Myth Buster, Cash-Only Medicine Edition

Some people have a knee-jerk reaction when asked about direct primary care: “Only the rich can afford direct primary care” and the end result will be “fewer doctors seeing fewer patients”. These statements are true but ironically only in context with the current dysfunctional system that impairs quality by reducing actual patient care time. It’s this patient mill mentality that drives doctors away from a career in primary care, and further exacerbates the problem. Its leads to efficiency delusions like Meaningful Use Stage 2, and ICD-10 billing codes and fast-talking EMR vendors which all to the red tape that makes healthcare so needlessly expensive.

The current insurance-driven primary care system is underfunded and overburdened and gives poorer quality care than a direct care system would. The top 9 conniptions about direct care are as follows:

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Cut The Red Tape: Dr. Ciampi — Portland, Maine

In South Portland, Maine, Dr. Michael Ciampi took a step last spring that Bangor Daily News said some physicians would describe as radical (not us, though). He reclaimed his practice from the Mercy health system because he found that patient care was too impersonal. Then he stopped accepting insurance and Medicaid so that he could work more directly with his patients. Earlier in 2013, Ciampi sent a letter to his patients informing them that he would no longer accept any kind of health coverage, both private and government-sponsored. Given that he was now asking patients to pay for his services out of pocket, he posted his prices on the practice’s website.

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Direct Care Is Business. And Its Business Is Serving Patients.

Last year, the New York Times wrote about Orlene Paxson, a 33-year-old, stay-at-home mom. Living on Manhattan’s Upper East Side, she was unable to find an obstetrician that she liked who would accept her insurance. A lot of them weren’t accepting new patients, and one doctor who came highly recommended didn’t return her call for five days and didn’t want to see her until 12 weeks into the pregnancy. This was Mrs. Paxson’s first time being pregnant. She didn’t want to wait. Her policy didn’t cover any out-of-network services, but she and her husband went the cash-only route and paid the entire fee themselves — $13,000.

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We Think We Know The Answer… But How Has Your Insurance-Free Medical Experience Been?

At the end of their recent article about cash-only medicine, The New York Times asks, “With all the changes in health care and insurance, has your doctor stopped accepting insurance? If so, what has been your experience — both with the care and with your insurer? The article title is warily slanted — “Dealing with Doctors Who Only Accept Cash” — but the writer shared their own wonderful story about a cash-only doctor who drove an hour and a half to successfully take care of a sick baby.

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Bloomberg Businessweek Investigates The Future Of Medicine — Cash-Only Clinics.

Bloomberg Businessweek wants to know what’s in store for our nation’s healthcare future. We are facing a staggering shortage of doctors, along with a growing demand for providers precipitated by Obamacare. In spite of thee challenges, there are doctors and entrepreneurs emerging, people searching for better outcomes. Our direct care operation, Atlas MD, was actually the first practice profiled in Bloomberg’s article. They shared one of our harrowing stories — helping a struggling, uninsured woman address her thyroid issues, and regain her vitality, for $147 instead of ~$1,500 a hospital would have potentially charged her.

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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.

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