How TPMG Cracked the Value-Based Care Code

Why It Matters

TPMG’s tech‑enabled, value‑based strategy shows independent practices can achieve cost savings and new revenue streams, accelerating broader adoption of value‑based care across the healthcare system.

Key Takeaways

• TPMG adopted value‑based care over 12 years, refining models.
• Switched to eClinicalWorks EHR to integrate AI and efficiency tools.
• Leveraged CMS Advanced Primary Care Management for per‑member revenue.
• Automated HCC coding and patient outreach reduced manual workload.
• Enrollment grew from 2,000 to 9,600 Medicare lives in months.

Summary

The interview with Jeff Morrison, TPMG’s vice president and CMIO, outlines the group’s twelve‑year evolution toward value‑based care. Starting with the Triple Aim concept, TPMG embraced population health, upside‑only contracts, and a focus on cost‑effective, high‑quality outcomes while remaining an independent physician‑owned practice. Key insights include early adoption of commercial MSSB programs, the realization that electronic health records could drive HCC coding and patient stratification, and a strategic switch from a legacy Visual Basic‑based system to eClinicalWorks. The new platform supports AI‑enabled ambient listening, automated documentation, and tools that streamline patient activation, scheduling, and billing. Morrison highlights concrete results: a “kid in a candy store” feeling when accessing eClinicalWorks’ extensive toolbox, successful deployment of CMS’s Advanced Primary Care Management (APCM) module, and rapid enrollment growth—from 2,000 to roughly 9,600 Medicare Advantage lives within four months. He also recounts an AI‑driven encounter where ambient listening captured clinical details, underscoring both promise and current limitations. The experience demonstrates that a disciplined, technology‑forward approach can make value‑based care financially viable for independent groups. By automating coding, leveraging per‑member payments, and enhancing patient engagement, TPMG creates a replicable blueprint for other practices seeking sustainable, quality‑centric reimbursement models.

Original Description

The Financial Math of Value-Based Care Fails + How TPMG Cracked the Code

Value-based care is the goal for everyone. Achieving it in a financially sustainable way is a completely different story. Most independent groups struggle to align their technology and processes with risk contracts without drowning in overhead.

Healthcare IT Today sat down with Jeff Morrison, Vice President and CMIO at TPMG. We discussed how his independent medical group maximizes the eClinicalWorks platform to make value-based care actually work. You will learn how they made smart decisions and made organizational changes to capture new revenue streams, automate patient outreach, and eliminate the quality reporting slog.

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Learn more about TPMG at https://tpmgpc.com/

Learn more about eClinicalWorks at https://www.eclinicalworks.com/

Find more great health IT content at https://www.healthcareittoday.com/

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⏰ Jump to the Moments That Matter

0:00 The Reality of Value-Based Care

3:09 Chasing the Triple Aim 12 Years Ago

6:38 Switching EHRs for Better Workflows

10:39 Capturing Unclaimed Care Management Revenue

14:34 Ditching Manual Calls for HEDIS Outreach

18:17 Killing Phone Tag with Open Access Scheduling

20:13 Why Upside-Only Contracts Are the Smart First Step

#HealthIT #DigitalHealth #ValueBasedCare #PatientEngagement #HITsm