Alls Well That Ends Questionably
Here is some news:
CommonSpirit Health and Paladina Health are negotiating primary care contracts with employers, unions, and other organizations.
Who thinks this will go well? Who thinks this won’t fall into the same trap as the other ones who tried before to scale up DPC?
Here’s more:
CommonSpirit, which operates more than 700 care centers in 21 states, has established a partnership with direct primary care provider Paladina Health. Paladina, which is based in Denver, has more than 130 clinics that operate under value-based contracts with employers, unions, and other organizations. The partnership is launching in the Las Vegas area.
“Value-based contracts”? That’s so not DPC.
Hey, didn’t Turntable Health start and finish in Las Vegas? What’s with that place? Oh, yeah, people are used to gambling there.
I am open to your thoughts on this. I could be wrong. I often am.
It is IMPOSSIBLE for investors to make a killing off of high quality, patient-centered primary care.
Anyone who thinks they can is planning on scamming patients and/or insurers.
All of these schemes – Paladina, Iora, Aledade, etc. – are frauds.
In today’s world in the U.S., it’s improbable. If, however, a community-owned open source hospital whose mission included trying to eliminate every hospitalization, it could work. That’s an enormous “if” but we’re going to give it a shot. https://vimeo.com/452270538/2444db09f9.
By its nature, we’re open source and are likely wrong on multiple fronts. Thus, why we had this presentation at our summit last month. Hopefully, we can get a little more right every day. Please poke holes in our logic.
As a side note, any good thing/term such as DPC can and will get bastardized by status quo protectors. I don’t put any stock in names. It’s the substance that matters. Having said that, the status quo is so miserable that I say let a 1000 flowers bloom. In time, it will be clear which are for real or not.
So far, health systems trying to do DPC have failed. It’s simple: they are diametrically opposed in mission. DPC true mission is lower costs, better care and improved access to primary care. DPC’s mission is to reduce ER and urgent care visits and keep patients out of the hospital. Hospitals MUST get heads in beds and keep the MRIs and surgery suits full. This marriage is doomed.
Well isn’t this peachy. The businessmen have now set their sights on DPC. One, they see it works. And two, they can make more money by roping it in.
First they sign up the population. Then they turn up the heat on the Docs. Yes, we’ve seen it before.
And when they utter “value-based contracts”, it makes it all complete and deceptive BS. God, I loathe these people.
At that point, it isn’t really DPC.