Got tipped off about Dr. Jan Gurley via a comment on this blog. Thank you. I love how she describes herself: Doc Gurley is an internal medicine physician and the only Harvard Medical School graduate to have been awarded a Shoney’s Ten-Step Pin for documented excellence in waitressing. She is wonderful and we seem to think alike. Please read her WHOLE DISCUSSION on the bogus Patient Centered Medical Home concept but here is her summary:
The data on the much-lauded PCMH approach, a cornerstone of ACA, shows that it is expensive, onerously bureaucratic, a drain on health care resources, especially for primary care providers, and a distraction from health care delivery. And, if cost savings ultimately materialize, they are likely to go to large health systems, and not to sustaining, much less expanding, primary care.
Dr. Gurley, we need to collaborate so we can break this thing!