Rollin’, Rollin’, Rollin’, Insurers Profits are Swollen

It’s been about six months since the health insurance coffers began overflowing yet they have decided they want more and therefore are rolling back the telehealth coverage they were offering to patients and doctors. You know what happens next, right? If docs don’t get paid then they will force patients to come to the office. And patients won’t do it. It’s simple economics.

All the insurers are doing different rollbacks. Some are un-waiving the copayments. Some are excluding CV19 visits. And even within health plans, it is different. It’s not like the insurers to make things confusing, right?


The WSJ article, if you can read it due to the paywall, mentions this anecdote:

For Karen Smith, a family physician in Raeford, N.C., about a third of her patient visits in a typical week is now virtual, she said. The expanded coverage provided a financial lifeline to her practice and enabled her to stay in touch with patients who were afraid to come to the office because they feared viral infection, she said.

Patients might be less likely to use the remote visits if there is a charge, Dr. Smith said: “If they do have to pay, our patients are not going to accept the service.”

Do you know who doesn’t have this issue, Dr. Smith? DIRECT PRIMARY CARE. Get off the teat of the insurance system and make the change. Every DPC doc I know (and I know a lot) financially withstood the pandemic. Or you are could continue to get your bottom chapped into rawhide from the likes of Aetna, UnitedHealth, etc. (See what I did there?)

Here is a link to my book on how to do it:

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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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1 Response

  1. Kurt says:

    That is indeed another advantage to DPC just as long as patients can maintain their employment and can maintain the monthly fees. Also in DPC if the patients want tele-health visits then it’s easy to do and one still gets compensated for it. Can give ‘em what they want.

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