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A New Way To Improve Primary Care Yet Reduce Total Costs

 PCPs in the current reimbursement model are obliged for business reasons to see too many patients per day which of course means less time per patient. PCPs are frustrated and patients are less satisfied. With less time it is hard to build a...

Posted March 10, 2016    

Employer-Sponsored Comprehensive Primary Care

Patients need doctors that take time to listen which means a limited number of patients under care. Employers need programs that reduce costs and ideally improve the health of their staff. These apparently disparate needs can come together in a new...

Posted February 25, 2016    

Reducing Healthcare Costs Through Company Wellness Plans

 Employers have seen their health care costs rise dramatically over the years. To compensate, they have expected employees to pay an increasing portion of the healthcare insurance premium, expected employees to pay significant co-pays with each...

Posted February 4, 2016    

A Business Approach To Reducing Healthcare Costs

“Helping employees improve their health is right for the company’s bottom line and is doing right by our employees. Healthier employees are happier, demonstrate less absenteeism and presenteesism, and are more productive. This is a win for...

Posted February 1, 2016    

Pros and Cons of Direct Primary Care – A Response To Your Comments

Over the past few months KevinMD has posted a series of articles by me on what I call the “Crisis in Primary Care.”  (BTW, I was not a PCP.) Most recently have been a few posts related to direct primary care. They have generated many comments...

Posted January 20, 2016    

Direct Primary Care – Isn’t It Too Expensive?

A common criticism of direct primary care (membership/retainer/concierge practices) is the added expense – “isn’t it too expensive?” Ways to think about the cost are to prioritize expenditures and to consider potential savings that make it cost...

Posted December 15, 2015    

Concierge Medicine – For the Masses or the Elite?

 Is concierge medicine (also known as direct primary care, retainer-based, membership) for everyone or is it just for the rich, the 1%? Most people assume it is for the elite and cannot be afforded by the common man, the masses. That is...

Posted July 13, 2015    

Saving Relationship Medicine with Direct Primary Care

 The fundamental problem in health care delivery today is a highly dysfunctional payment system that leads to higher costs, lesser quality and reduced satisfaction. It also means less time between doctor and patient with the loss of “...

Posted July 8, 2015    

Most Medical Decisions Are Not Risk-Free

Interpreting Your Benefits and Risks of Medical DecisionsPatients and doctors need to be a team in making important health care decisions. Good decision making requires solid, appropriate information but all too often it is either not available or...

Posted June 2, 2015    

A Humble Opinion: Book Review

Book Review - Readers of my posts know that I am a strong advocate for primary care and especially a primary care physician (PCP) that provides each patient with sufficient time. Time for the PCP to listen, to think, to treat and to prevent. This...

Posted May 3, 2015    

As a Physician Do You Have Adequate Financial Expertise?

Book Review – Physicians (and dentists, nurses, nurse practitioners, and other health care providers) need to understand money but most have limited financial expertise. No wonder and it’s not your fault. Four years of college, four more of medical...

Posted April 28, 2015    

Curing Medicare: A Book Review

This might seem like a curious title for a blog post but it reflects a very serious national need. Medicare is the central method for financing medical care for those over 65. It brings major value but it has serious deficiencies. We are frequently...

Posted April 1, 2015