Bionic.ly put together a rather comprehensive list of Apple’s and Google’s digital healthcare milestones on their website. Even if you aren’t going to use or purchase all of them, it’s worth considering as we gain traction on the ever-changing healthcare landscape. For sure, it’s exciting. Startups are rushing to the market, both disrupting existing products — our Atlas.md EMR could definitely be considered a disruptive technology — and reifying existing problems e.g. digital EMRs that help doctors navigate exponentially crippling ICD-10 codes.
Tag Archives: Direct Care
Healthcare Spending On The Decline
When we got to this article, we crossed our fingers that it wasn’t some slanted link bait. The New York Times is actually reporting that healthcare is already slowing down growth on the U.S. economy. Thank you, Obamacare! Healthcare has been a sector known to help the economy recover from recession. And now, it’s lagging behind. Some facts to consider courtesy of the Times:
White House Delays ACA’s Red Tape (With More Red Tape)
We love the smell of Red Tape in the morning. In Washington, The New York Times is reporting that the Obama administration announced on Monday that it would “postpone enforcement of a federal requirement for medium-size employers to provide health insurance to employees and allow larger employers more flexibility in how they provide coverage.” Wow, that’s such mouthful we couldn’t bring ourselves to paraphrase it. Let’s break it into smaller parts.
Happy Doctors Go With The Flow (And Cut The Red Tape)
Dr. Brian McDonough, Medical Editor of CBS Philadelphia, made a sad recommendation when he said, “Next time you see your doctor you might want to ask if he or she is happy.” Ouch. According to a study last year, 42% of docs admit they are ‘dissatisfied’ or ‘very dissatisfied’ in their medical practices, and 59% say they are unlikely to encourage a young person to go into medicine (talk about exacerbating the doctor shortage). Compare that with only 16% of physicians reporting a generally favorable outlook about their career future. Read more
17 Game-Changing Health Start-ups (And 5 Brought To You By Red Tape)
Inc.com claims you can find everything you need to know to start and grow your business now. They published a slideshow of 17 promising healthcare startups and we noticed some trends: fitness is big, which makes sense. If we get more people moving, we get fewer people coming in for preventative care — heart attacks, obesity, Type-II diabetes. However, we also noticed how much inspiration for entrepreneurship stemmed from red tape.
Here are some slideshow highlights:
A Slice Of Direct Care In New York City
NY1, a 24-hour cable-news television channel focusing on the five boroughs of New York City, aired a segment covering Dr. Muney’s direct care practice in New York City. AMG Medical Group charges $89/month for unlimited free visits — opening abscesses, laceration sutures — and even arranges for insurers to pay for services. It’s a little different than what we’re doing, but a great example of splitting the difference. That’s because Dr. Muney advocates wrap-around insurance coverage like us. One of his patients is so pleased with the service that he admits he’d be willing to pay the Obamacare tax penalty if he chose to forego his current catastrophic healthcare plan.
VIEW DR. MUNEY’S SEGMENT ON NY1 (Via Physician Tools)
Great news: AMG Medical Group operate offices in all five boroughs and Long Island. The practice has ~1,500 patients currently enrolled.
LISTEN: Atlas.md Podcast, Ep. 14
We’re back and a LOT has happened! Seriously, 2014 is going to be a year of paradigm shift — the status quo isn’t going to cut it if insurance premiums jump 50-60% and fee-for-service docs are being told to keep 6 months of cash on hand to protect themselves from ICD-10 payment delays. Great news, though, we’re working with large unions comprised of 10-15k employees — manufacturing unions, school district unions, others — and excited about how vital this could be in the spread of direct care. And there are more physicians cutting the red tape — A practice in Oklahoma opens April 1st; Dr. Michael in Missouri is almost ready to start operating cash-only; an office in New Mexico opens February 1st; and several more are slated for the next few months. Once this ball gets rolling, we’re convinced it’s not going to slow down.
LISTEN TO EPISODE 14 OF THE ATLAS MD PODCAST HERE
In this episode, the docs outline best practices for direct care pricing, share a surprising story of insurance intimidation, and offer insight into the effects that insurance-free medicine will have on healthcare.
Red Tape Wraps Up A Preventative Healthcare Clinic
MDPrevent closed on Dec. 27 2013. The preventive-medical practice was co-founded in Delray Beach, Florida three years ago. It’s premise was that patients would be better off if doctors focused on preventing disease instead of simply treating it. They ran into problems, though, and one of them was red tape. They claim that ultimately the three major healthcare industry players — providers, payers, and patients—all shared some responsibility for their failure, though.
Their experience with bureaucracy was costly. For every dollar they collected, their expenses were three times as much! Their vision was altruistic, and they’d assembled a team that included a health psychologist, registered dietitian, exercise physiologist, yoga instructor, health educator, and nurse practitioners. They designed a custom facility that included a teaching kitchen, a gym, and classrooms.
What turned out to be a huge mistake though was basing their business plan on insurance reimbursement rather than cash-only payments. They lost serious money, around $2 million in personal capital. When they saw how expensive operating was, they started cutting costs, trimming staff down to a health psychologist, a registered dietitian, and the founding doctor, who writes, “Medicare reimbursement we received for our services still could not cover our costs. I even abandoned the offices we had built-out and moved to less expensive quarters we shared with an internist. It still made no difference.” He adds, “Most of the third-party insurance companies in the area did not cover our services. Medicare was the exception, but reimbursement was insufficient to cover our costs.”
Infographics: Walmart Health Plans Are Cheaper And Offer More Coverage Than Obamacare
The Washington Examiner played Obamacare watchdogs recently and came back with some shocking figures. You know we’re not insurance people per se, but we are free market enthusiasts. And to be clear, these numbers might be a little misleading (no one in support of Obamacare was willing to provide data to the Examiner). That said, scroll down and check out these infographics comparing Obamacare and Walmart’s health plans.
Some highlights: Walmart employees in Chicago can find way more options for way less cash. And plans/deductibles nationwide are far cheaper for Walmart employees. Plans granting access to prestigious hospitals like the Mayo Clinic are even included. And some plans offer up to $1,000 cash for flex-spending, perfect for a family to enroll in a direct care clinic.
INTERVIEW: R-Health Is Philly’s Newest Direct Care Facility
Mason Reiner and Dr. Randy Robinson co-founded R-Health back in October 2013. The startup charges an Atlas MD-style monthly membership fee that grants access to see primary care doc with no co-pay or deductible. Individuals, employers, unions and small businesses are all eligible to participate.
Michael Hinkelman of Philly.com talked to Reiner recently.