Opining FP Docs

I couldn’t stop laughing at the title of this article:

FPs Opine on Practice Transformation Network Experience

Good for them. Let these clueless ivory tower idiots opine while Rome burns. The goal?

Responses Will Help Shape Future Projects

Read the article if you want but here is the what one person said:

“We don’t know that information, but it does seem that by joining a network like this, practices are getting some resources that might be difficult to obtain on their own, and they are handed to physicians in an organized way that is tailored somewhat to the practice,” she said.

Getting some resources? Tailored somewhat?

Wow, sounds like another winning program.

How about they FULLY endorse DPC?

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Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected]

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5 Responses

  1. Randy says:

    I think I might have actually been one of the doctors opining. I use the PRIME registry through AAFP to help collect MIPS-related info. It actually works pretty well once you get it set up though there is a learning curve, so I probably gave it positive remarks.

    I don’t think they asked me what I thought of MIPS and MACRA though, my comments would have been much more negative. MIPS is worse than useless.

    • RSW says:

      “MIPS is worse than useless.”

      Serious question: so why do it? If you account for your and your staff’s time at market rates, it’s pretty sure to be a net financial lose.

      • Randy says:

        It’s a good question. Long story short to me it’s financially worth it. Once you get the PRIME set up the quality portion pretty much runs itself. For the improvement activities portion I am in a program where basically I do questionnaires and surveys with CMS, and that part is pretty easy. The trouble I have is with the promoting interoperability portion, and basically I need to sit down and work out a program to meet that better. There is minimal staff time involved, it’s mostly just me.

        I am solo and have one PA. We report as a group so any penalties apply to both of us. I had a 4% penalty last year over some EMR issue and it hurt quite a bit. I was seriously considering retiring. 4% off the Medicare payments actually is a lot more than 4% on your net since overhead stays the same. This year I have a 6% Medicare bonus and it makes a big difference.

        The underlying trouble of course is the time involved with MIPS is not justified by the improvement in patient care, if any. It’s analogous to MOC in that way. Yeah there’s a little bit of improvement but the method used is too onerous.

        So why not go to DPC – I’m in a rural area and the population isn’t here. I don’t want to move to a more populated area, I’d rather just retire if it comes to that.

  2. Pat says:

    In one of the rural counties where I work, a superstar blustering, semi-literate county commissioner came up with this gem:

    “Don’t know where we gonna go from here, but we gonna go!”

    She could have been a Transformation Network lead speaker.

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