Posted by: AtlasMD

August 1, 2013

UPDATE: Good Communication Is Good For Your Patients (And Your Bottomline)

We came across an article from The Wall street Journal addressing patient communication. It’s worth reminding our doctors: evidence has mounted that good communication helps patients stick to recommended treatments and manage chronic diseases. It also improves outcomes in the management of diabetes, hypertension and cancer. As primary care physicians in DPC, we’re not always dealing with conditions this serious. However, we’re still prescribing medications. Our ability to be clearly dictate when to take them, and why we’re recommending our patient take them MATTERS.

In a separate but related issue, we mentioned last week that poor communication is more likely to get you sued than making mistakes. Evidently patients don’t want to sue a doctor they like. Although they are willing to file lawsuits against the unfriendly, un-empathetic doctor who harried them through their visit. The WSJ points this out as well, saying “lack of communication, after all, isn’t just frustrating for patients. It can hurt the quality of care, drive up costs and increase the risk of lawsuits. And under new Medicare rules, providers won’t get as much money if they rack up poor patient-satisfaction scores or too many preventable readmissions.” Thankfully, in our line of work this last sentence need not apply. We can’t begin to express how glad we are to NOT have to fill out ICD-10 codes or have our patients pencil in score sheets regarding our service.

Posted by: AtlasMD

August 1, 2013

New App From Pay-Pal Founder Wants To Use Big Data To Improve Healthcare

A ZD Net post reports that during a fireside chat with AllThingsD’s Kara Swisher at the 2013 Data Driven Conference on Wednesday, PayPal co-founder Max Levchin described the inspiration behind his latest startup, Glow. Glow is a mobile app launched earlier this year that’s trying to improve fertility using “big data.” Right now, the app quite literally wants to help women get pregnant, which in such layman’s terms sounds like a parody. But Levchin is serious that this type of app can lead to better doctor-patient decision making, and ultimately trim wasted spending. He’s stated that the company’s goal is to expand into other niches in the healthcare field in order to accomplish this.

Read more

Tele-therapist Uses Tumblr To Connect With Cash-Paying Clients

Tele-therapist Uses Tumblr To Connect With Cash-Paying Clients

We found the “Angry Therapist” while reading The Atlantic. Los Angeles therapist John Kim took an untraditional approach to building his practice. He acquired patients through a popular Tumblr blog. Writer Amanda Pelleschi says, “The site effectively harnesses the zeitgeist of internet culture – using memes and hashtags – and pairs it with a variety of classic psychological approaches (cognitive behavior therapy, dialectical behavior therapy, psychodynamic, etc), to bring psychotherapy to the millennial masses.” If you’re intrigued what this “zeitgeist” looks like, check out Kim’s website theangrytherapist.tumblr.com.

Read more

Workforce.com Highlights Proactive Benefits Of Direct Care, Challenges Critics

Workforce.com Highlights Proactive Benefits Of Direct Care, Challenges Critics

Workforce.com published an article responding to critics who say that a subscription model doesn’t make sense for direct care. Naysayers suppose that patients stand to waste money if they don’t use the service, much like an unused gym membership. But physician and health care consultant Dr. Zubin Damania, who is working with online retailer Zappos (they’re considering offering a direct primary care clinic to Las Vegas-based employees), had this to say: “Would you use car insurance to get your oil changed or tires changed? I see primary care the same way.” Hmmm, sounds like an analogy we’ve been promoting for a while now.

Read more

A Direct Care Venture Capitalist Finds An Obamacare Silver Lining

A Direct Care Venture Capitalist Finds An Obamacare Silver Lining

We mentioned New Atlantic Ventures (NAV) earlier in the month. They’re an investment firm backing, amongst many endeavors, direct care entrepreneurs who are helping hospitals insure their own employees. Evidently we’re not the only ones who think Obamacare will increase demand for cash-only medicine. The Managing Partner of NAV, John Backus believes there is a silver lining to forcing states to open a health insurance market and offer price transparency, increased costs due to all the red tape. And with this increased cost will come demand for more affordable options. It turns out that direct care sans middleman is exactly that kind of option.

You can read John Backus’ complete op/ed on Huffington Post.

More Doctors Steer Clear of Medicare

More Doctors Steer Clear of Medicare

And another doctor adopting “direct care” has gained mainstream media attention. Dr. Juliette Madrigal-Dersch is a physician in Marble Falls, Texas. She’s joined a growing number of doctors who choose to not accept payment from Medicare, Medicaid and private-insurance networks. The Wall Street Journal broke the story, saying, “Fewer American doctors are treating patients enrolled in the Medicare health program for seniors, reflecting frustration with its payment rates and pushback against mounting rules, according to health experts.” According to their research the number of doctors who opted out of Medicare last year, while still a small proportion of the nation’s health professionals, nearly tripled from three years earlier.

Check out the complete article (subscription required), or if you don’t feel like paying the news source, you can watch the ad-supported video segment.

Posted by: AtlasMD

July 28, 2013

A Tragicomic Irony: Pretending To Be Uninsured Might Save Patients Money

Dark Daily, our favorite watchdog publication, posted price comparisons between insured and uninsured patients. The numbers vary state to state, but the overall trend is that insured/Medicare patients are on average being charged a third of what uninsured patients are. This is a polar shift from the 1950s, when the poor and uninsured were charged the LOWEST rates of any patient. But there was also an ironic finding, steep cash discounts are being offered to patients who can pay for a service upfront. “[It was] suggested that when hospitals offer such deep discounts for paying cash, patients with high deductibles may be better off withholding their insurance information and paying the cash price.” This reminds us of a great quote by Richard Feynman, who says, “The thing that doesn’t fit is the thing that’s most interesting.”

More Reading
Hospitals Generally Charge Self-pay Patients Top Price for Care, but Some Providers Now Offer Deep Discounts for Patients Who Pay with Cash” | Dark Daily 

LISTEN: Atlas MD Podcast, Ep. 3

LISTEN: Atlas MD Podcast, Ep. 3

The third taping of the Atlas MD podcast is live. You can stream it on iTunes. Drs. Josh and Doug focused this week on dispensing prescriptions from your own office. The team goes over everything you need to know — state legislation, permits, etc. They also offer some tips about what’s realistic to prescribe and what prescriptions you’ll want to coordinate with local pharmacies.

Read more

Doctors, Let’s Not Forget That Patients Are People

Doctors, Let’s Not Forget That Patients Are People

Have you checked out Mind The Gap yet? It’s a blog written by Stephen Wilkins, MPH. He’s interested in physician-patient communication that’s both personal and professional. His most recent post (Via Health Works Collective) addresses the issue of relevancy, something that you might immediately think, that? Oh, I know that. But the truth is, if you’ve been a healthcare professional running through what Michael Tetreault called the “hamster wheel” then you might have developed some bad communication habits.

Read more

Even Satisfied Patients Think Direct Care Is “Too Good To Be True”

Even Satisfied Patients Think Direct Care Is “Too Good To Be True”

Dave Chase continues his Forbes expose awakening business and industry types to the benefits of direct primary care (DPC). Now having interviewed more and more DPC consumers, the recurring theme to their comments is something like “it’s too good to be true.” That’s a concern we had. You have this straight-forward, commonsense approach that saves everyone time, cuts insurance expenditures, cuts downstream high-cost treatments and can make doctors more money… The people who experience it love it. But how do we convince other people that it’s really happening, when happy patients can’t even believe it?

Read more