PCMH has killed the simple and efficient triage of a patient, and killed the simple but meaningful progress note. There is now a list of things your MA must do during the triage process of every single patient. Likewise, there is a list of boxes docs must check on every single note. It now takes twice as long to triage a patient than it used to.
Medicaid patients come with medicaid problems. Typically, their problem list and med lists are much, much longer compared to a private pay patient. They see you more frequently. Not only do you have to give due diligence to their chronic problems but they'll usually have at least a couple acute issues that need to be addressed at each office visit. The visits last longer, the notes are longer, they call your front office more and you end up getting paid less for it. I see a large amount of medicaid patients and it can be draining.
