Atlas MD Podcast 17 — Meet Dr. Michael Palomino

Atlas MD Podcast 17 — Meet Dr. Michael Palomino


And we’re back. We brought in a special guest for this week’s episode–our own Dr. Michael Palomino!

It’s go, go, go in the world of Direct Care. First off, we’re excited that Dr. Samir Qamar of MedLion was able to start DPC United. The association will organize and promote our cash-only model of healthcare. Remember, Direct Care is competitive but it’s not winner-takes-all. Physicians are in this together. Education and awareness are critical to our movement because insurance has our nation in a subservient position: People are under the impression that coverage is absolutely necessary for ALL healthcare, when we know that’s not the case.

And more exciting news. EMR has been fully funded for 2+ years of ongoing development. Direct Care docs, take note: we’ll be continually iterating on our revolutionary software tool. In fact, we recently rolled out a new update. Check out the list of feature updates here. And please, keep emailing us all of your feedback so we can continue honing Direct Care’s premiere software.

Dr. Doug Gets Down To Business In Minnesota

Dr. Dog Nunamaker leaves no stone unturned in his AAPS panel. Topics include the myth of health care insurance, the logistics of subscription-based medicine, and Atlas MD’s burgeoning success…

Meet Atlas MD, Wichita’s Premiere Cash-Only Family Practice

Dr. Josh Umbehr cofounded Atlas MD in 2010 with Dr. Doug Nunamaker. Fresh out of residency, we’ve found tremendous success providing cash-only medicine — from zero subscribers to three docs and a full roster of patients.

Here, Dr. Josh speaks at the Association of American Physicians and Surgeons Conference.

If you’re new to Direct Care, this video will introduce you to an innovative insurance-free model of family medicine.

And if you want Direct Care in your area, make sure to register at “I Want Direct Care“. It only takes a name, email, and zip code to add a pin on our interactive map — and prove the demand for affordable healthcare.

Why Do Great Leaders Inspire Action? They Share A Compelling “Why”.

Direct Care docs, current and aspiring, do you have a few minutes?

Then check out this TED Talk by Simon Sinek. He shares his insight on how great leaders — from Jobs to MLK, Jr. — inspire action in their supporters.

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Stream The Next Atlas MD Podcast, Episode 16 >

“Medicine is a business,” says Dr. Doug Nunamaker, “And how our nation’s doing it isn’t working.”

Listen to Drs. Josh and Doug discuss Direct Care in the latest episode of the Atlas MD podcast.

Ditching insurance companies and running a successful business isn’t for the faint of heart, but it’s the only way that family care will keep doctors and patients healthy and happy.

However, one of the biggest challenges for a new Direct Care doctor will be the transition. Which is why we recommend that patients pre-enroll in your Direct Care clinic before you make the switch. Feel out which patients are going to join you, and for those who aren’t ready to follow your lead yet, no worries. With the proper planning and commitment, you can help all your current patients find primary care, and run a profitable business.

If you’re considering a transition into this affordable, powerful alternative to the hurried world of fee-for-service medicine, make sure to visit There, you can create a Clinic Account to let potential Direct Care patients know where you plan to offer cash-only medicine.

Direct Care Is So Good You Will Cry. Stream ATLAS MD PODCAST #15…

Direct Care Is So Good You Will Cry. Stream ATLAS MD PODCAST #15…

Thank you for Tweeting us your direct care questions. We went through and answered them one by one in our newest podcast. Someone asked about how many patients we’re seeing. Great question! We’re proud to say that we’re seeing about 1,500 patients in total now, and that Dr. Palomino is seeing ~415 patients after entering Atlas MD last May.

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Sean Hannity’s Realistic Healthcare Solutions Include Atlas MD-Style Direct Care

On March 25, 2010, President Barack Obama said, “From this day forward, all of the cynics, all the naysayers — they’re going to have to confront the reality of what this reform is and what it isn’t. They’ll have to finally acknowledge this isn’t a government takeover of our healthcare system. They’ll see that if Americans like their doctor, they’ll be keeping their doctor. You like your plan? You’ll be keeping your plan. No one is taking that away from you.”

Unfortunately, Obama’s PREDICTION is not the REALITY. And it’s not just our opinion, but Sean Hannity’s too, that maybe we should put less emphasis on “the plan” and in turn, less emphasis on government. Hannity is even going so far as to cite our direct care model in his vision of an American healthcare solution.

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STREAM: Concierge Medicine vs. Direct Care

We found this podcast from KPCC in Southern California and thought it was worth sharing with you. But not for the usual reasons. This episode takes a critical look at concierge medicine, asking, “Is concierge medicine pushing the nation’s doctor shortage over the brink? As the practice gets more affordable, is this a way for the uninsured to still get care? Is direct a la carte pricing a better way to bill patients for medical care?”

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LISTEN: Podcast, Ep. 13

LISTEN: Podcast, Ep. 13

Happy New Year! The direct care duo starts 2014 with good news and exciting updates. We’re happy to report that we’ve been consulted by Kansas University; in the near future, more students will be getting a glimpse into the world of insurance-free medicine through their curriculum. International pins were placed on the I Want Direct Care map (including clinics and patients in the U.K., Vietnam, Argentina, and more). And a humblebrag warning: we were interviewed by Harvard Business Review, so keep an eye out for that.


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LISTEN: Atlas MD Podcast, Ep. 10

LISTEN: Atlas MD Podcast, Ep. 10

Apologies for the delay, everyone. We’ve had a bit of construction in the office here, and we’ve been on the road, too. That said, the next installment of our podcast is live on iTunes.

Obamacare was unrolled and docs are wondering what that means for direct care. For the most part, we are safe. Patients’ insurance plans, not necessarily. If you want to get a better understanding of the direct care landscape, there’s a great source, though. Just visit and have a look. There are tons of informative articles about the law.


In this episode, the team went to San Diego for an AAFP conference where they were bombarded with questions (arrived an hour early and stayed two hours late)! Then Dr. Doug shares a story of how the system prevents docs from practicing good medicine (and how he saw a patient immediately when her doc offered her an appointment 6 days later). Dr. Josh goes over more direct care math, and that’s just the beginning…

Oh, we’re heading out to a few different conferences where we’ll be talking to more docs about our model, including the Physicians Summit on Nov. 1. Maybe we’ll see you there, or elsewhere. As always, thanks for tuning in, and if you have any questions, please, send us an email: hello[at]