Our health insurance-based third-party payer protocols have pernicious and nefarious economic consequences on the cost of medical care; and in many ways has diminished access due to regulatory complexities that accompany these interventions. The undeniable result continues to be a …
Category: Direct-Pay Practice Models
Why Value-based Payment Methods Won’t Fix Healthcare
I’ve read several posts today on so called “Value-based payment” strategies and I couldn’t resist adding my 2-cents. VBP can’t fix these fundamental problems because it is still based on a price-opaque shell game I like to call Fee-for-Coding, which …
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Surprise Medical Bills: We Know the Cure…Few Are Using it
This whole issue of “surprise bills” is a symptom of a more pernicious economic disease which has been driving prices in healthcare for decades; that being, a lack on discoverable, actionable meaningful prices for bundled medical services. Moreover, the lack …
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The Sorry State of Healthcare Financing: “But I Didn’t Get the Memo!”
You pull into a Gas Station and discover that there are no prices listed on the pump, just a slot to insert your auto insurance card…only to find out your State Farm policy is not part of the gas station’s …
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Sleep Medicine Specialist to Provide Direct Pay Video Consults to Patients in Georgia and South Carolina
For the past year I have grown increasingly frustrated as our health care system has valued payer over patient, time and time again. Even our hospital administrators seem immune to care and compassion – the bedrock of my practice. My …
FORBES | Employers Could Slash Their Health Costs Overnight. So, Why Don’t They?
“I am often asked if the free market can work in health care. My quick reply is: That is the only thing that works. At least, it is the only thing that works well. Show me a health care market …
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Options Will Increase, Sky Will Not Fall, If ACA Ends
“For example, the AMA complains that hundreds of millions would be at risk of losing “coverage.” In fact, only a net 1.7 million people gained private coverageunder ACA, after subtracting the nearly 6 million who lost it, at a shocking …
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Kroger and GoodRx Launch the Kroger Rx Savings Club to Redefine the Customer Experience
The market is rising up in response to the price-distortions of the medical-industrial complex. The Kroger-GoodRx partnership is a huge end-run around the price-skimming cabal of PBMs and their Health Plan co-conspirators. – Robert Nelson, FfHCF “More than 200 million …
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