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.

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] 

  5 comments for “Alls Well That Ends Questionably

  1. Stewart
    September 8, 2020 at 9:21 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.

  2. September 7, 2020 at 1:04 pm

    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.


    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.

  3. Jerry S Purcell
    September 7, 2020 at 12:25 pm

    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.

  4. Rick
    September 5, 2020 at 11:36 am

    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.

    • PW
      September 6, 2020 at 5:04 pm

      At that point, it isn’t really DPC.

Comments are closed.