Podcasts about dpc

Episode 116: Dr. Sumul Modi of Celeste Brain Health - NC and TX Dr. Sumul Modi is a Neurologist by training. Tired of the administrative demands that he never envisioned when he dreamed of becoming a physician, he wanted a better way to practice. So, he and his wife, a fellow neurologist, left and opened up their own exclusively telemedicine-based neurology clinic, Celeste Brain Health. Dr. Modi shares how he is able to spend most of his time looking at his patients and not looking at the computer. He also chats about how he is able to set his hours, choose the tech that supports his practice and  why he is unlikely to go back to practicing in a brick and mortar space any time soon!Read more about Dr. Modi and other My DPC Story guests at https://mydpcstory.com!*Request a DEMO of Hint All-in-One HERE!*Get Elation's New Practice Checklist HERE!Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

*Want one piece of business strategy delivered daily to your inbox?* Subscribe here: geraldinecarter.com/subscribe How can CPAs grow their accounting practice when they're over capacity, underutilizing their talents and not providing optimal client support?  Many CPA firms still rely on the hourly billing business model, where the firm has to log more work hours providing services to increase revenue. It focuses on hours and deliverables, not on results and value. A compelling alternative is the subscription business model, where the provider enables serial transformations to the buyer, and continually adds value to the experience. The subscription model creates an opening for predictable, recurring, higher margin revenue.  In this week's episode, I talk about the subscription model with my guest, Ron Baker.  Ron is the founder of VeraSage Institute—the leading think tank dedicated to educating professionals internationally, and is a radio talk-show host on the www.VoiceAmerica.com show: The Soul of Enterprise: Business in the Knowledge Economy. Ron has authored seven best-selling books, including: The Firm of the Future; Pricing on Purpose; Measure What Matters to Customers; and Implementing Value Pricing. His latest book, co-authored with Paul Dunn, Time's Up!: The Subscription Business Model for Professional Firms, was published in November 2022. In this two-part conversation (episodes 233 and 234), we talk about: Why Ron wrote his latest book, Time's Up Pricing strategy and positioning  Subscription model and DPC (direct primary care) doctors How the subscription business model can help CPAs transform their clients' life Highlights: — “If you go to the market with a common offering, you're going to command a common price.” — “The true value of accountants lie in guiding transformations. They have the power to advance their customers.” — “To differentiate, CPAs should be able to guide the customer to the desired future state.”   

Episode 115: Dr. Neil Panchal of Paging Dr. Neil - NY Metro & New JerseyDr. Neil is an ER-trained physician who ended up working in different ER settings in multiple states in order to find a way of practicing medicine where he could practice emergency medicine AND build relationships with his patients. Sound far off from what we expect an ER physician to say? Take a listen and learn how Dr. Neil found his perfect balance practicing under the DPC model!Subscribe so you don't miss an episode!My DPC Story - a podcast about Direct Primary Care. Find more at https://mydpcstory.com! Watch the episode on YouTube!*Request a DEMO of Hint All-in-One HERE!*Get Elation's New Practice Checklist HERE!Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Chris welcomes Dr. Candace Walker to his podcast, Healthcare Americana. Dr. Walker is a practicing direct primary care physician and owner of Flowing Life Direct Health in Atlanta, Georgia. She has been utilizing a business model to provide healthcare to her community. Christopher asked how the practice was going, to which Dr. Walker replied that it was going great. She is living her dream and is happy to wake up every day to her passion. Christopher concluded the conversation by emphasizing the importance of putting patients first and restoring trust in American healthcare.This conversation focuses on the experience of a doctor who has adopted the direct primary care model. Through this model, Dr. Walker is able to practice medicine in a way that is more patient-centered and free from the restrictions of health systems. Although the doctor is still quite new to the model, she is learning the business side of it and has already seen the positive impact it has had on patient experience. Patients who come in to see the doctor are often those who have not been able to get the answers they need from prior experiences, but through the direct primary care model, the doctor is able to provide them with the understanding and empowerment they need for their health.Chris and Candace discuss the importance of having control over one's own health, and how it is an important factor in the fulfillment of a doctor's work. When a doctor is able to help a patient attain their health goals, it is a very satisfying experience for both parties. Dr. Walker then goes on to discuss the art of doctoring, which is the intersection of art and science in the practice of medicine. She then talks about their experience in the last six months of practicing in their new Direct Primary Care (DPC) practice and how it has differed from their patient interactions before. The speaker mentions that they have had to learn the business side of health care quickly, and also have come to understand what they do and don't want in their practice. They have been able to tweak certain systems that were aggravating in the traditional healthcare system and help people understand the different model of health care that comes with DPC.Dr. Candace Walker, a physician and owner of Flowing Life Direct Health, discussed the public perception of physicians and why the current healthcare system is not set up to support a caring, intelligent approach. She believes that 99% of doctors would like to spend more time with their patients, but due to time constraints and certain metrics, that is not always possible. Walker also encourages other physicians to remember the power of their training and to consider other models of practice that can fulfill their needs. She likens the current system to a 1984-style mindset where doctors are often commoditized and reduced to a list of names.TIMESTAMPS 0:00:00 Dr. Candace Walker Discusses Her Journey to Success with Freedom Healthworks0:02:57 Exploring the Benefits of Direct Primary Care0:04:22 Benefits of Direct Primary Care (DPC)0:06:46 Public Perception of Physicians0:11:38 The Benefits of Primary Care and the Doctor-Patient Relationship0:13:19 Direct Primary Care and Networking for Business Growth0:17:38 Conversation on Networking and Sharing Professional Experiences0:19:12 Direct Primary Care and Best Practices for Physicians0:21:09 Physician and Owner of Flowing Life Direct HealthHIGHLIGHTS Hello, I'm Dr. Candace Walker, creator and owner of Flowing Life Direct Health. I'm a board certified family physician, and I offer direct primary care to the community. We offer membership based services for all your primary care needs. We also offer some non member services like IV drip, therapies, and deep dive...

Dr. Jamie Glover of Glover Family Medicine opens Season 3 of My DPC Story! She shares how she brings her experience and love of her specialty, Family Medicine, to the Medical Students she inspires, her patients and her local community.  Over the past six years , she has been through a lot - choosing tech, accepting any one and everyone, closing her practice with a waitlist, changing staff and workflows and watching her practice grow as other DPCs open around her. Whether you are exploring DPC, planning to open, or have been open for years, Dr. Glover's story of her Direct Primary Care practice is truly the perfect episode to open Season 3!*Request a DEMO of Hint All-in-One HERE!*Get Elation's New Practice Checklist HERE!Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Welcome to the Fore Golfers Network Podcast Ep 361 - Introducing The Detroit Putter Company During the Michigan Golf Show in Novi, thousands of golf fanatics perused the great deals on trips, clubs, clothing, and all things golf - as part of the nation's largest consumer golf expo. But perhaps the most intriguing exhibit came from a new player on the golf scene - The Detroit Putter Company. This family-founded group combines a passion for the game with a unique engineering and design background that has led them to produce a remarkably gorgeous and effective line of putters that are quickly drawing comparisions to what "Shinola" has done with watches. You'll hear the DPC origin story and have a chance to win a great prize package, so enjoy this introduction to an exciting Michigan-based company and be sure to get your entry sent in before 10p on Saturday, March 11! ---------------- Subscribe to the FGN Podcast Watch FGN videos on YouTube Check out our other sports pod: Church Pew Sports TEXT or CALL (989) 787-0193 to share your thoughts, comments, suggestions, and questions      

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Cheating in the DPC? Lima major groups? Fnatic? Cap and Blitz? There's a lot to catch up on, friends! @leafeator @capcasts https://www.patreon.com/sidepull

Liquid went 7-0 in the opening season of 2023 and Blitz talks about Matu being an anchor, Boxi proving everyone wrong, Nisha's metamorphisis and why Insania is a selfless captain. Outside of Liquid, we reflect on what's going on in SEA, second careers, and the impact of the DPC on the older players.

Are you tired of feeling overwhelmed and disconnected from the healthcare system? Do you crave a more personalized and proactive approach to your health and wellness? If so, then you won't want to miss this exciting live stream with Dr. Shabbaz as we talk about Direct Primary Care (DPC). There has been a lot of debate about the benefits Direct Primary Care (DPC) so Dr. Shabbaz is here to talk about it. DPC is a model of healthcare delivery that emphasizes a strong patient-doctor relationship and emphasizes preventive care and wellness. Instead of billing insurance companies, DPC practices charge patients a monthly or annual fee for access to comprehensive primary care services. Dr. Safiyya Shabazz is a Fellow of the American Academy of Family Physicians and owner of Fountain Medical Associates, a hybrid Direct Primary Care practice specializing in the care of the whole person from childhood through adulthood. She holds a bachelor's degree in chemical engineering and a Medical Doctorate from the University of Pennsylvania. She completed an internship at Morehouse Family Medicine in Atlanta before returning to Philadelphia to complete her residency training at Penn Family Medicine. She also served on the clinical faculty. Dr. Shabazz currently serves as president of the Medical Society of Eastern Pennsylvania, the Greater Philadelphia affiliate of the National Medical Association, the nation's oldest and largest association of Black physicians. She has been a featured speaker on local and national programs explaining the link between physical, mental, and spiritual health. Her advice for health and long life is based on “eating to live” and establishing lasting habits that reduce the risk of death and disease. Contact: https://www.fountainmedonline.com/ --- Send in a voice message: https://anchor.fm/urcaringdocs/message

The future of personalized ads felt wildly uncertain when the Irish DPC's final decision on the Meta case came down. The decision sent Privacy Twitter into a frenzy over the implications: You can't bundle personalized ads into the contract for the service itself, the DPC said. At the same time, the EU and U.S. are still trying to shake hands on a new data-transfer agreement. Luckily, Phil Lee is a master of both topics, and he's here to talk you off the ledge.

Marcey Rader believes that health powers productivity. She is a multi-certified health and productivity expert, one of 800 Certified Speaking Professionals® worldwide, Certified Virtual Presenter, digital wellness practitioner, three-time author, and creator of the Powered Path™ Playbook. As the founder of RaderCo, Marcey helps executives, teams, and individuals banish burnout, keep good people, and move forward through practical, tailored tools, healthy, sustainable habits, and coaching accountability. Sought after by start-ups to Fortune 100 companies, she's spoken for tens of thousands of people on five continents. As an award-winning global speaker, she trains her audiences to improve their focus, maximize their energy, conquer the calendar, master tasks, and extinguish their email. To change your career, team, or organization one habit at a time, learn more or connect with Marcey at marceyrader.com.Check out your free gift at:  www.helloraderco.com/gift.*HINT SUMMIT 2023 tickets HERE!*Pediatric DPC Mastermind tickets HERE!*Doctors Entrepreneurship & Networking conference tickets HERE!Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

The U.S. health care system ranks poorly among high-income countries, but the direct primary care (DPC) model offers a potential solution. In this model, primary care providers are paid a consistent fee through a retainer or membership program, rather than relying on insurance billing. This frees up providers to spend more time with patients and offer comprehensive care. Both patients and providers in the DPC model report high levels of satisfaction and there is evidence of decreased utilization of expensive services and lower overall health care costs. Join us as we speak with Dr. Sara Pastoor about the potential for the DPC model to improve primary care and the health care system in the U.S. Sara Pastoor is a family physician. She shares her story and discusses her KevinMD article, "The solution to a crumbling primary care foundation is direct primary care." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With a growing physician shortage, increasing burnout, and declining patient satisfaction, a dramatic change is needed to make health care more efficient and effective and bring back the joy of practicing medicine. AI-driven ambient clinical intelligence promises to help by revolutionizing patient and provider experiences with clinical documentation that writes itself. The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd GET CME FOR THIS EPISODE → https://earnc.me/wusScK Powered by CMEfy.

Cap is back but did some serious boxing while he was away. And did he actually get Joey those snacks he wanted? We talk about DPC, twitch drama, esports teams, and some other stuff - I think. @leafeator @capcasts

AB-035, Pitfall II: The Lost Caverns!  1 Happy New Year! If I can still say that when it's almost Groundhog Day. I hit a snag right out of the gate, which seems to be typical now. But, Pitfall II by Activision is finally available, and it's a doozy. The part about the game and its history etc. is twice as long as it usually is, I had a lot of fun researching this game. And of course, playing it. It's one of my favorites. I hope that you enjoy the episode. Coming up next is the super rare game Gamma Attack, by a tiny company called Gammation. Not as much history on this one, but what I've seen so far is very interesting. if you have any thoughts on this game, or even if you have a copy, I would love to hear about it. Please send them to me at 2600gamebygame@gmail.com by February 7th. Thanks so much for your patience, and thank you as always for listening. Pitfall 2 on Random Terrain Pitfall 2 on Atari Protos David Crane interview by Scott Stilphen DPC Chip patent Explanation of DPC chip by David Crane on Atari Compendium Atari Compendium article about "Super Chips," including the DPC chip UK Activision Fun Club Newsletter Summer 1984 from Atari Compendium Pitfall 2 patch Pitfall 2 patch accompanying letter Get MattBuc's repro Pitfall 2 patch here! Pitfall! Masked Menace Mess Pitfall! Raiders of the Lost Shark Pitfall 2 The Lost Caverns on KLOV Pitfall 2 Arcade playthrough by Old Classic Retrogaming  Super Pitfall 30th Anniversary Edition NES patch Chris and Adam's Pitfall articles on Orphaned Games

Author of ExPat Health Guide, Hunter Schultz speaks with Chris Habig on the pros of DPC and the cons of the status quo, discussing dpc outreach, getting the word out to the masses, and even how DPC brings polarizing political spectrums together. Follow Healthcare Americana:TwitterInstagramLinkedInMore on Freedom HealthworksMore on Hunter SchultzSubscribe at https://healthcareamericana.com/episodes/

This episode is focused on the topic of Direct Primary Care, also known as "DPC". The DPC model transforms primary care into a membership-based model, rather than the traditional fee-for-service model. The goal is to provide all of the same routine services that patients receive from their primary care physician but eliminate the incentive for fast patient turnover, which often leads to a decrease in the quality of care provided. Our guest, Andy Bonner, the President & CEO of Healthcare2U, shares his experience in the healthcare industry and how a personal misdiagnosis led to the creation of Healthcare2U, a company that offers a hybrid model of primary care services. He also shares what he learned working in business process outsourcing, where he helped develop the concept of "Near-Site/On-Site" and how it has led to the creation of Healthcare2U. In this episode, you will learn about the benefits of DPC, including: * More time with your doctor * Stronger patient-doctor relationship * Improved physician quality of life * Elimination of claims to insurance * Less Administrative Burden Tune in to this episode to understand the potential of DPC and how it can change the way we approach primary care! Chapters: 0:00 Intro to Andy Bonner 8:36 Andy's Cancer Scare 14:30 A Calling to Healthcare 22:00 Direct Primary Care Defined 29:31 HealthCare2U Explained 35:48 Coordinating Medical Records 40:00 Scaling DPC Nationally 47:28 Who is DPC For? 55:12 The Big Picture 59:59 Closing Thoughts --- Support this podcast: https://anchor.fm/spencer-harlan-smith/support

In today's BONUS EPISODE, Dr. Deanna Barry of Barry Pediatrics shares about the upcoming Pediatric DPC Mastermind!Take a listen to the details about the Mastermind happening next month and Register today!Pediatric DPC MastermindFeb 24-26th Gaylord Palms in Orlando, FLRegistration: pediatricdpcmastermind.comSponsorship Opportunities: email drdeannabarry@gmail.comTHANK YOU to Hint Health for supporting the My DPC Story podcast! Learn more about the power of HintOS at hint.com today!Register for the Pediatric DPC Mastermind today!Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Timestamps: 00:00 Start 04:37 Audio Listeners 09:45 Skiter pees in bottle 17:55 SA coverage drama 22:48 DPC status 35:47 TI Battlepass $ 51:37 How will Dota die? 1:01:32 What famous dead person would you want to meet?

How do you educate about Direct Primary Care? How do you deal with certain types of pushback? As the Chief Growth Officer of Frontier Direct Care, Joe Wilson sits down with Chris to discuss growth strategies in the DPC communities. They pick apart what consists of value-based care and customer experience, and deliberate using these as tools to educate and grow the community. Follow Healthcare Americana:TwitterInstagramLinkedInMore on Freedom HealthworksMore on Frontier Direct CareSubscribe at https://healthcareamericana.com/episodes/

Hour 1 * Diamond Lynette Hardaway of “Diamond and Silk” died Monday aged 51. Hardaway's death was confirmed by her sister's official Twitter account. * Today the US House is scheduled to vote on the Born-Alive Abortion Survivors Protection Act (HR 26). The Born Alive Act must be passed to stop infanticide — where a baby is killed after it is born alive. * Guests: Lance Migliaccio and CEO of Global Tek MD Jake Johnston – 844 GlobeMD, GlobalTekMD.com * Guests: Ann Vandersteel, Gen. Mike Flynn. * Guests: Dr. Judy Mikovits, Dr. Tracey Stroup, * Approximately 73% of all doctor visits can be solved with a simple Telemedicine phone call! * Telemedicine for the people by the people! – Veteran owned and operated – Available to veterans and the general public! * Access to the doctor network 24/7/365! Hour 2 * Two Hour Special Interviews Continued – Guests: Lance Migliaccio and CEO of Global Tek MD Jake Johnston – 844 GlobeMD, GlobalTekMD.com * Guests: Pete Santilli, Mike Adams. * Thousands of Board-certified Doctors in the network. * Not health insurance but a great product to complement insurance or standalone if you don't have health insurance. * No waiting rooms (Exposing you to other sick people). * Included at no additional charge discounted prescription membership with discounts on regular and generic drugs up to 85%. * Included in the membership up to 5 mental health therapy sessions with a mental health expert. * Corporate and club memberships available. * No Cancellation Fees – No Contract – No wait period immediate access. * Available to 100% of the geographic United States. * Direct Primary Care (DPC) is an innovative alternative payment model improving access to high functioning healthcare with a simple, flat, affordable membership fee. No fee-for-service payments. No third party billing. The defining element of DPC is an enduring and trusting relationship between a patient and his or her primary care provider. --- Support this podcast: https://anchor.fm/loving-liberty/support

* Two Hour Special Interviews Continued - Guests: Lance Migliaccio and CEO of Global Tek MD Jake Johnston - 844 GlobeMD, GlobalTekMD.com * Guests: Pete Santilli, Mike Adams. * Thousands of Board-certified Doctors in the network. * Not health insurance but a great product to complement insurance or standalone if you don't have health insurance. * No waiting rooms (Exposing you to other sick people). * Included at no additional charge discounted prescription membership with discounts on regular and generic drugs up to 85%. * Included in the membership up to 5 mental health therapy sessions with a mental health expert. * Corporate and club memberships available. * No Cancellation Fees - No Contract - No wait period immediate access. * Available to 100% of the geographic United States. * Direct Primary Care (DPC) is an innovative alternative payment model improving access to high functioning healthcare with a simple, flat, affordable membership fee. No fee-for-service payments. No third party billing. The defining element of DPC is an enduring and trusting relationship between a patient and his or her primary care provider.

Get 20% OFF @manscaped + Free Shipping with promo code WESAYTHINGS at https://MANSCAPED.com #ad #manscapedpod Timestamps: 00:00 Start 04:44 Computer company suggestions 12:05 Betboom Tourney 16:25 DPC predictions 44:48 Icefrog is back? 54:46 Ability Arena Season 4 Launch 1:11:27 Random Christmas tree discussion Video: https://youtu.be/-INpOs0_dPo

Meta krijgt opnieuw een fikse boete van de Ierse privacywaakhond DPC. Het moederbedrijf van Facebook, Instagram en Whatsapp krijgt die boete voor de manier waarop het gebruikersdata gebruikt voor gepersonaliseerde advertenties. Het concern heeft al laten weten dat het in beroep gaat. Ook in de Tech Update: - Salesforce snijdt in z'n personeelsbestand: 10% minder banen- De grootste techbeurs ter wereld gaat na twee magere coronajaren weer van start- Antwerpen kan na een hack in december geen boetes meer innenSee omnystudio.com/listener for privacy information.

Entrepreneurial business solutions can lead to better outcomes in every economic endeavor. In the field of medical care, entrepreneurship has been hampered by non-market arrangements. There's some sense of an emerging trend towards better choices for users, a trend that we discuss with economist Dr. Murray Sabrin. Knowledge Capsule All systems evolve. The current system of medical care uncoupled from private markets evolved in ways that result in higher costs and poorer outcomes. Our economy — and the economic experience of all of us as individuals — would be improved (i.e., greater customer value would be experienced) if we could lighten the burdensome weight of government regulation and its consequent effects on the system of medical care and medical insurance. Our homeowners insurance, our automobile insurance and our life insurance are market products that give us the experience of seeking information and making informed choices based on pricing and perceived benefits. Medical insurance has evolved differently — it's tied to work and puts us in a medical system where prices and choices are opaque and highly constrained. The associated costs are a great burden on the economy, and they result in diversions of productive investment from better uses. The evolution of employment-linked healthcare began in dangerous industries like forestry logging, when employers introduced on—site medical care to treat on-the-job accidents — employers understood the mutual benefit of a healthy workforce. During and after World War II, the incentives for employers shifted: wage controls prevented them from attracting workers with higher pay, and so they introduced the benefit of tax-free healthcare benefits. An industry linking employment and medical care grew by leaps and bounds. Today, both employers and employees are beginning to understand the drawbacks of the evolved system. In the evolved medical care system today, employees feel constrained because they can't freely choose their doctors and service providers, and healthcare treatments they might want are often made unavailable to them. They're not made aware of pricing, and therefore unable to make informed choices. Employers are beginning to understand the high costs for traditional indemnity insurance, and many of them are seeking alternatives. Dr. Sabrin listed a number of these emerging innovations. 1. Employer self-insurance. Instead of incurring the heavy cost of insuring via the conglomerates like Blue Cross Blue Shield, Humana, Aetna, United Healthcare and others, many employers are shifting to self-insurance, hiring an independent third-party administrator to set premiums for normal expenses, and utilizing re-insurance against the cost of catastrophic medical events. 2. Medical savings accounts. Financial innovation has opened the possibility of utilizing current savings for future medical expenses, ideally deposited tax free, appreciating tax free and withdrawn tax free (although, inevitably, there are government restrictions). It's another component in the free-market medicine revolution. 3. Medical cost sharing. Some affinity groups take the route of medical cost sharing — groups pooling funds to pay individual medical costs. Some of these groups may create membership lifestyle qualifications — non-drinkers, non-smokers, etc. — to link healthy behaviors to lower medical care costs. 5. Wellness rather than healthcare. The realization is dawning that medical care costs are inflated by unhealthy lifestyles. Employers and employees share a mutual interest in a healthier workplace and healthier workforce. Better alignment of incentives could encourage healthier eating and drinking habits, greater levels of exercise, and generally more health-conscious behavior. The feeling of entitlement to healthcare that can result in a lowered drive to stay healthy is a moral hazard that has been induced by the current medical care system. Reducing medical care costs via a healthier workforce is a win-win for employee and employer alike. Restoring the doctor-patient relationship via Direct Primary Care. The primary care doctor who has a knowing and caring relationship with individual patients, and who knows their ailments and their lifestyle, and their family and economic circumstances, is a historical tradition in American life, a part of the American dream. The corporate medical care system took this relationship away in many ways, replacing it with an impersonal system of “in-network” availability of physicians with no personal relationship component. Direct Primary Care is restoring the doctor-patient relationship following principles of entrepreneurial business design. A doctor contracts with a small number of patients — few enough to ensure availability and access — who pay a subscription fee, sufficient to provide cash flow for the doctor's office and immediate support functions. The doctor constructs a personally curated set of network connections to specialists, such as cardiologists or urologists, and to services such as imaging and lab analysis, so that patients can be directly connected with pre-selected and approved providers for specialist needs. Direct Primary Care can eliminate or circumnavigate much of the bureaucracy, paperwork, and creativity-stifling sclerosis of current day corporate medical care systems. 6. Pricing transparency. A parallel innovation to DPC is demonstrated in transparent pricing clinics and surgeries, the clearest example being provided by Surgery Center Of Oklahoma (SCOO) which famously provides an open price list for commonplace surgeries, with no surprise surcharges or hidden fees. These prices are often much, much lower than would be charged for the same service by corporate hospitals; the quality is often higher; the speed of getting an appointment is faster; and the most important trait is that the pricing is transparent to the end-user. Patients become consumers in the traditional sense of the word — able to make a free choice based on open pricing information. 7. Better self-monitoring. How's your health? You may not have sufficient information for a good answer – the medical care system often makes information hard to access. One improvement is the self-monitoring that is technologically enabled today. Your Apple watch, for example, can tell you a lot about your vital signs, as can apps+devices like Kardia or a simple scale. Consumers may also be able to find a local DPC doctor or naturopath with whom to share the data for recommendations on natural solutions for any signals they might detect. This is a decentralized approach to healthcare that's consistent with the general trend away from restrictive top-down centralized structures and processes. Additional Resources The Finance of Health Care: Wellness and Innovative Approaches to Employee Medical Insurance by Murray Sabrin: Mises.org/E4B_202_Book1 From Immigrant to Public Intellectual: An American Story by Murray Sabrin: Mises.org/E4B_202_Book2 MurraySabrin.com MurraySabrin.Substack.com

Entrepreneurial business solutions can lead to better outcomes in every economic endeavor. In the field of medical care, entrepreneurship has been hampered by non-market arrangements. There's some sense of an emerging trend towards better choices for users, a trend that we discuss with economist Dr. Murray Sabrin. Knowledge Capsule All systems evolve. The current system of medical care uncoupled from private markets evolved in ways that result in higher costs and poorer outcomes. Our economy — and the economic experience of all of us as individuals — would be improved (i.e., greater customer value would be experienced) if we could lighten the burdensome weight of government regulation and its consequent effects on the system of medical care and medical insurance. Our homeowners insurance, our automobile insurance and our life insurance are market products that give us the experience of seeking information and making informed choices based on pricing and perceived benefits. Medical insurance has evolved differently — it's tied to work and puts us in a medical system where prices and choices are opaque and highly constrained. The associated costs are a great burden on the economy, and they result in diversions of productive investment from better uses. The evolution of employment-linked healthcare began in dangerous industries like forestry logging, when employers introduced on—site medical care to treat on-the-job accidents — employers understood the mutual benefit of a healthy workforce. During and after World War II, the incentives for employers shifted: wage controls prevented them from attracting workers with higher pay, and so they introduced the benefit of tax-free healthcare benefits. An industry linking employment and medical care grew by leaps and bounds. Today, both employers and employees are beginning to understand the drawbacks of the evolved system. In the evolved medical care system today, employees feel constrained because they can't freely choose their doctors and service providers, and healthcare treatments they might want are often made unavailable to them. They're not made aware of pricing, and therefore unable to make informed choices. Employers are beginning to understand the high costs for traditional indemnity insurance, and many of them are seeking alternatives. Dr. Sabrin listed a number of these emerging innovations. 1. Employer self-insurance. Instead of incurring the heavy cost of insuring via the conglomerates like Blue Cross Blue Shield, Humana, Aetna, United Healthcare and others, many employers are shifting to self-insurance, hiring an independent third-party administrator to set premiums for normal expenses, and utilizing re-insurance against the cost of catastrophic medical events. 2. Medical savings accounts. Financial innovation has opened the possibility of utilizing current savings for future medical expenses, ideally deposited tax free, appreciating tax free and withdrawn tax free (although, inevitably, there are government restrictions). It's another component in the free-market medicine revolution. 3. Medical cost sharing. Some affinity groups take the route of medical cost sharing — groups pooling funds to pay individual medical costs. Some of these groups may create membership lifestyle qualifications — non-drinkers, non-smokers, etc. — to link healthy behaviors to lower medical care costs. 5. Wellness rather than healthcare. The realization is dawning that medical care costs are inflated by unhealthy lifestyles. Employers and employees share a mutual interest in a healthier workplace and healthier workforce. Better alignment of incentives could encourage healthier eating and drinking habits, greater levels of exercise, and generally more health-conscious behavior. The feeling of entitlement to healthcare that can result in a lowered drive to stay healthy is a moral hazard that has been induced by the current medical care system. Reducing medical care costs via a healthier workforce is a win-win for employee and employer alike. Restoring the doctor-patient relationship via Direct Primary Care. The primary care doctor who has a knowing and caring relationship with individual patients, and who knows their ailments and their lifestyle, and their family and economic circumstances, is a historical tradition in American life, a part of the American dream. The corporate medical care system took this relationship away in many ways, replacing it with an impersonal system of “in-network” availability of physicians with no personal relationship component. Direct Primary Care is restoring the doctor-patient relationship following principles of entrepreneurial business design. A doctor contracts with a small number of patients — few enough to ensure availability and access — who pay a subscription fee, sufficient to provide cash flow for the doctor's office and immediate support functions. The doctor constructs a personally curated set of network connections to specialists, such as cardiologists or urologists, and to services such as imaging and lab analysis, so that patients can be directly connected with pre-selected and approved providers for specialist needs. Direct Primary Care can eliminate or circumnavigate much of the bureaucracy, paperwork, and creativity-stifling sclerosis of current day corporate medical care systems. 6. Pricing transparency. A parallel innovation to DPC is demonstrated in transparent pricing clinics and surgeries, the clearest example being provided by Surgery Center Of Oklahoma (SCOO) which famously provides an open price list for commonplace surgeries, with no surprise surcharges or hidden fees. These prices are often much, much lower than would be charged for the same service by corporate hospitals; the quality is often higher; the speed of getting an appointment is faster; and the most important trait is that the pricing is transparent to the end-user. Patients become consumers in the traditional sense of the word — able to make a free choice based on open pricing information. 7. Better self-monitoring. How's your health? You may not have sufficient information for a good answer – the medical care system often makes information hard to access. One improvement is the self-monitoring that is technologically enabled today. Your Apple watch, for example, can tell you a lot about your vital signs, as can apps+devices like Kardia or a simple scale. Consumers may also be able to find a local DPC doctor or naturopath with whom to share the data for recommendations on natural solutions for any signals they might detect. This is a decentralized approach to healthcare that's consistent with the general trend away from restrictive top-down centralized structures and processes. Additional Resources The Finance of Health Care: Wellness and Innovative Approaches to Employee Medical Insurance by Murray Sabrin: Mises.org/E4B_202_Book1 From Immigrant to Public Intellectual: An American Story by Murray Sabrin: Mises.org/E4B_202_Book2 MurraySabrin.com MurraySabrin.Substack.com

Entrepreneurial business solutions can lead to better outcomes in every economic endeavor. In the field of medical care, entrepreneurship has been hampered by non-market arrangements. There's some sense of an emerging trend towards better choices for users, a trend that we discuss with economist Dr. Murray Sabrin. Knowledge Capsule All systems evolve. The current system of medical care uncoupled from private markets evolved in ways that result in higher costs and poorer outcomes. Our economy — and the economic experience of all of us as individuals — would be improved (i.e., greater customer value would be experienced) if we could lighten the burdensome weight of government regulation and its consequent effects on the system of medical care and medical insurance. Our homeowners insurance, our automobile insurance and our life insurance are market products that give us the experience of seeking information and making informed choices based on pricing and perceived benefits. Medical insurance has evolved differently — it's tied to work and puts us in a medical system where prices and choices are opaque and highly constrained. The associated costs are a great burden on the economy, and they result in diversions of productive investment from better uses. The evolution of employment-linked healthcare began in dangerous industries like forestry logging, when employers introduced on—site medical care to treat on-the-job accidents — employers understood the mutual benefit of a healthy workforce. During and after World War II, the incentives for employers shifted: wage controls prevented them from attracting workers with higher pay, and so they introduced the benefit of tax-free healthcare benefits. An industry linking employment and medical care grew by leaps and bounds. Today, both employers and employees are beginning to understand the drawbacks of the evolved system. In the evolved medical care system today, employees feel constrained because they can't freely choose their doctors and service providers, and healthcare treatments they might want are often made unavailable to them. They're not made aware of pricing, and therefore unable to make informed choices. Employers are beginning to understand the high costs for traditional indemnity insurance, and many of them are seeking alternatives. Dr. Sabrin listed a number of these emerging innovations. 1. Employer self-insurance. Instead of incurring the heavy cost of insuring via the conglomerates like Blue Cross Blue Shield, Humana, Aetna, United Healthcare and others, many employers are shifting to self-insurance, hiring an independent third-party administrator to set premiums for normal expenses, and utilizing re-insurance against the cost of catastrophic medical events. 2. Medical savings accounts. Financial innovation has opened the possibility of utilizing current savings for future medical expenses, ideally deposited tax free, appreciating tax free and withdrawn tax free (although, inevitably, there are government restrictions). It's another component in the free-market medicine revolution. 3. Medical cost sharing. Some affinity groups take the route of medical cost sharing — groups pooling funds to pay individual medical costs. Some of these groups may create membership lifestyle qualifications — non-drinkers, non-smokers, etc. — to link healthy behaviors to lower medical care costs. 5. Wellness rather than healthcare. The realization is dawning that medical care costs are inflated by unhealthy lifestyles. Employers and employees share a mutual interest in a healthier workplace and healthier workforce. Better alignment of incentives could encourage healthier eating and drinking habits, greater levels of exercise, and generally more health-conscious behavior. The feeling of entitlement to healthcare that can result in a lowered drive to stay healthy is a moral hazard that has been induced by the current medical care system. Reducing medical care costs via a healthier workforce is a win-win for employee and employer alike. Restoring the doctor-patient relationship via Direct Primary Care. The primary care doctor who has a knowing and caring relationship with individual patients, and who knows their ailments and their lifestyle, and their family and economic circumstances, is a historical tradition in American life, a part of the American dream. The corporate medical care system took this relationship away in many ways, replacing it with an impersonal system of “in-network” availability of physicians with no personal relationship component. Direct Primary Care is restoring the doctor-patient relationship following principles of entrepreneurial business design. A doctor contracts with a small number of patients — few enough to ensure availability and access — who pay a subscription fee, sufficient to provide cash flow for the doctor's office and immediate support functions. The doctor constructs a personally curated set of network connections to specialists, such as cardiologists or urologists, and to services such as imaging and lab analysis, so that patients can be directly connected with pre-selected and approved providers for specialist needs. Direct Primary Care can eliminate or circumnavigate much of the bureaucracy, paperwork, and creativity-stifling sclerosis of current day corporate medical care systems. 6. Pricing transparency. A parallel innovation to DPC is demonstrated in transparent pricing clinics and surgeries, the clearest example being provided by Surgery Center Of Oklahoma (SCOO) which famously provides an open price list for commonplace surgeries, with no surprise surcharges or hidden fees. These prices are often much, much lower than would be charged for the same service by corporate hospitals; the quality is often higher; the speed of getting an appointment is faster; and the most important trait is that the pricing is transparent to the end-user. Patients become consumers in the traditional sense of the word — able to make a free choice based on open pricing information. 7. Better self-monitoring. How's your health? You may not have sufficient information for a good answer – the medical care system often makes information hard to access. One improvement is the self-monitoring that is technologically enabled today. Your Apple watch, for example, can tell you a lot about your vital signs, as can apps+devices like Kardia or a simple scale. Consumers may also be able to find a local DPC doctor or naturopath with whom to share the data for recommendations on natural solutions for any signals they might detect. This is a decentralized approach to healthcare that's consistent with the general trend away from restrictive top-down centralized structures and processes. Additional Resources The Finance of Health Care: Wellness and Innovative Approaches to Employee Medical Insurance by Murray Sabrin: Mises.org/E4B_202_Book1 From Immigrant to Public Intellectual: An American Story by Murray Sabrin: Mises.org/E4B_202_Book2 MurraySabrin.com MurraySabrin.Substack.com

Dr. Jim McDonald of Clarity Direct Primary Care tips the scale from traditional health care to Direct Primary Care. He discusses how switching to a DPC practice has changed his work-life balance, enabling quality work and life. Jim discusses with Chris how this has allowed him to cultivate better relationships not only with his patients but family as well. When in the corporate health system, Dr. Jim McDonald was pressured by outside sources to not connect with patients the way he wanted to, causing an emotional toll. Transitioning to DPC, he now finds a better quality of work, and life, now advocating for the next generation of physicians to consider a DPC practice and continue the continuity of care. Follow Healthcare Americana:TwitterInstagramLinkedInMore on Freedom HealthworksMore on Clarity Direct Primary CareSubscribe at https://healthcareamericana.com/episodes/

Episode 113: Dr. Amber Beckenhauer & Dr. Maryal ConcepcionIn this Christmas episode, the DPC Calibraska sisters are back for a reunion of sorts as they have a candid conversation about their practices over the past year! Topics covered include the transition to incorporating a space, changing staff, workflows, administration and balancing it all!THANK YOU to Hint Health for supporting the My DPC Story podcast! Learn more about the power of HintOS at hint.com today!Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Arkosh, Old G, Notail, Ceb, and Cap are all losing right now on the DPC. We also talk about the NOUNS tournament proposal video, G2, the LCS, Henry Dota, and a few spicy things. Happy Holidays everyone. Support us on Patreon! https://www.patreon.com/sidepull Twitter: @leafeator @capcasts

Episode 112: Dr. Nicole Harkin (She/Her) of Whole Heart Cardiology - San Francisco, CADr. Nicole Harkin fell in love with cardiology and the ability to be a physician helping her patients prevent cardiac illness. At her direct care clinic, Whole Heart Cardiology, she is able to truly practice as a preventative cardiologist. Hearing her story of how she has created her clinic will be a beacon of light for those in specialty care looking to transition to an insurance-free practice.THANK YOU to Hint Health for supporting the My DPC Story podcast! Learn more about the power of HintOS at hint.com today!Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Pediatrics 2.0 episode with Dr. Paul Offit. If you are even the least bit dpc curious…text me at (402)741-4494 and I can tell you how I started my pediatric DPC practice and maybe give you some ideas about how you could do it where you are too!

Physician and Owner, Holly Smith of Fiat Family Medicine tells her story of how she started her own Direct Primary Care practice and why having the freedom of practicing in DPC is just as important as incorporating faith into her practice. Holly and Chris describe the simplicity of communication and feedback and describe the relief people have when discovering a different way to be a part of healthcare. Follow Healthcare Americana:TwitterInstagramLinkedInMore on Freedom HealthworksMore on Fiat Family Medicine Subscribe at https://healthcareamericana.com/episodes/

Jim is joined by Sam (strilling) to discuss/announce the new WLDL format, their new teams, Razor Bloodstone, Underlord Aghs, DPC shuffles, the plight of NA, superpowerful teams in Europe, and complain about team names.

Episode 111: Dr. Brian Ostick (He/Him) Of Health & Healing DPC - Woodland Hills, CADr. Brian Ostick is an ER-trained physician who has reently joined his wife, Dr. Aimee Ostick, at her DPC Health and Healing DPC in Woodland Hills, CA. He shares how he views life in medicine and what he values now being able to be both an ER physician and a DPC physician. Dr. Ostick has words of advice for other physicians in the ER world and touches on diversification and financial advice when looking to DPC as a business model.THANK YOU to Hint Health for supporting the My DPC Story podcast! Learn more about the power of HintOS at hint.com today!Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

The modern American Healthcare system has turned many primary care clinics into a place with phone trees, 15-minute appointments, and surprise bills. Today's guest is working to help families and pediatricians reimagine how the patient-doctor relationship can be. Some would say that these practices are getting back to the roots of primary care with a doctor who spent time getting to know you and your family and might even show up at your home to provide care if that's what you need. Dr. Keili Mistovich is the co-founder of Greater Cleveland Pediatrics, a Direct Pediatric Care practice in Northeast Ohio and she is sharing the benefits that she and her families have found in this care model.   Dr. Keili is a board-certified Pediatrician with a passion for high-quality, personalized pediatric care. Dr. Keili received her undergraduate degree at The College of Wooster, her medical degree and a Master's of Public Health from the University of Pittsburgh, and stayed in Pittsburgh for her specialized pediatric internship and residency at the world-class Children's Hospital of Pittsburgh of UPMC.  She is also the co-founder of Zest Pediatric Network, creating a network of Direct Pediatric Care offices in Ohio and beyond. If you have questions, reach out to Dr. Keili at drkeili@clepeds.comTo see if there is a DPC practice close to you, this DPC Mapper is a great place to start.Follow Docs2Dads for more #parenting content from a #pediatrician living the #dadlife - transforming #evidencebasedmedicine into practical #parentingtips#docs2dads #fatherhood #parentinggoals #workingdads #directprimarycare #primarycare Linkedin: https://www.linkedin.com/in/drscottpeds Instagram: https://www.instagram.com/docs2dadspod Email: docs2dadspod@gmail.com Facebook: https://www.facebook.com/docs2dadspod

Thank you for tuning in for another episode of Life's Best Medicine. Laura Buchanan and Matt Calkins are a husband and wife team with a mission and a passion to help as many people as possible age successfully. Laura earned her M.D. from the University of Florida and holds a B.Sc. in biomedical sciences. Matt is an emergency medicine resident who loves  studying the science of longevity, the optimization of all phases of health, and applying his knowledge to physician and patient wellness. Matt earned his M.D. from the University of Florida and holds a B.Sc. in physics. In their conversation, Brian, Matt, and Laura talk about how each of them came to realize the power of the low-carb diet, the many benefits of the direct primary care model of healthcare for both doctors and patients, how to motivate and empower patients to take control of their own health, how the predominate health care model in the United States could be better described as a sick care model, how the low-carb/keto diet and the DPC model might be able to make more of a breakthrough into the mainstream, the power of lifestyle/dietary intervention for mental health and mood, the difficulties involved in going through residency, and physician-burnout statistics. Life's Best Medicine According to Matt: “I get a lot of fulfillment out of leaving things in a better state than I found them—even if it's incremental. That's why I like primary care. You don't have to change someone's lifestyle all in one day, but we can really be fulfilled in the small day-to-day changes that patients make.” Life's Best Medicine According to Laura: “It's the relationships—the people in my life. That's family, first and foremost, friends, even patients, and the people you encounter on a regular basis. All of those relationships make me excited to be alive. And if I can help make their lives better too then that is a win-win.” Thank you for listening. Have a blessed day and stay healthy!   Links:   Drs. Laura Buchanan and Matt Calkins: Twitter Website Aging Successfully Dr. Tro's Direct Primary Care   Dr. Brian Lenzkes:  Website Low Carb MD Podcast   Simply Snackin'

When it comes to quality of life measures, Louisiana ranks near last in every category – especially health-related categories like life expectancy, and rates of diabetes, cancer, hypertension and heart disease. And we have some of the worst outcomes of any state in the U.S. But entrepreneurially-minded medical and health experts are trying to help address this by using new models of health care delivery, and coming up with inventive ways to engage underserved communities. Dr. Charles Sasser is a primary care doctor based here in Baton Rouge, whose practice, Sasser Direct Primary Care, represents a new and intriguing business model for health care delivery. Instead of a traditional fee-for-service model - where a doctor's visit or hospital stay is paid for primarily by a third party like an insurance company - with Direct Primary Care, you join the group, pay a monthly fee that, depending on your age might be $50 or $75, and then when you need to see the doctor, you schedule and that's it. No co pay, no bills! And labs and tests cost you the wholesale rate. Yes, it's the much-discussed "affordable healthcare" that is actually is affordable. With healthcare costs skyrocketing and insurance rates increasing by double digits every year, the DPC model is growing around the country and could be the wave of the future. If it's so sensible, why isn't everyone doing it? Charles Sasser explains.  Ellen McKnight Hill is a registered dietician and public health advocate with The Maxine Firm, a nutrition, wellness and public health firm, whose primary objective is chronic disease prevention in urban and rural communities. The firm offers a variety of services including seminars, webinars and other community outreach efforts to bring wellness and nutrition education to those who may not know how to integrate healthy eating and regular exercise into their daily lives. Ellen is a principal with the firm and one of its founders. She's also a part of the mayor's Healthy City Initiative and an Adjunct Nutrition Professor at Baton Rouge Community College. Out to Lunch is recorded live over lunch at Mansurs on the Boulevard. You can find photos from this show by Erik Otts at itsbatonrouge.la.See omnystudio.com/listener for privacy information.

Episode 110: Dr. Matthew Mintz (He/Him) of Matthew Mintz, MD - Bethesda, MDDr. Mintz shares how different his life looked like when his future was driven by vision. The time crunch with patients wasn't all that apparent to Dr. Mintz until he switched to a concierge practice within his academic institution. It was then he experienced the value of time with patients and, in addition to being able to build a practice that allowed him to help him achieve his professional and financial goals, he transitioned to the DPC model!THANK YOU to Hint Health for supporting the My DPC Story podcast! Learn more about the power of HintOS at hint.com today!Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Many Physicians find that they feel out of place in medicine. They might try several different jobs within their field, trying to fit in, but never develop a sense of belonging. For today's guest, Dr Rebecca Berens, this created a rocky road in her early career, until she decided that she was done trying to fit in. Instead, she decided to create her own Direct Primary Care Practice, and focus on the patients she is best skilled to serve.Dr Berens graduated from Baylor College of Medicine in Houston, and completed Family Medicine residency at Georgetown University/Providence Hospital in DC. She is now building a thriving DPC private practice in Houston, Vida Family Medicine. Outside of medicine she enjoys spending time with her kids, and sewing her own clothes for fun!To learn more about Dr Berens and her practice, find her in the following places:Website: www.rebeccaberensmd.com Instagram: @rebeccaberensmd Tik Tok: @rebeccaberensmdThe doors are now open for Healing Perfectionism in Physicians Winter 2023, starting January 8th. This group is exclusively for Women Physicians, and there are a limited number of seats available. To learn more, click here. I'd love to have you join us! To learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me.

Foxconn reportedly expects factory unrest to cause up to a 6 million iPhone Pro shortfall, Twitter searches for Chinese cities overwhelmed with spam, and Ireland’s DPC fines Meta over phone scraping. MP3 Please SUBSCRIBE HERE. You can get an ad-free feed of Daily Tech Headlines for $3 a month here. A special thanks to allContinue reading "Foxconn Expects 6 Million iPhone Pro Shortfall in 2022 – DTH"

Episode 109: Dr. Katy Liu (She/Her) of Olive Branch DPC - St. Louis, MORecorded after the last DPC summit if 2022, Dr. Katy Liu reflects back on her time as she sat and was transformed at the first DPC Summit she attended. She shares a very candid look on her practice, Olive Branch DPC, which is on it's way to celebrate its 4th anniversary! For anyone who is planning or has opened, Dr. Liu's words are truly relatable and inspirational!Learn about Hint ConnectGet Elation's New DPC Checklist Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

We got two new reviews this week on the podcast, which I was thrilled to see. The first was from, it turns out, Dave Chase from Health Rosetta, who wrote that “with so many people in healthcare practicing ‘innovation theater' and bloviating versus driving real change, it's a breath of fresh air to listen to Relentless Health Value.” Thank you so much for saying that, Dave. We try really hard to get guests who are actually doing great things such as yourself. And then there's another review from mattiw2002, who says, “For anyone trying to stay abreast of developments in the healthcare space, there's none better than … Relentless Health Value.” Thank you so much to the two of you who took the time to write a review—could not appreciate it more. There have been two inbetweenisodes this year where I get deep into the why behind the “why collaborate.” And when I say collaborate, what I mean is anybody in the healthcare industry working together with and for the patients that we're supposed to be serving here. It's creating alignment amongst stakeholders around what's best for the patient. Here is the nutshell version of the two previous shows. First point: Patients fall into one care gap after another. You hear this from any PCP you talk to who's working in a care setting when there's little, if any, collaboration effort on the front end to ensure a non-fragmented patient journey. So then, all these care gaps wind up getting surfaced, which, by the way—let's not forget this—these care gaps were there all along negatively affecting patient outcomes. It's just, in the past, we didn't know about them. But now that we know about them, it becomes the fee-for-service PCPs' job to mop up all the care gaps while the faucet is still running. So, that's the situation analysis, and if we're going to put an end to this, it means that payers have to align with providers and give enough incentive for those providers to create a non-fragmented patient journey (ie, making sure that the care gaps don't happen to begin with). This also means providers need to talk amongst themselves and collaborate. Keep in mind that a multi-morbid Medicare patient sees something like 5 to 13 doctors, on average, depending on what study you look at … 13! If anybody thinks that a patient can see 13 doctors not collaborating with each other and coordinating care and not wind up with some polypharmacy adverse event or materially conflicting advice … I don't know. Call me. I just do not understand how consistent excellence in patient outcomes or patient care even could be achieved. That whole cliché the left hand doesn't know what the right hand is doing? That's a cliché for a reason, and I seriously suspect the entire field of medicine isn't weirdly excluded from it. So, first point: Collaboration/alignment is required amongst healthcare stakeholders for patients to get decent outcomes, especially patients with multiple chronic conditions. Payers gotta pay for the right stuff, and providers have to coordinate care. Otherwise, you wind up with all of the care gaps that PCPs currently working in systems with fragmented patient journeys are seeing. Here's the second point from earlier episodes: Financial toxicity is clinical toxicity. Patients are forgoing care they need and not taking drugs they need because they cannot afford them. This is not speculation. Trilliant Health just released a report that showed this. Healthcare utilization, if you subtract COVID care and behavioral health, might be permanently down. Other reports speculated that by 2030, a leading cause of death might be nonadherence due to cost concerns. Wayne Jenkins, MD, in episode 358, talks about a whole constellation of negative effects when patients can't afford care; and yeah … here we are. Patients cannot afford their care. They cannot afford premiums, deductibles, out-of-pockets. These are insured patients a lot of times we're talking about here. Also, this is not a “Medicaid” problem, as Dan Mendelson put in episode 385. So, go back and listen to the earlier shows for the who and the what and the why of the above and much more context; but nothing I've just said is stuff that I personally would regard as my personal opinion. There is one study after another that bears all this out. There is just one anecdote after another. Fragmented patient care and care that is way more expensive than a patient can afford is going to result in outcomes that are not, let's just say, super. Alright, all of this being said, does then aligning payers and providers, and providers collaborating with each other and coordinating care … if these things are done, do patient outcomes improve? Do care gaps reduce? Are patients more satisfied with their care? Said another way, when physician practices get paid to deliver health and not paid for sick care, does patient health actually improve? Why, yes. Yes, it does. Why do I say this? First of all, this very much seems to be the conclusion of CMS. Here's from the Center for Medicare & Medicaid Innovation (CMMI). They released a report updating their strategic vision for implementing value-based care. One of the key new strategies focuses on creating greater care coordination between primary care doctors and specialists. What might be some of the success stories that precipitated the CMMI focusing their strategy on exactly what I've been running around squawking about for one to three years now? The ChenMed Case Study: ChenMed focuses on the most vulnerable patients and dramatically improves access for those patients, which has led to a 30% to 50% reduction in hospitalizations. They published there's been a 20% to 30% reduction of stroke. They've doubled six-month cancer survival rates and, in some cases, reduced heart failure readmissions by 50%, 70%, up to 90%. They see evidence that they are extending lives five or more years. How? By the providers being aligned with the payers and then also making sure that there is very coordinated care going on there. Johns Hopkins has a paper in JAMA that concluded that a care coordination model can be associated with improved outcomes, including substantial cost reduction. I was talking to Larry Bauer from FMEC, the Family Medicine Education Consortium; and he sent me probably a 40-page PDF of really great patient results when care is coordinated and payers are aligned to pay for health. As just one example, Dr. Daniel Hoefer from Sharp HealthCare, they have created what they call their Transitions program. And the idea is by moving aggressive care upstream via community-based palliative medicine, they have proven that the vast majority of people never need to see the inside of a hospital during the last year-ish of their life. The revolving door of hospitalization should be considered an archaic residual of a bygone era, as they put it. Again, this is very well-coordinated care with payer alignment. Do patients actually want this stuff? Before I get into our evidence here, just let me remind you that Kaiser is a payvider with a narrow network and also that Centivo is an innovative TPA (third-party administrator) pulling together narrow networks. On the podcast the other week, Dan Mendelson (EP385) from Morgan Health said that 40% of new employees are choosing lower-premium plans with either Kaiser or Centivo benefit designs. They are choosing lower-cost plans just as much for the lower premiums as for the care coordination and the “I don't want anybody between me and my doctor” messages. This is what happens when payers and providers are aligned. Nobody gets in the middle there. Heard a similar story from Nick Stefanizzi (EP383) from Northwell Direct. They're doing direct contracting with customers like Whole Foods. Everybody I talk to here is surprised how many employees are electing these kinds of plans. So, yeah … The Nuka System of Care in Alaska (EP312), where I get into this with Doug Eby, MD, MPH, CPE, in great detail. But wow, just wow there. With the Nuka ecosystem, they went from basically a failing mess into the health system that many consider to be the best or one of the best in the country at something like half the price per patient than in mainland US. They have this whole thing where they integrate specialty care into primary care. They have established an agreed-upon referral patterns and also an agreed-upon way to work with specialists that very much involves PCPs talking to specialists so that the whole person, the whole patient can be considered. They structure their whole program around paying for health and getting paid for health. Also, Nuka has a 96% patient satisfaction rate. So again, patients are certainly on board with this. If I was gonna sum up these five examples, I would certainly say that any physician practices looking to take better care of patients, rediscover clinical excellence and focus … get aligned with payers (CMS or otherwise). That's step one and certainly easier said than done. After that, work to collaborate with fellow providers. All of these entities that we just talked about who can brag about their patient outcomes and care quality are doing both of the stuff that we just talked about: aligning and collaborating with payers and other providers. They are also, at the same time, folding three other things into their strategy. And this other stuff is required because you kinda can't align with payers and you can't collaborate unless you're doing these three things at the same time: standardizing best-practice care, getting and using data, and using good technology in conjunction with that data. All of this in the service of this last thing, which is turning transactions into relationships. Human relationships. Relationships with patients. As Rebecca Etz, PhD, and her team at The Larry A. Green Center have shown quite crisply (discussed in episode 295), no relationship with a patient means worse outcomes for patients. End of sentence. But then there's also having relationships with colleagues and relationships with other docs who have patients in common. It is really tough to coordinate care without relationships, and it's also not very fulfilling. Alright, moving on to another question: Are doctors happy in these models where payers are paying for health and where it's a must-have to coordinate across the continuum of care? Well, I can tell you a couple of things. ChenMed has been named to Newsweek's “Most Loved Workplaces” list. Nuka System has a 93% employee satisfaction rating. Considering that elsewhere one out of two family practice docs are burned out, this is pretty striking in contrast. Also, here's another quote from a physician leader about good accountable care where health is being paid for. He said, “This has changed our physicians' lives … the idea that we can get paid to actually take care of people. To actually have data to send people to the best for follow-up care, who we know will continue and contribute to the patients' well-being in the same way. Burnout reduces here because burnout is moral injury in a cheap Halloween costume.” I'm really sorry I can't remember who said that because it's a great quote and so true. Larry Bauer from FMEC also told me the other day that DPC (Direct Primary Care) conferences have never had a session on burnout. Larry says he tells people if they want to see what 350 happy primary care docs look like, they need to come to a DPC summit. They're happy as clams. Now, while DPC isn't the “be entirely responsible for downstream costs” kind of accountable care, what is going on in DPC is, these docs are accountable to their patients and for the care that they are providing. Here's another anecdote which I think, in sum, adds up to a “yes” if the question is “Do docs really like this stuff?” I had a long conversation with Scott Conard, MD, the other day about his work with clinics in Queens. What I learned was, these clinics, they used to have waiting rooms overflowing with patients who had been waiting the entire day to be seen and just ... it wasn't good for anybody. Fast-forward a few years—high-risk patients get seen fast, and there's time for care coordination. Patients are happy; outcomes are better. But here is why I inferred that the docs are happy in this model: There was a new office manager. New office manager starts trying to go back to the old way, the “normal” way that practices are run. And it was mutiny on the bounty. No way no how were those docs going back. I took that as a pretty solid testimonial if I ever heard one. So, I don't know if anybody has done any sort of global physician satisfaction studies to determine if physicians who are in pay-for-health models where they're collaborating with one another are happier and less burned out than doctors in the current fee-for-service (FFS) environment. But I can tell you that if somebody did do this, there's gonna be one really big confounding factor … and this is what it is: There's a world of difference between a well-functioning accountable care model and a very terrible one. I have had a series of (as I said earlier) pretty heartbreaking, honestly, conversations with PCPs around the country who think value-based care pretty much sucks. For the big why on this, listen to the show with Dan O'Neill (EP359). But in short, in “not quite there yet” value-based care models, one's still in the two canoes messy middle (ie, they've got one foot in the value-based care world and one foot firmly in the FFS world). Life can get really hard for PCPs especially because they get the worst of both. They get to be care gap cowboys and cowgirls while, at the same time, having to do all of the FFS coding; and they still have seven-minute visits and RVU targets. There's not really great population health. Nobody's figured out how to defragment the care journey. And then there's the whole measurement industrial complex that gets piled on top of their day. I cannot stress this enough. Alright, so let's just check off our last big question here for the money motivated. This especially comes up when talking with especially specialists, who are doing very well, thank you very much—financially, I mean—in the current FFS status quo. So, let's not avoid the elephant in the room. Is taking on risk, getting paid for value, being accountable to deliver great results, deliver health … is it worth it from a financial standpoint? Alright, let's take a look at this. Here's from show 343 with David Carmouche, MD, when he was at Ochsner. He said, “Anything that we can do to convert the effective reimbursement in the Medicare space to something greater than Medicare fee-for-service rates, we think that this is in our best interest. So, we have gone very heavy into moving as much of our Medicare business into risk as we can. And we will take full capitation under a couple of Medicare advantage contracts.” So, that includes primary care as well as specialist care. Let's talk about One Medical for a moment. Five percent of One Medical members account for 51% of the company's revenue. You know which 5% account for that 51% of revenue? Right, the at-risk ones that are part of the Iora value-based medical group with a capitated model. That is a pretty strong financial endorsement there. There's a whole show with Brian Klepper, PhD (EP335), about why private equity is willing to pay $55,000 per patient in a capitated model. So, some actuaries somewhere think this is a very financially sound way to go. I am not sure if I would die on this hill, but I'd also say there's likely a downside to making zero effort on the accountable care front and banking on FFS being a forever cash cow. Everything I've just said, not a secret. Not at all. You see CMS moving in the “making providers accountable” direction. I already mentioned this and what CMMI is up to. But this is very much an overall strategy. Currently, 44% of traditional Medicare beneficiaries with parts A and B are in a care relationship with some accountability for quality and total cost of care. CMS aims to boost that number to 60% by 2024 and 100% by 2030. In sum across the industry, it looks like 19.6% of healthcare payments were risk-based in APMs (Alternative Payment Models) that include upside and downside. This is a couple points higher than in 2020, but it's not like it's skyrocketing. So, that might be a curb to our enthusiasm. However, in 2022 here, looking forward to 2023, you know who besides CMS is going heavy on trying to pay for health and not sick care? I have never seen my entire career more CEOs of Fortune 500 companies—CEOs!—who are actively taking a role in their employee health benefits. I think it's because they can't afford not to at this point. Again, financial toxicity is very, very real for employed individuals. Here's something that Jeff Hogan called out from a McKinsey report: “VBC [value-based care] models that show promise in the employer context include high-performance provider networks with cost- and quality-based metrics, episode-based payments for standardized patient-care journeys … , and risk-based contracts for end-to-end management of high-cost conditions.” You know what all those things have in common that I just rattled off? Only high-performing docs are in network—and this includes specialists. I say all this to say, I don't know, if I were a practitioner of healthcare and I knew that all this data was floating around about my practice patterns and given that doctors that don't perform well as per that data are being excluded from networks … I don't know, just given all of the signs that are pointing in a risk-based direction, learning to take on risk just seems like—I was never a Boy Scout, but the whole “Be prepared” seems pretty sound advice right now, especially given how long it takes to get good at this.   For more information, go to aventriahealth.com. To listen to the playlist of the mentioned episodes, click here. Each week on Relentless Health Value, Stacey uses her voice and thought leadership to provide insights for healthcare industry decision makers trying to do the right thing. Each show features expert guests who break down the twists and tricks in the medical field to help improve outcomes and lower costs across the care continuum. Relentless Health Value is a top 100 podcast on iTunes in the medicine category and reaches tens of thousands of engaged listeners across the healthcare industry. In addition to hosting Relentless Health Value, Stacey is co-president of QC-Health, a benefit corporation finding cost-effective ways to improve the health of Americans. She is also co-president of Aventria Health Group, a consultancy working with clients who endeavor to form collaborations with payers, providers, Pharma, employer organizations, or patient advocacy groups.   05:03 When physician practices get paid to deliver health and not paid for sick care, does patient health actually improve? 05:46 What is the ChenMed Case Study? 06:26 Can a care coordination model be associated with improved outcomes, including substantial cost reduction? 06:38 Are there examples of really great patient results when care is coordinated and payers are aligned to pay for health? 07:29 Do patients actually want this stuff? 07:46 Are employees choosing lower-cost plans just as much for the lower premiums as for the care coordination and the “I don't want anybody between me and my doctor” messages? 08:29 What is the Nuka System of Care in Alaska? 09:25 “I would certainly say that any physician practices looking to take better care of patients, rediscover clinical excellence and focus … get aligned with payers (CMS or otherwise). That's step one and certainly easier said than done.” 10:45 Are doctors happy in these models where payers are paying for health and where it's a must-have to coordinate across the continuum of care? 11:16 “This has changed our physicians' lives … the idea that we can get paid to actually take care of people. To actually have data to send people to the best for follow-up care, who we know will continue and contribute to the patients' well-being in the same way. Burnout reduces here because burnout is moral injury in a cheap Halloween costume.” —Physician leader 13:25 “There's a world of difference between a well-functioning accountable care model and a very terrible one.” 13:59 “Life can get really hard for PCPs especially because they get the worst of both. They get to be care gap cowboys and cowgirls while, at the same time, having to do all of the FFS coding; and they still have seven-minute visits and RVU targets.” 14:43 Is taking on risk worth it from a financial standpoint? 16:05 “There's likely a downside to making zero effort on the accountable care front and banking on FFS being a forever cash cow.” 17:11 “I have never seen my entire career more CEOs of Fortune 500 companies—CEOs!—who are actively taking a role in their employee health benefits. I think it's because they can't afford not to at this point. Again, financial toxicity is very, very real for employed individuals.” 17:54 “Only high-performing docs are in network—and this includes specialists.”   For more information, go to aventriahealth.com. To listen to the playlist of the mentioned episodes, click here.   Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast When physician practices get paid to deliver health and not paid for sick care, does patient health actually improve? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast What is the ChenMed Case Study? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast Can a care coordination model be associated with improved outcomes, including substantial cost reduction? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast Are there examples of really great patient results when care is coordinated and payers are aligned to pay for health? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast Do patients actually want this stuff? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast Are employees choosing lower-cost plans just as much for the lower premiums as for the care coordination and the “I don't want anybody between me and my doctor” messages? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast What is the Nuka System of Care in Alaska? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast “Are doctors happy in these models where payers are paying for health and where it's a must-have to coordinate across the continuum of care?” Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast “There's a world of difference between a well-functioning accountable care model and a very terrible one.” Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast Is taking on risk worth it from a financial standpoint? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast “There's likely a downside to making zero effort on the accountable care front and banking on FFS being a forever cash cow.” Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast “Only high-performing docs are in network—and this includes specialists.” Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast   Recent past interviews: Click a guest's name for their latest RHV episode! Dr Eric Bricker (Encore! EP351), Al Lewis, Dan Mendelson, Wendell Potter, Brian Klepper (Encore! EP335), Dr Aaron Mitchell (EP382), Karen Root, Mark Miller, AJ Loiacono, Josh LaRosa, Stacey Richter (INBW35), Rebecca Etz (Encore! EP295), Olivia Webb (Encore! EP337), Mike Baldzicki, Lisa Bari, Betsy Seals (EP375), Dave Chase, Cora Opsahl (EP373), Cora Opsahl (EP372), Dr Mark Fendrick (Encore! EP308), Erik Davis and Autumn Yongchu (EP371), Erik Davis and Autumn Yongchu (EP370), Keith Hartman, Dr Aaron Mitchell (Encore! EP282), Stacey Richter (INBW34), Ashleigh Gunter, Doug Hetherington  

Episode 108: Dr. Brad Brown (He/Him) of Strive Direct Health - Erie, CODr. Brown is the latest doctor to join the podcast and his journey is unique in that he opened his DPC, Strive Direct Health, WHILE he was still in residency. He shares about how his clinic started from a dirt floored building and how he, along with his co-Resident Dr. Schuster, had 100 patients with 100 days left to go in residency. Dr. Brown also talks workflows and how a desire to have an EMR that worked for him was the nidus for starting AeroDPC, recently acquired by Hint Health, and how being a Nextera Affiliate is a perfect fit for the clinic!---------------------Learn about Hint ConnectGet Elation's New DPC Checklist Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Katie McGovern and Elizabeth Bowen are practitioners and owners of Your Corner Pediatrics. They started their own Direct Primary Care pediatric office with help from Freedom Healthworks and now share their first hand experience on how beneficial DPC is for patients, for them as providers, and behind the scenes running their office. Chris, Katie, and Elizabeth highlight how this model enables quality of care over quantity of patients. Follow Healthcare Americana:TwitterInstagramLinkedInMore on Freedom HealthworksMore on Your Corner PediatricsSubscribe at https://healthcareamericana.com/episodes/

Episode 107: Dr. Wendy Molaska (She/Her) of Dedicated Family Care - Fitchburg, WIDr. Wendy Molaska shares her perspective as a DPC physician, as a patient and as the current President of the Wisconsin Medical Society on today's episode. She shares about what pushed her into choosing DPC and how she went from being employed to opening in six months. Starting with zero patients, she shares not only how she cherished a slower startup so she could finesse her workflows but also how it's going today!Learn about Hint ConnectGet Elation's New DPC Checklist Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

CEO & Founder Dr. Jeffrey Gold of Gold Direct Care discusses the Direct Primary Care industry. Being a proven business model, why is the DPC not gaining as much traction as it deserves? How do we stop putting band aids to fix the current status quo and mitigate real change for the DPC industry? Dr. Jeffrey Gold is one of many showing a prime example of how Direct Primary Care benefits patients and providers. Follow Healthcare Americana:TwitterInstagramLinkedInMore on Freedom HealthworksMore on Gold Direct CareSubscribe at https://healthcareamericana.com/episodes/

Episode 106: Dr. Jlyn Pritchard of Thread Health - Spokane, WADr. Jlyn Pritchard of Thread Health, a new DPC in Spokane, WA, about how her desire to protect her autonomy and creativity led her to her journey in DPC. Happy initially in the corporate model, she experienced how it becomes increasingly difficult to interact as a physician in corporate medicine and protect one's core values in that setting. Now, she sees herself as part of one generation standing on the shoulders of another, as she continues down the path she has chosen: DPC!  Learn about Hint Connect Get Elation's New DPC Checklist Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Year 2 In Review - Revisiting Defiant DPC, My Happy Doctor & Bloom Pediatrics and LactationIn today's reunion episode we hear from three physicians who started their DPCs after Residency. Dr. Jake Mutch is sharing about the experience of Defiant DPC in Williamsburg, VA, Dr. Deepti Mundkur is sharing about My Happy Doctor in San Diego, CA and Dr. Lauren Hughes share about Bloom Pediatrics & Lactation in Kansas City, KS. They reflect how practicing as a DPC physician has gone two years out from opening and what it looks like going into year three!---------------------Join Hint's curated network designed to scale DPC growthLEARN MORE ABOUT HINT CONNECT TODAY!Support the showLet's get SOCIAL!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

In this all-star lineup of Pittsburgh entrepreneurs, Dr. Natalie Gentile, TJ Fairchild, and George Cook are all back on the show. We cover a wide variety of topics including the importance of investing in our local communities, when to build team, how to navigate a hybrid work environment, dealing with growth challenges, and much more. It was such a pleasure to sit down and chat with these dynamic small business owners. I was blown away by how committed they are to supporting our local communities. I know you will enjoy this enlightening discussion.If you have any questions or if you'd like to chat, you can reach me at my contact info below. The purpose of this podcast is to share ideas, inspire action, and build a stronger small business community here in Pittsburgh. So, please say hello, tell me what you think, and let me know how I'm doing. It means a ton!Also, check out my guests' original episodes from when they first appeared on the podcast to share their origin stories.Dr. Natalie Gentile – Season 7, Episode 4: https://proprietorsofpittsburgh.com/episodes/do-what-is-authentic-to-you-natalie-gentile-md-co-founder-of-direct-care-physicians-of-pittsburghTJ Fairchild – Season 3, Episode 3: https://proprietorsofpittsburgh.com/episodes/put-people-first-tj-fairchild-owner-of-commonplace-coffeeGeorge Cook – Season 5, Episode 22: https://proprietorsofpittsburgh.com/episodes/entrepreneurship-is-a-long-term-commitment-george-cook-co-founder-of-honeycomb-creditYOU CAN REACH ME AT:Website: https://www.proprietorsofpittsburgh.comInstagram: https://www.instagram.com/proprietorsofpittsburghpodcastFacebook: https://www.facebook.com/proprietorsofpittsburghpodcastLinkedIn: https://www.linkedin.com/in/darinvilanoPhone: 412-336-8247YOU CAN REACH DR. NATALIE GENTILE AT:Website: https://www.directcarepgh.comInstagram: https://www.instagram.com/nataliegentilemdInstagram: https://www.instagram.com/directcarepghFacebook: https://www.facebook.com/DirectCarePghLinkedIn: https://www.linkedin.com/in/natalie-gentile-mdYOU CAN REACH TJ FAIRCHILD AT:Website: https://commonplacecoffee.comInstagram: https://www.instagram.com/commonplacecoffeeFacebook: https://www.facebook.com/commonplacecoffeeLinkedIn: https://www.linkedin.com/company/commonplace-coffeeYOU CAN REACH GEORGE COOK AT:Website: https://www.honeycombcredit.comInstagram: https://www.instagram.com/honeycombcreditFacebook: https://www.facebook.com/honeycombcreditLinkedIn: https://www.linkedin.com/company/honeycomb-credit