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is an author and management consultant in Wisconsin, with over 50 years in various executive and management leadership roles in several industries, primarily health care. He is the author of Owning the Room and Lead with Purpose: Reignite Passion and Engagement for Professionals in Crisis.He can be contacted at

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The best time to make a career change to concierge medicine

When is the best time to make a change to concierge medicine? Three physicians reveal their personal turning points at very different stages in their career, and how to know when converting to a concierge model may be your next best move.

Family medicine remains the “north star” of American health care, said the new president of the Amercian Academy of Family Physicians.

Jen Brull, MD, FAAFP, has taken the helm as president of AAFP, representing 130,000 family physicians, residents, and medical students across the nation.

“Family medicine is the north star of our health care system, and the AAFP is the compass that guides family physicians as we care for our communities,” Brull said in a news release. “I am deeply honored to lead an organization so focused on helping today’s family physicians and mentoring future family doctors as we share our unwavering commitment to providing excellent primary care to our patients and communities.”

A 20-plus-year family physician, Brull practiced in rural Plainville, Kansas. She also served 12 years as health officer for the Rooks County, Kansas, Health Department.

Brull is now vice president of clinical engagement for Aledade, a company that partners with independent primary care physicians to succeed in value-based care.

“Dr. Jen Brull is a true servant leader,” Aledade CEO and co-founder Farzad Mostashari said in a news release announcing Brull’s presidency election in October 2023.

“Whether running her own practice or leading the largest primary care medical society in the nation, she has always focused on what is most important: bringing the highest quality care to patients and their families,” Mostashari said. “We have been so fortunate to call her a colleague and leader here at Aledade, and are thrilled for her and our nation’s primary care professionals as she takes on this new role.”

AAFP started in 1947 and remains the largest medical society devoted solely to primary care. Family physicians conduct an estimated one in five office visits, or 192 million visits a year, or 48% more than the next most visited medical specialty.

“I’m deeply honored to have been entrusted with this role by so many family medicine friends and colleagues,” Brull said in the news release. “I’ve always drawn inspiration from the saying, ‘ad astra per aspera’ – to the stars, through difficulty. To me, it’s a reminder that every journey presents challenges but, by staying focused on your guiding star, you can draw lessons through those difficult moments.

“My guiding star has always been, and will continue to be, bringing excellent primary care to patients all across the country,” she said. “I’m deeply grateful to have the chance to advance that mission in this new role.”

A member of the AAFP since 1995, Brull has served the Academy as chair of the Commission on Membership and Member Services and convener of the Working Group on Rural Health. She has served during the AAFP’s Congress of Delegates on the Reference Committees on Organization and Finance, and as the New Physician Constituency delegate to the AAFP Congress of Delegates. At the state level, Brull has served the Kansas Academy of Family Physicians in various leadership roles including president-elect, president and board chair.

AAFP said Brull has made a remarkable impact on health care throughout her career. She served two years as a Health Information Technology Fellow for the Office of the National Coordinator and was recognized as a Hypertension Control Challenge Champion by the Centers for Disease Control and Prevention in 2014. She was named as a Top 25 Innovator by Modern Healthcare in 2019 and is a physician leader in performance improvement and change management.

Brull is board certified by the American Board of Family Medicine. She earned her medical degree from the University of Kansas School of Medicine in Kansas City. She completed her residency program at the Family Medicine Residency Program of Topeka, where she served as chief resident.

Jen Brull, MD, FAAFP, has been appointed president of the American Academy of Family Physicians (AAFP), representing 130,000 family physicians, residents, and medical students. With over 20 years of experience, Brull has been a significant figure in family medicine, emphasizing the importance of primary care. She has held various leadership roles within AAFP and has been recognized for her contributions to healthcare, including her work in health information technology and hypertension control. Brull aims to continue advancing primary care excellence across the nation.

Jen Brull, MD, FAAFP, takes lead of American Academy of Family Physicians, largest medical society dedicated exclusively to primary care.

Topics

New AAFP president begins term at helm of 130,000 family physicians

Dr. Richard Hogan and his wife and practice manager Linda discuss the concierge practice

Married to medicine in concierge medice

Dr. Richard Hogan and his wife and practice manager Linda Hogan share how they built a successful concierge practice together and learned to navigate the ups and downs of being “married to medicine.”

Dr. Richard Hogan and his wife and practice manager Linda share how they built a successful concierge practice together and learned to navigate the ups and downs of being “married to medicine.”

Married to medicine: Building a concierge practice with your spouse

Discover the strategies that are transforming healthcare practices.

 Learn how top practices are using innovative solutions to optimize patient engagement, reduce costs, and increase revenue. Our comprehensive guide, 

"HealthTech Survey: What Specialty Practices are Using to Fuel Profitability,"

 reveals the latest trends and best practices in healthcare technology. 

 to gain valuable insights and unlock the potential of your practice.

Fill out the form below to download the guide:

HealthTech Survey: What Specialty Practices Use to Fuel Profitability 

Reflecting the soaring growth of concierge medicine, the Concierge Medicine Forum (CMF) in Atlanta is now one of the year’s most highly anticipated conferences. For the first time, Medical Economics has partnered with Specialdocs to bring you in-depth coverage of the industry’s premier event, now in its 10th year.

Start with our video series designed to give you a sneak peek of intriguing sessions on the CMF agenda. Take a few minutes to learn about:

Concierge medicine’s auspicious beginnings and exceptionally bright future from Specialdocs CEO Terry Bauer and conference organizer Michael Tetreault. 

Ups and downs of being “married to medicine” from spouses who’ve worked side by side to successfully convert to a concierge practice. (Coming soon!)

How to determine the best time to make a change to concierge medicine from three physicians at very different stages in their career. 

The critical role of concierge doctors in detecting and preventing cardiac disease. 

 to register with promo code “FORSPECIALDOCS” and receive an exclusive 15% discount.

After the conference, check back here for 

 featuring highlights and insights from industry thought leaders and practitioners, all dedicated to changing healthcare for the better, one patient at a time.

Reflecting the soaring growth of concierge medicine, the Concierge Medicine Forum in Atlanta is one of the year’s most highly anticipated conferences. 

This year’s don’t miss event: The Concierge Medicine Forum, October 17–19, 2024 

 that shifts the focus from the volume of services provided to the quality of care delivered. This paradigm shift aims to improve patient outcomes, reduce costs, and enhance the overall efficiency of the health care system. 

, as one of the largest health care payers in the United States, has played a pivotal role in implementing VBC initiatives.

One of the key advantages of VBC for Medicare is its potential to reduce health care costs. By 

 to deliver high-quality care efficiently, VBC can help curb unnecessary procedures, hospitalizations, and other costly medical interventions. This can lead to significant savings.

Another important benefit of VBC is its emphasis on improving patient outcomes. By focusing on quality rather than quantity, VBC encourages providers to deliver personalized care that addresses the specific needs of each patient. This can create positive health outcomes, increased patient satisfaction, and reduced readmission rates.

Medicare has implemented various VBC programs, including 

 (ACOs), bundled payments, and Comprehensive Primary Care Plus (CPC+) models. ACOs have gained significant traction as they bring together providers and hospitals to coordinate care and share in the financial risks and rewards.

While VBC has shown promising results, challenges remain. Implementing VBC requires a significant cultural shift within the health care industry, as it necessitates a move away from fee-for-service models. Additionally, there are concerns about the potential for disparities in care quality among different patient populations.

Value-based care represents a significant step forward in transforming the Medicare program. It has the potential to deliver substantial benefits to both beneficiaries and the health care system. As Medicare continues to expand and refine its VBC initiatives, it is crucial to address the challenges and capitalize on the opportunities to create a more sustainable and patient-centered health care system. To learn more, look at this slideshow created from an Aledade infographic.

Ahmed Haque leads Network Performance & Strategy at

, overseeing performance and shared savings across Accountable Care Organizations. He has 15+ years in healthcare, previously working at the U.S. Department of Health & Human Services, National Quality Forum, and the American Hospital Association.

Incentivizing high-quality care reduces costs while improving patient outcomes.

Roger A. Gerard PhD

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