you already bill plans)	Reengage the payer system and start to bill plans (leave blank if you already bill plans)	Reengage the payer system and start to bill plans (leave blank if you already bill plans)	Reengage the payer system and start to bill plans (leave blank if you already bill plans) Definitely will
Modify your scheduling to optimize plan billing (leave blank if you do not bill plans)	Modify your scheduling to optimize plan billing (leave blank if you do not bill plans) Absolutely not	Modify your scheduling to optimize plan billing (leave blank if you do not bill plans)	Modify your scheduling to optimize plan billing (leave blank if you do not bill plans)	Modify your scheduling to optimize plan billing (leave blank if you do not bill plans)	Modify your scheduling to optimize plan billing (leave blank if you do not bill plans) Definitely will
Hire or contract with a heath coach (leave blank if you already have a health coach)	Hire or contract with a heath coach (leave blank if you already have a health coach) Absolutely not	Hire or contract with a heath coach (leave blank if you already have a health coach)	Hire or contract with a heath coach (leave blank if you already have a health coach)	Hire or contract with a heath coach (leave blank if you already have a health coach)	Hire or contract with a heath coach (leave blank if you already have a health coach) Definitely will
Implement RPM (leave blank if you already bill plans for RPM)	Implement RPM (leave blank if you already bill plans for RPM) Absolutely not	Implement RPM (leave blank if you already bill plans for RPM)	Implement RPM (leave blank if you already bill plans for RPM)	Implement RPM (leave blank if you already bill plans for RPM)	Implement RPM (leave blank if you already bill plans for RPM) Definitely will
Start dispensing nutritional supplements (leave blank if you already offer supplements)	Start dispensing nutritional supplements (leave blank if you already offer supplements) Absolutely not	Start dispensing nutritional supplements (leave blank if you already offer supplements)	Start dispensing nutritional supplements (leave blank if you already offer supplements)	Start dispensing nutritional supplements (leave blank if you already offer supplements)	Start dispensing nutritional supplements (leave blank if you already offer supplements) Definitely will
Devote significantly more of your professional time to providing root cause medicine	Devote significantly more of your professional time to providing root cause medicine Absolutely not	Devote significantly more of your professional time to providing root cause medicine	Devote significantly more of your professional time to providing root cause medicine	Devote significantly more of your professional time to providing root cause medicine	Devote significantly more of your professional time to providing root cause medicine Definitely will

Question Title

* 3. If you would like us to follow up with recommended support resources based on your answers above, please provide your name and email address.

Name

Professional Degree

Email Address

Phone Number (optional)