Posted in Access to healthcare, Consumer-Driven Health Care, CPT billing, Direct-Pay Medicine, Direct-Pay Practice Models, Doctor-Patient Relationship, Economic Issues, Employer-Sponsored Health Plans, Government Regulations, Health Reimbursement Arrangement (HRA), Health Savings Accounts (HSA's), Healthcare financing, Individual Market, Large group insurance market, Medicaid, Medical Costs, Medical Practice Models, Medicare, Patient Choice, Patient-centered Care, Policy Issues, Portable Insurance, primary care, Protocols, Reforming Medicaid, Reforming Medicare, Tax Policy, Technology, third-party payments, Uncategorized

Trump’s New Vision for Health Care

Hats off to John C. Goodman again! His work in leading the effort for market-based healthcare reform over the past 4 decades, and highlighting the government’s role in the dysfunctional mess we labor in, is second to none.

This Forbes article lays out a most concise and accurate rendering of what healthcare has become and why…and what to do about it.

If you’re tired of the hearing healthcare pundits wax feverishly about their favorite villains and how more regulations are the answer; or if you’re just a novice starting to explore the Healthcare conundrum, Dr. Goodman’s work is required reading. I recommend starting here and then circling back to some of his earlier work. The book “PRICELESS” is a recommended next step!

Posted in Access to healthcare, Economic Issues, Independent Physicians, Medical Costs, Medical Practice Models, Organizational structure, outcomes, Patient Choice, primary care, Uncategorized

Consolidation of US Physician Practices Continues to Surge

images (22)Unlike the authors of the study, I have no doubt that the effects of consolidation to larger practices will just make them a meatier target for large health systems to take over.  There is virtually no chance that the kind of consolidation we see in healthcare will result in an economy of scale that benefits patients or drives down costs.  The examples of consolidation in the healthcare industry mostly point to concentrating power and escalating prices due the cartel-like relationship of PPO networks to large higher-cost providers. – The Sovereign Patient


US physicians are increasingly moving from smaller to larger group practices, a new study has shown.

Source: Consolidation of US Physician Practices Continues to Surge