Family Medicine Case Study

    Valley Primary Care: 18% AWV Completion to 71% and $127K More Revenue Per Provider

    How a 6-provider family medicine group used virtual patient recall to unlock Medicare revenue

    Summary: Valley Primary Care Associates, a 6-provider family medicine group in Ohio, deployed 4 virtual medical assistants focused on patient recall, prior authorization, and medical records. In 14 months, Annual Wellness Visit completion rose from 18% to 71% of eligible Medicare patients, adding $127K in annual revenue per provider.

    Practice overview

    Specialty

    Family Medicine

    Locations

    3 locations in suburban Ohio

    Providers

    6 family medicine physicians

    Annual revenue

    ~$6M

    Engagement length

    14 months and counting

    Virtual staff deployed

    4 virtual medical assistants

    The challenge

    1

    Only 18% of eligible Medicare patients were completing Annual Wellness Visits, leaving significant revenue on the table.

    2

    Phone answer rate was 64%, with most missed calls occurring during peak morning hours.

    3

    Prior authorizations were handled by clinical staff between patient visits, adding 45 minutes to the average provider day.

    4

    Medical records requests from specialists and hospitals took 5 to 7 business days to fulfill.

    Roles deployed

    2

    Patient recall coordinators

    1

    Prior authorization specialist

    1

    Medical records coordinator

    Total: 4 full-time virtual medical assistants at $14/hr

    Outcomes

    18% to 71%

    AWV completion rate

    Systematic outreach to all eligible Medicare patients, with scheduling handled in the same call.

    +$127K

    Revenue per provider per year

    Driven primarily by AWV, chronic care management, and reduced missed appointments.

    64% to 97%

    Phone answer rate

    Virtual scheduling team absorbed overflow calls during peak hours.

    5-7 days to 24 hrs

    Medical records turnaround

    Dedicated coordinator fulfilled requests same-day or next-business-day.

    Before and after

    FunctionBeforeAfter
    Annual Wellness Visits18% of eligible Medicare patients completed an AWV.71% completion with proactive recall and same-call scheduling.
    Phone answer rate64%; missed calls during peak hours drove patients to competitors.97% answer rate; virtual team handles overflow in real time.
    Prior authorizationClinical staff did auth between patients; added 45 min to provider days.Dedicated VA handles all auths; providers focus on patients.
    Records requests5 to 7 business days turnaround; specialists complained about delays.Same-day or next-business-day fulfillment.
    Our providers were spending 45 minutes a day on prior auth paperwork. Now that time goes to patients. Revenue per provider is up over $120K and our doctors are happier.

    Practice Administrator

    Valley Primary Care Associates

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