atlasmd
atlasmd on Hacker News
ideally, direct care is saving more than it costs - $50 for unlimited visits, free telemedicine, no copays, all office procedures free, wholesale meds and labs for up to 95% less. Then you can lower your ins premiums by 30-60%.
force of habit on the # tags and the url shortening are part of my text expander habits :)
and here's a more complete list of routine meds/labs/imaging and their wholesale cost
http://bit.ly/2JoVyJi wholesale meds, labs, imaging
one good example is
http://bit.ly/2mhMxZl a graph of seizure medications where retail is as high as $108 and wholesale for #DirectCare pts is <$1.50
indeed, the movement continues to grow
as a direct care doc, there's #DirectCare clinics in every state and 20-30 new clinics opening monthly.
as a direct care doc, it can help with things 'outside' of primary care. Online doctor to doctor specialists consults, meds, labs, imaging, pathology, dme. Skin cancers can be biopsied and managed for no additional cost (procedure free, cost of pathology $70, meds) by family docs. Or we've helped get wholesale chemotherapy medications to make care affordable in coordination with specialists.
As a family physician, i can tell you that most physicians lose money on medicare rates b/c of the added administrative costs. And that just got worse 1/2017 with the addition of 962 pages of new laws (medicare:macra/mips).
We here this question a lot - how do i afford the insurance PLUS the membership. To which we try to show how can you afford your insurance WITHOUT the membership. BC the directcare model can decrease the patients out of pocket expenses dramatically on visits, copays, procedures, medicines and labs.
i've been a direct care doc since 9/2010 and happy to answer any questions. to (quickly) define the model: $10-100/patient/month for unlimited home/work/office/technology visits, no copays, any procedure we can do in the office is included free, and wholesale savings on medicines, labs, imaging, pathology of up to 95% (yes!)
We can then take all of this value and go back to an employer and help decrease insurance costs by 30-60%.
That is a fair point - any major hospitalization and you're over your deductible anyways. But the insurance statistic is that about 87% of people with a 3k deductible will reach that in a given year and <95% of people with a 5k deductible will reach that in a given year.
Which means, families are paying more than $1000/mo or 12k/year for a risk thats rarely over 5k. Which means they can decrease their insurance coverage, save $500/mo on their premiums, and save more money each year than their increased deductibles would be.
Plus, our direct care models saves them on the majority of care most people need in a year.
i've been a direct care doc since 9/2010 and happy to answer any questions. to (quickly) define the model: $10-100/patient/month for unlimited home/work/office/technology visits, no copays, any procedure we can do in the office is included free, and wholesale savings on medicines, labs, imaging, pathology of up to 95% (yes!)
We can then take all of this value and go back to an employer and help decrease insurance costs by 30-60%.
i've been a direct care doc since 9/2010 and happy to answer any questions.
To answer your questions: yes, we have ins companies that will accept our fees toward your deductible automatically.
As an example, 80% of visits to the ER are for non emergency conditions, yet charge often >$1000. Most of those same things, i can do in the office for little or no additional fee. Stitches are free. labs are $2-3/test.
To (quickly) define the model: $10-100/patient/month for unlimited home/work/office/technology visits, no copays, any procedure we can do in the office is included free, and wholesale savings on medicines, labs, imaging, pathology of up to 95% (yes!)
We can then take all of this value and go back to an employer and help decrease insurance costs by 30-60%.
basic model: $50/mo for unlimited home/work/office/technology visits (email, sms, twitter, video etc), no copays, all office procedures free, wholesale meds/labs/imaging for up to 95% savings -- and employer insurance discounts of 30-60%.
dpc is to the current system, what netflix was to blockbuster.
i'm a direct care doc, if anyone has questions
$10-$50/mo/patient for unlimited home/work/office/technology visits, no copays, all office procedures are included free of charge and wholesale prices on meds/labs/imaging/pathology for up to 95% savings. And can decrease employer premiums by 30-60%