The stats are in. Looks like some doctors are doing a day’s worth of paperwork every week. There’s something clearly wrong with that picture. In the spirit of things not working in healthcare, here’s a well-designed infographic on where profits are headed for our industry as a whole.
David Shaywitz Asks Healthcare Customer Service, Why Not Us?
David Shaywitz wanted to get a flu shot for his child. So he used an app to find a location. The situation went awry and he wrote about it for Forbes. He was misdirected to a location that could not vaccinate his children, and then got the “we’ll transfer you to so-and-so” runaround at his own doctor’s office, culminating in multiple visits and “you’ve-got-to-be-kidding”-length waits.
Through his unfortunate experience he made three brilliant observations:
Okay, So The Free Market Isn’t Exactly “Free”
First things first, The Atlantic published a Health article online recently. It’s a doozy, and after reading it, we did wonder, did it need to be this long?
However, it addresses a poignant issue: Drug companies are motivated by malleable policies that end up creating more incentive for hair regrowth drugs than ones fighting global diseases that are “Biblically”-severe i.e. malaria, Dengue fever and others.
EPIC Fail in EHR/EMR
Here’s a quick rundown of factors contributing to EPIC’s EHR software failure. (Previous link no longer available.)
TENS OF THOUSANDS OF FEATURES
Microsoft Word has approximately 1,200 features/functions (this is rough estimate), most of which are ignored by common users. The problem with EHR software, though, is that the market is filled with hoodwinking, one-size-fits-all “solutions” all gimmicking for doctor’s dollars. MS Word has a core base of users (the entire professional, semi-professional and college-educated world) who are familiar with core procedures and who can adapt to new features with each version. EHR/EMR software DOES NOT HAVE THIS ADVANTAGE. Asking people to sift through tens of thousands of buttons and features to “figure out” how to do something is an exercise in futility. Yet it actually happens on the marketplace.
Insurance Companies Are Not Fighting Fair
Check out this May 8 article by The New York Times. They present government data suggesting that hospitals are charging upwards of 400% of actual costs for non-optional procedures.
It’s a complex issue but the worrisome fact is that competing hospitals are charging wildly different rates for similar procedures based on whether a patient is using Medicare, private insurance or isn’t insured. The worst news is that hospitals might be charging the highest rates to uninsured people to cover their bottom line.
Here’s where hospitals are taking a hit:
Fox News Columbia, South Carolina Reports On Concierge Medicine
MDVIP charges $1,500/year retainer, which comes to $125/month, a reasonable fee. However, the program operates within Medicare and traditional insurance payment. We sent out an email to find out more about what the retainer actually covers besides “all-access.” Mostly we’re curious if there are any benefits to the program that don’t entail insurance.
Cut Costs By Keeping Patients Out of the Hospital
The Atlantic posted a great article about Medicare and a private concierge medicine company providing exceptional preventative care. Give it a read.
The story covers Dr. Dougher, who works with HealthCare Partner as a primary physician in Los Angeles, California. But this is no ordinary doctor handling 1,500 patients, seeing 30-40 a day in a jam-packed office. No, Dougher sees six to eight patients per day, doing house calls for those too elderly to leave their homes.
The EHR Marketplace Is Looking Grim
Sad news in the EHR field. A recent report from American Medical News covers a class action lawsuit filed against AllScripts Healthcare Solutions (AHS).
AHS’ product, MyWay, an EHR software program, was discontinued in late 2012. As a result, another company who provides medical supplies is also suing the company, because the licenses they acquired for $5 million are now defunct.
Surprise! The Public Doesn’t Care About Healthcare.
That’s the conclusion that Gienna Shaw (@Gienna on Twitter) makes in her article on FierceHealthcare.com. She cites an interesting catch-22: Healthcare providers need to market their business to succeed but people don’t want to be marketed to by healthcare providers.
It’s a funny society we live in—people accept Fanta girls behaving in ludicrously sexual ways (seriously, how often do women in colorful outfits just start dancing, wait… This happens at sports games, which primarily sell food nutritionists cringe at)—or they’d rather see ginormous beer bottles and fast food hamburgers.
What’s going on at Atlas?
If you’re a patient, or a friend, welcome. If you’re a fellow doctor, or a participant in a related medical field, welcome too. We’ve made all kinds of friends in our short time since launching Atlas.
First, to our valued patients, and friends: You’ve supported us since we launched. You’ve been one of what are now 1,000+ patients who call Atlas home. You’re not the only reason Atlas exists, you are every reason Atlas exists. We are grateful that you’ve allowed us to provide unencumbered, honest-to-goodness healthcare. Thank you.
Atlas in Wichita is always going to be the birthplace of what we’re trying to do. Our first patients are the cornerstones of our goals. You proved that concierge medicine can work. But we want to make a bigger dent in the universe.