From Dr. Lee Gross, Epiphany Health:
“New patient in the office today had a CT scan ordered by his urologist for presumed symptomatic kidney stones, which was denied by his insurance for 2 months. I ordered the study stat, cash pay. Done 30 minutes later, $220 cost paid by the patient. Stone identified, results given same day. Treatment and care plan initiated. Now that we have a diagnosis, the urologist has the insurance logjam relieved to proceed with a care plan if our conservative therapy is ineffective. Insurance is frequently an obstacle to health care.” #DPC
One of the mistaken ideas of Marxism (collectivism philosophy) is that wealth accumulation in the hands of a few is inherent, and specific, to Capitalism. This fails to recognize that in any endeavor -regardless of who plans it or who participates – that success in that endeavor will always be disproportionately held by a few for reasons that have nothing to do with oppression or theft. This may help explain why the egalitarian promises of socialism & Communism never plays out as it is conceived.
The RFI goes on to explain the CMS vision of, “direct provider contracting (DPC), through which CMS would directly contract with Medicare providers.” Obviously this interpretation of “DPC” turns the true meaning of Direct Patient Care on its head.