Thirty-six times.
Same brain MRI. Same CPT code.
$406 at Henry County Memorial in New Castle, Indiana.
$14,681 at Sky Ridge in Lone Tree, Colorado.
Five years of price transparency. The gap did not shrink. It just got public.
A posted price without a shopper is still a sticker.
Direct care posts the fee before you walk in. The number on the door is the number you pay.
https://t.co/UdcAPLOrc9
Patient files are now easier to access in Atlas.md Mobile.
Review a patient’s attachments, lab results & faxes together in one place—then preview, download, or add attachments right from your phone.
https://t.co/2vF8X8En8N
h/t Paula Benson, The Vermont Journal, Nov. 9. The $50 / $500 line is my illustration, not a figure from the article or from the practice. The piece lists no prices. This is a possible tenant conversation, not a done deal.
https://t.co/xHgEIq3S36
Empty hospital.
Rockingham, Vt., is talking about Direct Primary Care for 1 Hospital Court.
Get ready to see this trend continue as towns and small businesses see what membership care can do for premiums.
Imagine $50 a month on a membership to save $500 a month on premiums?
h/t The Economist, Nov. 5 leader. Emperor's-new-clothes line is mine, not theirs. They still put complex and emergency care with doctors, hospitals, and insurers. Keep a policy for the wreck.
https://t.co/r3x5Hy3pH7
20 years.
Health insurance is the emperor's new clothes. For most everyday care it doesn't make anything cheaper. It just adds a middleman.
Now even The Economist says that in the routine parts of medicine, patients should be treated as customers. DPC got there first.
26 minutes. That's the average hold time at Nebraska's Medicaid call center now, double what it was in May, after the state rolled out its new work rules.
Eli McCreary, 64, newly diagnosed with kidney cancer, was told by the hospital he wasn't insured anymore. So he canceled his CT scan. The call center told him he'd missed his work requirement.
The state says he never lapsed at all. He'd just turned 65 and moved to Medicare.
He had surgery in early November. "The cancer has grown so much."
Nobody misread a scan. Every bit of the harm happened in the paperwork. State documents outline $8.2 million in contractor costs over 2 years to run it.
Direct care can't settle Medicaid eligibility. It can keep the front door simple: one monthly price, a doctor whose number you actually have, and a first question about your kidney, not your card.
26 minutes on hold is a price. A month of a growing tumor is the bill.
https://t.co/RqmE11sVyz
@PeteTiliakos@HR_Exec@HRPAYROLL2_0@VensureHR@Payroll_iE Fundamentally until we focus on the cost of care, we will never be able to fix the cost of health insurance. Most care should be too cheap to insure. Then we will be able to drastically decrease roadblocks to care and to reasonably priced insurance premiums.
@PeteTiliakos@HR_Exec@HRPAYROLL2_0@VensureHR@Payroll_iE Well done, article, Kaba. There is now direct health insurance for patients of Direct Care clinics that can be a fraction of the current bloated health insurance plans. https://t.co/o08BwHmuji
Indeed, until we actually focus on the cost of care, we will never be able to focus on the cost of health insurance.
That’s why direct care is working so well because it actively targets the cost of outpatient care. Unlimited visits, no copays, free procedures, meds, and labs 95% less than retail, and much more.
80% of care should be 80% less or too cheap to insure.
Only then can we actually have a conversation about insurance affordability when we are actually insuring a fraction of what we do today.
We don’t need Medicare for all, we need market-based medicine for all.
Medicare for all is great branding, but is fundamentally unexecutable until they address the cost of care.
Most care should be too cheap to insure, and until we address that, then we won’t be able to afford Medicare at its current prices, let alone when the benefits are expanded.
That’s why direct care is working so well because it’s actually innovating with a flat monthly rate, no insurance, paperwork, free telemedicine, unlimited office visits, no copays ever, any office procedures free, wholesale medications and labs for 95% of retail, and much more. And insurance premiums that could be 50 to 75% less.
We need market-based medicine for all, not Medicare for all
@JahangirAsgha10 Tell me about it :-) it’s been a labor of love, but also a huge learning curve creating a new health insurance company for direct care patients, https://t.co/dKAU6TcLft and it’s interesting how the rules are designed to protect incumbents and prevent new innovation.
Indeed, Medicare for all sounds great in marketing, but becomes almost impossible to functionally implement even at current Medicare levels of benefits and cost.
Fundamentally, it still doesn’t answer the cost of care question, and until we address the cost of care, we can’t fix the cost of health insurance.
That’s why direct primary care is working so well.
Until the goal is making most care too cheap to ensure, we’ll continue running into the economic reality that ensuring anything at any price is unaffordable.
@bchesky@patrickc Very generous, just for another way of looking at the purchasing power of that donation, it could wipe out/by more than $10 billion of medical debt that sells for a penny on the dollar…@unduemeddebt
Scary indeed, because the idea of ensuring everything still doesn’t focus on the actual problem. The cost of care. Until we fix the cost of care, we will never fix the cost of health insurance. Which is why direct primary care is so important. A flat monthly membership with free telemedicine unlimited office visits eliminating copays and doing all office-based procedures for free and dispensing medications and labs wholesale for up to 95% less, decreased ER visits, decreased urgent care visits, and much more take a huge bite out of the actual cost of care. Most care should be to cheap to ensure and until that’s our primary goal, we will never be able to control the cost of health insurance.
Not all of it. Insurance for the wreck makes sense. Using it for a $4.50 lab doesn't.
At AtlasMD, members pay a flat monthly fee. No copays, no claims. A CMP is $4.50. Lisinopril is $2 for 90 days.
Keep insurance for catastrophes. Go direct for everything else.
@jeremyct Health insurance. Americans pay hundreds monthly (worker share often $100-600+) for coverage sold as essential, yet face high deductibles, frequent claim denials, and large out-of-pocket costs. The system prioritizes admin and profits over straightforward care access.