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What Healthcare Bill Would Work?

I am no economist but my job as a direct primary doctor has proven that the free market works. Even more importantly, it proves that the insurance companies are needed very rarely.  They don’t need to navigate your care.  They don’t need to negotiate prices for you.  They don’t need be called “your healthcare provider”.…

Epinephrine and Pharma Gouging

Everyone remembers how the EpiPen starting going up in price after a pharmaceutical company realized they could secretly do it.  Not until pressure and, more importantly, competition did it become more affordable.  Now other drugs that have been around for decades are starting to be bought up and the prices are becoming outlandish to buy…

It’s So Simple!

This is your new payment plan: The CMS’ Comprehensive Primary Care Plus program offers three forms of upfront financial incentives to health care practices that offer comprehensive care management while implementing payment reforms. These incentives include care management fees that are based on the patient’s risk score and on the payer, performance-based incentive payments which…

Sharing Medical Data

The article in the LA Times starts with this: “Glendale Adventist Medical Center’s recent partnership with a nonprofit group is designed to make access and delivery of electronic medical records more efficient for those in its network.”   People outside the medical world are probably a little confused by this.  They may be thinking, wait…

Administrative Waste

A new survey shows that almost “half of practice-based providers report difficulty communicating with and interacting with payers, compared with almost a third of facility-based providers. Among the top issues identified by providers as leading to dissatisfaction with payers are: redundant information requests, denied claims and uncompensated care, as well as inconsistent rules among health…