Costs can change only if there are new different processes to solve the same problems.

Last week, I defined the characteristics of each new primary care model in America and, in the following post, determined the kind of person who would most benefit from each new model. This is important because primary care is literally just a process. And you’ve got to design and build the process that’s best able to solve specific problems. Since we all don’t have the … Continue reading Costs can change only if there are new different processes to solve the same problems.

Matching the right primary care tool to the needs of each person

Yesterday, I posted a chart detailing the characteristics of new and traditional primary care models. Today, I’m going to try to identify who would be a best fit for each model. The following is a primer on how primary care works, how people spend on care, and how spend can be affected by the various new models of primary care. I’m a firm believer in … Continue reading Matching the right primary care tool to the needs of each person

A summary of today’s primary care models in America

This is Part I of two posts. Part II outlines how each model fits into the unique needs of different kinds of healthcare users. One of the very few redeeming qualities of healthcare in America is entrepreneurs are free to create healthcare services and people can purchase those services with their hard earned money. It spurs innovation and it offers Americans a choice. We are … Continue reading A summary of today’s primary care models in America

What would happen if we blew up the concept of the doctor office visit?

Doctors get paid exclusively for office visits. So, they keep happening, because money. But what would happen if the primary means of communicating with your doctor and care team was online and a message could be sent at any time of any day and you could expect a response within 12 minutes? Or, if needed, you could pick up the phone or jump on a … Continue reading What would happen if we blew up the concept of the doctor office visit?

Primary care was made for simpler times. It’s time to reconsider.

Traditionally, when things were simpler, people had a primary care doctor. He looked and acted a lot like Marcus Welby or Doc Hollywod. But something huge happened that changed everything. The general field of medicine became overly complex. Atul Gawande, in his commencement speech, Cowboys and Pit Crews, addresses this complexity problem: The core structure of medicine—how health care is organized and practiced—emerged in an … Continue reading Primary care was made for simpler times. It’s time to reconsider.

What does it mean to scale primary care?

Direct Primary Care doesn’t geographically scale to all employees everywhere in America. And 10 minute video visits are severely limited and can only treat ~30 simple low-cost conditions. Sherpaa combines the relationship-driven continuity of care seen in Direct Primary Care with the geographic reach of telehealth to deliver geographically scalable, broad-scoped primary care. I created Virtual Primary Care (Sherpaa) with a mission to scale primary … Continue reading What does it mean to scale primary care?

The most expensive thing in healthcare is the doctor’s pen.

However, most plan interventions are set in motion after the order has been made. There are services that try to redirect a patient to a lower cost imaging center, but after the doctor already faxed the order to the imaging center run by their golfing buddy. There are PBMs that fulfill a ridiculously expensive Rx from a doctor who’s 100% ignorant about how much that … Continue reading The most expensive thing in healthcare is the doctor’s pen.