Direct Care + Worker’s Compensation = An Interesting Idea

Direct Care + Worker’s Compensation = An Interesting Idea

A subscriber emailed us over the weekend asking if direct care and worker’s compensation have ever been merged. It’s an interesting concept that until now we haven’t considered. J (name changed to protect identity) writes:

I’d love to hear of Direct Care doctors who handle Work Comp & basic Occ Med for employers. My company pays cash for Occ Med procedures (UAs, DOT medical exams) and First Aid procedures. Are there any doctors who handle injuries for self-insured employers who pay cash for injuries up to a certain point (ie $10k, $25k)? 
Thank you,

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You’re Going To Love Direct Care Even More

We’ve heralded the Atlas MD-style of direct care for years now. Mostly for its simplicity — you get rid of the most aggravating part of practicing medicine, the insurance billing; you start spending more time with patients, who actually pay you; you make more money, doing the enjoyable part of your job. Then add on the benefits to your local community, such as decreased ER visits. This means emergency staff can focus on legitimate trauma, and not be burdened by cases that yes, might be painful, but can be quickly remedied by your on-call physician. Oh, and by providing 24/7 access to a doctor for a yearly fee of around $600 patients actually make appointments (by the way, $600 equals less than two months of a typical full coverage, PPO health insurance plan, an expensive plan you won’t need since your doctor visits are now free, along with copious other procedures). And, to top it off, things like MRIs and other costly procedures have been negotiated at reduced costs. Don’t forget downstream benefits of proactive care for insurance companies who won’t dole out payments to treat preventable conditions like high blood pressure and type II Diabetes.

Oh, right, but we had something to add to the snowballing benefits of direct care. Practicing physicians can also cut their malpractice insurance premium in half *. Yep, that’s right. Even the insurance agencies know that when patients come in to see a direct care physician, their doctor has time to make proper diagnoses, and provides more reliable care. Therefore, the chances of something being overlooked or mistreated are reduced.

* According to Brian Forrest, MD

Try The New Online Obamacare Calculator

Try The New Online Obamacare Calculator

Scott Borden is the HSA Guy. He’s an outspoken critic of government regulation as well an advocate for HSA funding being utilized in the direct care realm. Oh, and in his spare time, he created a series of online Obamacare calculators to help you make quick cost comparisons between your current healthcare plans and those offered by state insurance agencies. Questions The Calculator Will Answer

  • Should I keep my existing plan or get a new one in the exchange?
  • Should employees and their dependents remain on employer plans or get individual policies?
  • Will I qualify for a subsidy?

And while we’re on the topic of Obamacare, if you have seven minutes, here’s a helpful rundown from the folks over at YouToons:

No Copays, Easier Pills May Reduce Blood Pressure

No Copays, Easier Pills May Reduce Blood Pressure

According to AP, “New research suggests giving patients easier-to-take medicine and no-copay medical visits can help drive down high blood pressure, a major contributor to poor health and untimely deaths nationwide.” They released a new article highlighting the optimistic results. This is a major win for common sense, something direct care has been sticking up for years now. If people don’t have to pay to come in to the doctor, they will see the doctor. Of course, we want to toast these findings with everything in the cabinet. But, to be fair, let’s go over what actually happened in the study.

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What Are Consumers Looking For In At-Home Medical Products

What Are Consumers Looking For In At-Home Medical Products

We’re fans of at-home medical care in conjunction with direct care. And that’s not just lip service. We’ve designed our own personal EMR software to communicate with self-monitoring healthcare apps like FitBit. MedGadget‘s recent post spells out the factors of a good at-home medical device, and the benefits of getting these well-made devices in consumer’s hands. It’s worth  a look.

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Yet Another White House Obamacare Delay: Out-Of-Pocket Caps Waived Until 2015

Remember how everyone’s been talking about that unseemly document, the one that was well over 1,000 pages and included all the details about Obamacare? The details that no single person could fully articulate? These were the details that had us all saving money somewhere, supposedly.

In case you haven’t heard, the cat is out of the bag. It now looks like that maze of text might not even matter, since federal officials secretly passed a ruling that would grant a one-year grace period to some insurers, allowing them to set higher limits, or no limit at all on some costs, in 2014. According to The New York Times, “The grace period has been outlined on the Labor Department’s Web site since February, but was obscured in a maze of legal and bureaucratic language that went largely unnoticed.”

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UPDATE: Dr. Josh’s Interview With The Objective Standard Now Available Online

Head over to TheObjectiveStandard.com to read Dr. Josh’s recent interview with Ari Armstrong. We sent out a PDF copy last week to our subscribers, but if you missed it, you’re in luck. You can check it out right there on the website, or download it as a PDF.

In the interview, Dr. Josh fleshes out his vision of direct care, one that’s taken the interest of influential parties, including patients, doctors, insurance companies, and even members of the state congresses. Yes, direct care sounds utopic, and therefore unrealizable, but if you remove the bias and look at the data and listen to its success stories, it’s clear that healthcare wins when doctors spend time with patients and not paperwork. Of course, direct care doctors see many fewer patients than those operating inside the red tape, and Dr. Josh addresses this issue with honesty and conviction.

Ari Armstrong is the assistant editor of The Objective Standard, and a writer/blogger based in Colorado. Besides purveying the philosophy of Ayn Rand, his book Values of Harry Potter: Lessons for Muggles explores themes contained within J.K. Rowling’s beloved Harry Potter novels. Obviously, Ari’s well-rounded. Thanks to him for conducting such an insightful conversation about direct care.

Posted by: AtlasMD

August 20, 2013

Huzzah! Clayton Christensen Institute Explains EHR’s Inevitable Failure

Huzzah! Clayton Christensen Institute Explains EHR’s Inevitable Failure

The Clayton Christensen Institute For Disruptive Technology is a think tank that understands how different products can actually start small and grow into prominence in the marketplace. You can read their reasoning for why EHR is not disrupting the marketplace here. Their article explain why most EHR offerings are just a more expensive way to do what paperwork is already doing. This fact, coupled with government incentives, makes for what they call a sustaining model, where each year you are offered new, more expensive products that are hardly an improvement from the year before. In the end, it’s a mean game of horse and carrot, and not a “disruption” that improves industry output and “consumer” satisfaction (doctors in this case are the consumers, and the output is more efficient hospital operation). So yes, we are talking theory here. But, the model’s predictions do match the data–which is that hospitals have spent lots of money on software and seen paltry results.

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Live Stream Dr. Josh’s Press Conference On Monday, August 19 @ 1 PM CST

Great news. Dr. Josh has been invited to Skype in to a live press conference held by the Michigan State Government. In case you missed it, state legislators in Michigan have taken a stance for less bureaucratized healthcare. The event will be addressing this topic and related issues. There will be speakers from both House and Senate committees, and professionals in the industry. The speakers will hold a live Q&A afterwards.

The entire event will be both videotaped and broadcast live on Michigan Government TV. You can access the live feed on Monday here. (Look for the August 19 session titled 1PM. If you’re on a desktop, it’s on the top of the left column.)

If you can, please share this post with other doctors you think would be interested. Hope you’ll be tuning in Monday!