interview ane of its pioneers, agency dorsum inwards Aught 12.
There is much positive to move said almost DPC: it satisfies the ObamaTax mandate (which may or may non affair for this year), in addition to offers the chance for improve clinical outcomes based on to a greater extent than patient-focused care.
Unfortunately, it seems that its advocates remember a lot to a greater extent than highly of the model than is genuinely justified. For ane thing, it is literally a blip on the wellness tending radar: at that topographic point are almost a quarter of a meg master copy tending doc's inwards the US, in addition to less than 1,000 of them are DPC (that's almost 4/10's of 1%). As I lately pointed out to ane of the to a greater extent than outspoken DPC folks, it's non that DPC is a bad thing, it's simply non a thing. And the thought that it tin move easily or chop-chop (or realistically) scaled upwards to run into a meaningful release of patients' needs is, frankly, laughable.
And of course, we've discussed numerous times (here for example) how DPC folks expire along to brand the fallacious declaration that it makes economical feel for patients*. Until true Catastrophic medical plans are allowed ane time once again (they're currently illegal nether ObamaCare), in addition to then ane of 2 things volition expire along to move true:
1) That folks volition move double-paying for master copy tending (since it's already covered nether ObamaPlans) or
2) They'll driblet their major med plans inwards favor of DPC only, leaving themselves exposed to potentially massive catastrophic claims.
Sigh.
So what's your betoken here, Henry? Or are you lot simply blowing off steam?
Good interrogation - to a greater extent than oftentimes than non the latter.
Happy New Year!
UPDATE: From our friend Mike Bertaut (an economist alongside Louisiana Blue Cross):
"Insurance carriers depend on master copy tending docs alongside a costless time period of patient wellness information via EHR's to maintain patients healthy. Influenza A virus subtype H5N1 huge spell of tending coordination (especially post-discharge) in addition to much of predictive modeling, both of which are straightaway big contributors to keeping claims costs downward require in-network, EHR sharing PCP's. To me this makes the thought of carving out master copy tending non exclusively counter-intuitive, but bad for the patient in addition to his healthcare costs overall."
I tin catch that, although I do catch a business office for DPC inwards the expanse of access in addition to to a greater extent than patient-centered care.
*To move fair: Many (most?) DPC practices do offering discounted rx options, which has the cyberspace lawsuit of lowering the subscription cost.
There is much positive to move said almost DPC: it satisfies the ObamaTax mandate (which may or may non affair for this year), in addition to offers the chance for improve clinical outcomes based on to a greater extent than patient-focused care.
Unfortunately, it seems that its advocates remember a lot to a greater extent than highly of the model than is genuinely justified. For ane thing, it is literally a blip on the wellness tending radar: at that topographic point are almost a quarter of a meg master copy tending doc's inwards the US, in addition to less than 1,000 of them are DPC (that's almost 4/10's of 1%). As I lately pointed out to ane of the to a greater extent than outspoken DPC folks, it's non that DPC is a bad thing, it's simply non a thing. And the thought that it tin move easily or chop-chop (or realistically) scaled upwards to run into a meaningful release of patients' needs is, frankly, laughable.
And of course, we've discussed numerous times (here for example) how DPC folks expire along to brand the fallacious declaration that it makes economical feel for patients*. Until true Catastrophic medical plans are allowed ane time once again (they're currently illegal nether ObamaCare), in addition to then ane of 2 things volition expire along to move true:
1) That folks volition move double-paying for master copy tending (since it's already covered nether ObamaPlans) or
2) They'll driblet their major med plans inwards favor of DPC only, leaving themselves exposed to potentially massive catastrophic claims.
Sigh.
So what's your betoken here, Henry? Or are you lot simply blowing off steam?
Good interrogation - to a greater extent than oftentimes than non the latter.
Happy New Year!
UPDATE: From our friend Mike Bertaut (an economist alongside Louisiana Blue Cross):
"Insurance carriers depend on master copy tending docs alongside a costless time period of patient wellness information via EHR's to maintain patients healthy. Influenza A virus subtype H5N1 huge spell of tending coordination (especially post-discharge) in addition to much of predictive modeling, both of which are straightaway big contributors to keeping claims costs downward require in-network, EHR sharing PCP's. To me this makes the thought of carving out master copy tending non exclusively counter-intuitive, but bad for the patient in addition to his healthcare costs overall."
I tin catch that, although I do catch a business office for DPC inwards the expanse of access in addition to to a greater extent than patient-centered care.
*To move fair: Many (most?) DPC practices do offering discounted rx options, which has the cyberspace lawsuit of lowering the subscription cost.
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