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
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
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?
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.
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?
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.
Let’s take a group of 1,000 and analyze how they use healthcare for a year. First, we’ll look at their traditional usage leveraging PCP office visits, specialist visits, urgent care centers, and ERs. Then, we’ll look at how they use healthcare with Sherpaa. Traditional Usage per 1,000 employees Sherpaa Usage per 1,000 Employees First, some background. Sherpaa encourages people to reach out to our doctors … Continue reading Comparing costs and claims in a group of 1,000 people in traditional settings vs. Sherpaa
Over the years, we’ve seen so many attempts to define the intersection between the internet and healthcare. Here are just a few: Digital Health Health 2.0 Health IT Telehealth Definitions are important. They enable us to categorize things to create a better understanding through a shared language. And that got me thinking about what my efforts over the last 11 years should be called. And, … Continue reading Caretech
Sherpaa is Virtual Primary Care, not telehealth. Telehealth (Teladoc and the other video/phone visit companies) is for pink eye and 30 other simple conditions. A doctor’s ability to diagnose and treat more than those 30 things is due to the limitations of a 10 minute phone or video conversation between strangers without the ability to order tests or follow-up with you. Virtual Primary Care/Sherpaa treats … Continue reading How is Sherpaa different from telehealth like Teladoc?
A 10,000 patient primary care practice will have: 7-8 FTE primary care doctors 4 support staff per doctor (nurses, nurse practitioners, receptionist, billers, etc.) This adds up to 30 to 35 staff to support 10,000 patients. Volume and maximizing billing is the game as complexities to interface with insurers + inflation increases costs every year. The PCPs can diagnose and manage ~1,500 typical primary care … Continue reading The anatomy of a primary care practice