Terri Durheim and her family now have health insurance, courtesy of Obamacare. But what they don’t have are local doctors and hospitals who will take it.
Tag Archives: i want direct care
Denial, Deception, And Health Insurance’s High Premiums.
We all know insurance companies like to insert themselves into just about every aspect of health care. Many insurance plans make you go to an approved doctor at an approved hospital for approved procedures and take approved drugs. Fee-for-service docs don’t have much say here. They’ve handed all this control to insurance companies and the insurance companies use it, they say, to control their own costs. But is that all they use it for?
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:
Yes, The Customer’s Always Right. And That’s What’s Wrong With Fee-For-Service Medicine.
If you’re a patient dealing with insurance, Stephen C. Schimpff has something to tell you. You aren’t really your physician’s customer. That’s because the insurer will decide whether and how much to pay the physician after they’ve seen you. You’re largely a bystander in the relationship, he says. The doctor’s customer is actually the insurer.
We Know Fee-For-Service Healthcare Has Problems. But Would You Guess That It’s Hurting Patient Credit Scores, Too?
Mounting evidence shows that chaos in medical billing isn’t only affecting our nation’s health. It’s marring the financial reputation of many Americans. That’s because the bills themselves can take months to sort out, and medical debts can be reported rapidly to credit agencies, often without notification. Even small unpaid bills can severely damage credit ratings.
You’re Paying That Much For Your Phone? You Can Get A Personal Physician For The Same Price.
Epiphany Healthcare in North Port, FL, is another member of our burgeoning direct care movement. American Enterprise Institute wrote about their model and included the price comparison table above. Two obvious points worth mentioning — ACA Bronze coverage DOES NOT do much for patients and still costs a serious amount of money. It might feel safe because it includes catastrophic coverage… But here at Atlas MD in Kansas, we’ve helped patients get wrap-around coverage with a $5,000 deductible for less than $150/mo… Meaning that with direct care and wrap-around coverage combined, we’re giving you more care, and security, for potentially the same price as a Bronze ACA plan.
We Love Seeing Direct Care In The Local News. But We Never Said, “No More Insurance.”
Direct care made a local news segment in Kansas City. But Dr. Troy Burns wasn’t too happy with the title of the online article that accompanied it. It reads, “Doctor’s new orders: No more health insurance.” Thank you, Fox News, for taking notice of our model of care — one that’s affordable, practical, and is making patients and doctors happy. However, we have to point out that insurance is DEFINITELY necessary in the event of trauma or catastrophe.
American Healthcare Deception Starts And Stops With Insurance
Dr. Sandeep Jauhar, M.D. posted a powerful blog entry on the New York Times website. He describes the ideal doctor-patient relationship, a place where intimacy transpires and information is exchanged openly and honestly. But he adds a caveat: “That is seldom the reality… Deception in the doctor-patient relationship is more common than we’d like to believe.”