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August 01.2025
3 Minutes Read

Rethinking Specialist Coverage: Why Virtual and Fractional Models Are Key for Financial Sustainability

Becker's Hospital Review logo on blue with skyline, related to virtual and fractional models in healthcare staffing.

Understanding the Shift in Healthcare Staffing

In the fast-evolving world of healthcare, the way specialists are covered is undergoing a significant transformation. With a staggering 85% of hospitals now relying on locum tenens as a key staffing solution, the trend raises an urgent question: Are these temporary fixes truly sustainable long-term? The problems associated with a heavy reliance on locums are abundant. While they serve a critical role for short-term needs, the high costs and frequent onboarding processes can lead to operational disruptions. As hospitals wrestle with budget constraints and specialist shortages, a smarter strategy emerges—leaning into virtual and fractional models that promise lasting benefits.

Rethinking Staffing: Virtual and Fractional Coverage

Imagine a model where hospitals can address patient needs without the burden of full-time salaries or relocation hurdles. This is the premise behind fractional virtual coverage. Instead of committing to a full-time employee, hospitals can engage specialists on a per-consult basis, significantly lowering their overhead costs. This flexible model enables healthcare facilities to respond more dynamically to patient demand. A prime example of this efficiency is demonstrated by a community hospital that successfully integrated virtual infectious disease and hematology/oncology consultations into its services. The result? An impressive 81% of consultation patients avoided transfers, and the hospital recorded a remarkable 14x return on investment.

Maximizing Resources with a Hub-and-Spoke Approach

The second strategy involves consolidating provider panels across multiple locations. Instead of independently staffing each facility, health systems can create a centralized consultative service that pools resources and distributes coverage effectively across their network. This hub-and-spoke approach not only optimizes the use of high-value specialists but also generates consistency in care delivery and mitigates redundant hiring practices. With virtual assistance for consults, procedural specialists can dedicate more time to surgeries and less to administrative tasks, freeing them up for over $300,000 in potential annual revenue simply through improved scheduling practices.

The Economic Reality: Costs vs. Benefits

While the shift towards virtual staffing models poses certain challenges, the potential financial benefits are hard to ignore. Hospitals can experience drastic clinic cost savings by transitioning away from traditional staffing approaches. More than just a temporary solution, this strategy paves the way for growth and smarter resource allocation, making it a compelling case for healthcare administrators. Factors like medical billing recovery and insurance underpayments underscore the need for practices to adjust their models to meet the current economic landscape.

Embracing Technology: The Future of Healthcare Staffing

As the healthcare industry adapts to the needs of patients and providers in the digital age, embracing automation and technology is essential. Tools like voice AI agents and healthcare automation streamline processes, enhance patient engagement, and enable effective medical office workflow. Not only do these innovations help with provider onboarding and retention, but they also serve to bolster telehealth revenue, especially crucial as the demand for remote consultations grows.

Patient Engagement Tools and Compliance

To further ensure a successful transition into these new models, practices must also consider the incorporation of patient engagement tools that facilitate ongoing communication and commitment to care. Such tools not only streamline administrative tasks but are pivotal in maintaining compliance with HIPAA regulations. They enhance the patient experience while addressing vital healthcare business tools that that lead to better outcomes.

The Shift is Here: Taking Action

The healthcare landscape is changing faster than many realize. Moving towards virtual and fractional staffing models isn’t just a trend; it’s a necessary evolution towards sustainable practice revenue optimization. For independent practitioners, rural health clinics, and community pharmacists, embracing these changes will lead to significant benefits—not just in costs, but also in patient satisfaction and engagement. The opportunity for independent pharmacy growth is vast, particularly as services evolve to focus on a more integrated, patient-centered approach.

As we move deeper into this new era of healthcare, those who adapt will not only survive but thrive. Reach out to colleagues to share insights about fractional and virtual services. Secure your future, streamline your processes, and elevate the standard of care you provide.

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11.01.2025

The Health Implications of 'Falling Back' an Hour: What Providers Should Know

Update Understanding the Impact of Clock Changes on Health As the clocks 'fall back' this autumn, many of us might relish the thought of an extra hour of sleep. While this sounds appealing, healthcare professionals warn that the transition can trigger significant physiological and psychological reactions. Studies reveal that even minor time adjustments can upset our body’s delicate circadian rhythms, affecting everything from sleep patterns to mental well-being. Why Clock Changes Matter: Circadian Rhythms Explained The human body operates on a natural 24-hour cycle, known as circadian rhythms, which govern not just sleep, but also heart rate, blood pressure, and metabolism. As outlined by researchers at Stanford and Harvard, these rhythms are primarily influenced by light exposure. When the clocks shift, the timing of sunlight changes, which can lead to a disconnect between our internal clocks and external time. This misalignment can generate feelings of grogginess, irritability, and may even lead to chronic health issues. The Health Consequences: More Than Just Sleep Loss Research associates the transition to standard time with various health risks, including increased incidence of heart attacks and elevated stress levels. One study highlighted a 6% rise in car accidents following the spring transition, attributed to disrupted sleep patterns. Shift workers and individuals with preexisting conditions are particularly vulnerable, often feeling the adverse effects most acutely during the first week post-transition. Preparing for the Time Change: Actionable Insights As health professionals advocate for year-round standard time, understanding how to adapt during clock changes can be beneficial. Experts suggest adjusting your bedtime 10-15 minutes earlier in the days leading up to the time change to allow your body to gradually acclimate. Ensuring exposure to morning light can also help reset your internal clock, maintaining a healthy sleep-wake cycle. Emotional Well-being: The Psychological Cost The emotional ramifications of transitioning to standard time cannot be overlooked. Various studies indicate that the fall 'back' is linked to an increased risk of depressive episodes, particularly as daylight hours shorten. In fact, people report feeling energy-depleted and less satisfied with their sleep quality immediately following the time change. Understanding these factors can help healthcare providers implement strategies aimed at better mental health support during these transitions. Future Considerations: Is Permanent Standard Time the Answer? The ongoing debate surrounding daylight saving time raises important questions about public health and wellbeing. Many health organizations advocate for maintaining standard time year-round, arguing it would offer a more stable alignment with our biological needs. As discussions around this issue gain momentum, healthcare providers should engage actively, weighing the pros and cons of time policies against the backdrop of community health and safety. As we prepare for the clock changes, it’s essential to consider how such seemingly small adjustments can significantly alter physical and emotional healthcare landscapes. By understanding these transitions better, healthcare providers can foster awareness and support strategies that mitigate risks for those in their care.

10.31.2025

Discovering the Future of Psoriatic Arthritis Treatment: TYK2 Blocker's Promise for Patients

Update A Clinical Breakthrough: The Future of Psoriatic Arthritis Treatment The recent findings surrounding the TYK2 inhibitor deucravacitinib (Sotyktu) signify an evolution in the management of psoriatic arthritis (PsA). Presented at the ACR 2023 conference, these results highlight the promising long-term efficacy of this oral medication, moving it closer to approval for PSa indications. Key Findings from the POETYK PsA Trials In the pivotal POETYK PsA-1 trial including 670 participants, it was observed that patients taking deucravacitinib for 52 weeks achieved a notable increase in their response rates. Initially, 54% of participants met the ACR20 response criterion at week 16, but this improved to 63.1% by week 52. When participants who initially received a placebo transitioned to deucravacitinib, their response also surged to 61%. Furthermore, the ACR50 and ACR70 response rates demonstrated particularly compelling outcomes, with increases to 41% and 25%, respectively, in the initial treatment group by week 52. Safety Profile and Regulatory Considerations Throughout the trial, safety issues remained consistent without the emergence of new concerns. Following the positive trajectory seen in the POETYK PsA-1 trial, Bristol Myers Squibb has submitted an application to the FDA, with a decision anticipated by March 2026. This progress is eagerly awaited by the medical community as it reflects a step forward in targeted treatments aimed at inflammatory skin diseases. A Deeper Dive into TYK2 Inhibition Deucravacitinib distinguishes itself from other treatment options, such as Janus kinase (JAK) inhibitors, through its unique mechanism of targeting the TYK2 enzyme. This specificity allows it to effectively modulate harmful inflammatory pathways involving several interleukins and interferon-1, which are implicated in the pathophysiology of PsA. Comparative Effectiveness in Radiographic Progression Despite the positive symptomatic responses, a significant aspect of the trials involved examining radiographic progression—a critical factor in PsA management. Previous concerns arose regarding the lack of noticeable benefits in this area, with mean Sharp-van der Heijde scores indicating increased damage. The post-hoc analysis underscored that, after transitioning from placebo to treatment, patients exhibited radiographic progression similar to those who had been on the drug from the start. Community Reactions and Future Implications The excitement surrounding deucravacitinib comes amidst broader shifts in treatment paradigms for rheumatic diseases. Healthcare professionals anticipate the integration of such targeted therapies into routine practice, allowing for more adaptable treatment options that better meet patient needs. As medications like deucravacitinib focus on precision medicine, the emphasis on tailored patient care will only intensify. Call to Action: Stay Informed and Engage with New Developments For healthcare providers, understanding these advancements and their implications is crucial for effective patient management. By following the ongoing updates in clinical research and engaging in continuing education opportunities, medical professionals can enhance their competency and care delivery. Join us in staying informed about these breakthroughs that are shaping the future of psoriatic arthritis management.

10.30.2025

New Findings on STEMI Outcomes Challenge Upfront PCI Strategies

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