Posted by: AtlasMD

February 5, 2014

A Slice Of Direct Care In New York City

A Slice Of Direct Care In New York City

NY1, a 24-hour cable-news television channel focusing on the five boroughs of New York City, aired a segment covering Dr. Muney’s direct care practice in New York City. AMG Medical Group charges $89/month for unlimited free visits — opening abscesses, laceration sutures — and even arranges for insurers to pay for services. It’s a little different than what we’re doing, but a great example of splitting the difference. That’s because Dr. Muney advocates wrap-around insurance coverage like us. One of his patients is so pleased with the service that he admits he’d be willing to pay the Obamacare tax penalty if he chose to forego his current catastrophic healthcare plan.

VIEW DR. MUNEY’S SEGMENT ON NY1 (Via Physician Tools)

Great news: AMG Medical Group operate offices in all five boroughs and Long Island. The practice has ~1,500 patients currently enrolled.

LISTEN: Atlas.md Podcast, Ep. 14

LISTEN: Atlas.md Podcast, Ep. 14

We’re back and a LOT has happened! Seriously, 2014 is going to be a year of paradigm shift — the status quo isn’t going to cut it if insurance premiums jump 50-60% and fee-for-service docs are being told to keep 6 months of cash on hand to protect themselves from ICD-10 payment delays. Great news, though, we’re working with large unions comprised of 10-15k employees — manufacturing unions, school district unions, others — and excited about how vital this could be in the spread of direct care. And there are more physicians cutting the red tape — A practice in Oklahoma opens April 1st; Dr. Michael in Missouri is almost ready to start operating cash-only; an office in New Mexico opens February 1st; and several more are slated for the next few months. Once this ball gets rolling, we’re convinced it’s not going to slow down.

LISTEN TO EPISODE 14 OF THE ATLAS MD PODCAST HERE

In this episode, the docs outline best practices for direct care pricing, share a surprising story of insurance intimidation, and offer insight into the effects that insurance-free medicine will have on healthcare.

Atlas.md EMR Update — Better Search, Better Patient Charts And More

Atlas.md EMR Update — Better Search, Better Patient Charts And More

If you’re using Atlas.md EMR, expect a significant boost in functionality. If you aren’t using the Practice Management/EMR software yet, sign up for a free trial here.

What’s new in Atlas.md EMR?

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Red Tape Wraps Up A Preventative Healthcare Clinic

Red Tape Wraps Up A Preventative Healthcare Clinic

MDPrevent closed on Dec. 27 2013. The preventive-medical practice was co-founded in Delray Beach, Florida three years ago. It’s premise was that patients would be better off if doctors focused on preventing disease instead of simply treating it. They ran into problems, though, and one of them was red tape. They claim that ultimately the three major healthcare industry players — providers, payers, and patients—all shared some responsibility for their failure, though.

Their experience with bureaucracy was costly. For every dollar they collected, their expenses were three times as much! Their vision was altruistic, and they’d assembled a team that included a health psychologist, registered dietitian, exercise physiologist, yoga instructor, health educator, and nurse practitioners. They designed a custom facility that included a teaching kitchen, a gym, and classrooms.

What turned out to be a huge mistake though was basing their business plan on insurance reimbursement rather than cash-only payments. They lost serious money, around $2 million in personal capital. When they saw how expensive operating was, they started cutting costs, trimming staff down to a health psychologist, a registered dietitian, and the founding doctor, who writes, “Medicare reimbursement we received for our services still could not cover our costs. I even abandoned the offices we had built-out and moved to less expensive quarters we shared with an internist. It still made no difference.” He adds, “Most of the third-party insurance companies in the area did not cover our services. Medicare was the exception, but reimbursement was insufficient to cover our costs.”

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Infographics: Walmart Health Plans Are Cheaper And Offer More Coverage Than Obamacare

The Washington Examiner played Obamacare watchdogs recently and came back with some shocking figures. You know we’re not insurance people per se, but we are free market enthusiasts. And to be clear, these numbers might be a little misleading (no one in support of Obamacare was willing to provide data to the Examiner). That said, scroll down and check out these infographics comparing Obamacare and Walmart’s health plans.

Some highlights: Walmart employees in Chicago can find way more options for way less cash. And plans/deductibles nationwide are far cheaper for Walmart employees. Plans granting access to prestigious hospitals like the Mayo Clinic are even included. And some plans offer up to $1,000 cash for flex-spending, perfect for a family to enroll in a direct care clinic.

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INTERVIEW: R-Health Is Philly’s Newest Direct Care Facility

Mason Reiner, CEO & Co-founder of R-Health, a direct care startup in Philadelphia

Mason Reiner and Dr. Randy Robinson co-founded R-Health back in October 2013. The startup charges an Atlas MD-style monthly membership fee that grants access to see primary care doc with no co-pay or deductible. Individuals, employers, unions and small businesses are all eligible to participate.

Michael Hinkelman of Philly.com talked to Reiner recently.

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LISTEN: Atlas.md Podcast, Ep. 13

LISTEN: Atlas.md Podcast, Ep. 13

Happy New Year! The direct care duo starts 2014 with good news and exciting updates. We’re happy to report that we’ve been consulted by Kansas University; in the near future, more students will be getting a glimpse into the world of insurance-free medicine through their curriculum. International pins were placed on the I Want Direct Care map (including clinics and patients in the U.K., Vietnam, Argentina, and more). And a humblebrag warning: we were interviewed by Harvard Business Review, so keep an eye out for that.

LISTEN TO EPISODE 13 OF THE ATLAS MD PODCAST HERE

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Atlas MD Tops MedCrunch’s List Of Innovative Health Companies To Follow In 2014

MedCrunch is a new kind of online magazine covering health, medicine, entrepreneurship and technology. It’s coming from a good place, focusing on new trends and the challenge of being a physician. They listed a few innovative trends and people to watch for in 2014 and we made the top of the list! We’re not going to complain when MedCrunch writes, “… Atlas MD recently finished their new electronic medical record. Mobile friendly and sleek with iPhone like usability, it is likely a dream come true to doctors everywhere dealing with their clunky medical record counterparts, or worse yet, paper.”

Thank you for the kind words, MedCrunch.

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Posted by: AtlasMD

January 9, 2014

CDC Study Finds Lung Cancer On The Decline

Finally, some good news in healthcare! The CDC writes on their weekly Morbidity and Mortality Weekly Report, “Lung cancer incidence decreased to a statistically significant extent from 2005 to 2009 among men in all U.S. Census regions and 23 states, and among women in the South and West U.S. Census regions and seven states. By state and age group, lung cancer incidence rates decreased or were stable in most states.”

But bittersweet already seems to be the theme of 2014. Two statements to look at:

“CDC has declared reducing tobacco use a ‘winnable battle’ and supports comprehensive efforts to prevent the initiation of tobacco use, promote quitting, and ensure smoke–free environments.”

“Although many factors might have contributed to this decline, a study of 44 states showed that strong tobacco control indicators were correlated with lower lung cancer incidence rates among adults age 20–44 years.”

From a doctor’s perspective, and a health perspective, this news is worth celebrating. However, the cause of the celebration is debatable. How much of this reduction in smoking was the result of strong patient-doctor relationships, versus decades of anti-tobacco PSAs? Again, we don’t have a problem with public service announcements or even people freely electing to smoke (although we’d never advise it). It’s just worth pointing out that there’s still room for family physicians to make an impact on our nation’s health — by getting to know our patients, earning their trust, and helping them make their own healthy lifestyle choices.

READ THE COMPLETE CDC REPORT HERE

Posted by: AtlasMD

January 9, 2014

High Notes In Family Medicine 2013

The AAFP published a year-end summary that’s definitely worth checking out. Here’s a list of things they’re celebrating (excerpted from aafp.com):

  • A survey showed that median first-year guaranteed compensation for FPs not doing obstetrics rose from $163,000 in 2011 to $170,000 in 2012.
  • In September, a Merritt Hawkins survey showed that family physicians topped the list of the most highly recruited physicians for the seventh straight year.
  • New survey results released on Dec. 18 revealed that Americans want physicians handling their healthcare:
    • 72 percent of American adults surveyed said they preferred physicians to non-physicians, such as nurse practitioners, when it came to their healthcare.
    • 90 percent of adults would choose a physician to lead their “ideal medical team” when given the choice.
    • By greater than a two-to-one margin, adults viewed physicians and family physicians as more knowledgeable, experienced, trusted and up-to-date on medical advances than non-physicians.

It’s apparent that our work in direct care is paying off. Back in May, the AAFP created its first DPC policy. And because so many people are interested in our work, they developed a document to answer family physicians’ questions. Although, even in family physicians’ successes, there’s something bittersweet – the fact that patients have to choose between liking a physician and a non-physician is exemplary of our aberrant healthcare system, one that’s heavily regulated, and preposterously inefficient. One thing that Atlas MD and direct care can promise is that you’re always going to see a doctor when you come in. That’s what you’re paying for, and what you’re getting. In the other places, it’s what someone’s paying for, and you MIGHT be getting, in varying degrees.