Should You Run An In-House Pharmacy?

Should You Run An In-House Pharmacy?

We recently received a query about the practicality of prescribing and filling prescriptions for your own direct care patients. Here’s why we do it, and why we encourage other doctors to as well.

46 states allow this type of operation.

Scratch the “Oh, it’s only allowed in Kansas” off your list of reasons not to give patients affordable meds. Currently, 92% of state governments are fine with doctors who prescribe the meds being the ones who provide them. (question, which states don’t allow it? We should add it if possible.)

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Posted by: AtlasMD

September 25, 2013

LISTEN: Atlas MD Podcast, Ep. 9

LISTEN: Atlas MD Podcast, Ep. 9

A new installment of our podcast is live on iTunes. Obamacare is just a week away and the climate is already shifting. That said, we are working to better healthcare with a bipartisan approach, direct care. It’s this bottom up pressure that we believe will transform actual care.

First off, congrats to Dr. John and Dr. Henry who are busy running their new direct care practice in Pennsylvania. They are surprised to be doing the opposite of what most everyone else is doing. Ironically, it’s exactly what they always wanted to do: practice medicine.

LISTEN TO EPISODE 9 OF THE ATLAS MD PODCAST HERE

Drs. Josh and Doug answer more questions and concerns that have been brought up — Should you integrate health apps into your practice? How can doctors use this data effectively? Why is Josh such a fan of FitBit (it’s cool, connected and really helpful for starters)? Will medicine get to a point where docs can track diabetics’ A1c levels daily or weekly?

As always thanks for tuning in.

Also, Drs. Josh and Doug will be in St. Louis on Oct. 12 and 13 attending the first summit dedicated to direct primary care. Send them an email or tweet if you want to meet the docs in person.

Atlas MD On Expanding Your Direct Services

It’s Dr. Josh here. We had a doctor write us in response to our Atlas MD price listing recently. The doc asked,

What about X-rays, MRI, and emergency visits like broken bones?

Thank you for the question. We’ll gladly expand on how we negotiate for discounted services.

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Crickets in the EMR audience…

Zackary Berger is a faculty member of the Johns Hopkins University School of Medicine. He contributed a new post to the Kevin MD blog (yes, we’re fans of Kevin, too!) because his institution recently switched from a home-grown EMR to EPIC, which as you know has been reputed to be an EPIC failure. Supposedly we’re reaching the “nexus” of electronic records and communication, a future where scientists and physicians and patients can give meaningful information and get meaningful insight in return.

Fact is, we think this future might remain for the time being just that, the future. That’s why we’re starting small, focusing our EMR on patients and docs having a meaningful electronic interaction. In time, this might lead to more paths of communication, and more meaning to be derived from digital data. The metaphor we use is this: imagine someone in a time predating the wheel, planning a system of stone roads. For now, maybe we should get the wheel spinning, and then see where we can go with it.

This complex highway of data and boxes and buttons might be a little premature. When Berger read an article by a colleague of his who is researching the use of these new EMRs he noticed something. Patients are given “access codes” in order to tap into the extraordinary benefits of these EMR programs. But guess how many people are actually activating them?

Only 20%. Hmmm, is that even a good number? Berger is wondering the same thing. We’re thinking it’s more like crickets in response to the big sell that is EPIC EMR, perhaps indicative of the disengaging reality of today’s EMRs.

READ ZACKARY BERGER’S NEW BLOG POST ON KEVIN MD

John Green Breaks Down The Inefficiency Of American Healthcare Spending

UPWORTHY linked us to a fantastic video from John Green, astronomically prolific writer and thinker, who explains why healthcare is SO EXPENSIVE IN AMERICA. It’s seven-minutes long but he covers EVERYTHING. Did he mention the red tape? Of course he did. And he also mentioned a fundamental reason for Americans overpaying for EVERYTHING healthcare-related. It’s rooted our inability to negotiate the prices we pay. One thing he didn’t mention? Direct care. And to his point, we are a David up against a Goliath system. But before we turn to the government to negotiate for us, let’s consider the alternatives, doctors like us who can use our power to help patients get the care they need at a price they can afford.

Oh, and in case you’re wondering, Who is Hank? Hank is John’s brother. They have amassed over 300 million views on their vlog brothers YouTube channel where they take turns explaining things to each other.

Click through for some helpful links John Green provided along with the original video… Read more

LISTEN: Atlas MD Podcast, Ep. 6

LISTEN: Atlas MD Podcast, Ep. 6

Tune in to the newest taping of the Atlas MD podcast. You can stream episode 6 for free on iTunes.

Drs. Josh and Doug are back to talk direct care and concierge medicine. This week the focus is on the nerve-wracking part of launching your own insurance-free practice — selling patients on your service. We don’t want doctors to feel like used car salesmen, but at the same time, the doctor who can outline why their model saves time, money and provides a superior service will attract more patients. We go over our model and how we break down our price points by age. Also, a myth doctors will need to dispel is that concierge medicine and direct care are only for the 1%. That’s not true. Our model is built under the idea that the best care offered at the best price can, and will, help the most people.

7 Things Transitioning Direct Care Physicians Need To Consider

7 Things Transitioning Direct Care Physicians Need To Consider

Okay, so you’re sold on at least four key benefits of practicing direct care and/or concierge medicine. However, in order to realize your own direct care success, you’ll need to make certain preparations.

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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 15, 2013

One Doctor Searches For Answers To Our Failing Healthcare System

downloadDr. Michael Painter and his wife Mary each lost a parent. In his wife’s case, her mom died peacefully at home. But Painter’s dad experienced something far more traumatic. He received an early morning call from paramedics regarding his otherwise healthy and vigorous 72-year-old. His dad had fallen at home. Because the responders on the scene presumed a stroke, he was taken to a hospital with a neurosurgery speciality rather than one with a trauma center.

This decision proved fatal.

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