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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