New business models of medicine - shedding complexity in favor of patient care

I don't believe that charging patients directly for their health care expenses is the ultimate solution to our health care problems - there are too many unintended side effects of this model.  It works for some, though, and where it does work, it opens the door to innovation that is blocked by insurance company rules that get in way of good care and desired outcomes.

I am impressed by the level of innovation practices like those cited below.  They can scale new heights because they are able to work directly for their patients without the costly and (often but not always) counterproductive interventions brought to bear by the insurance industry.

There is a lot we can learn from practices that have shed the tyranny of Evaluation & Management Coding from the AMA, especially those that have captured their new found freedom to enhance and improve patient care & reduce the cost of care to those served.

Here are back to back interviews with Garrison Bliss of Qliance in Seattle & Jay Parkinson of hello health in NYC.

L Gordon Moore

Comments

[a family doc]

If you want unintended consequences, our third party payment model is full of them.

Primary care is not expensive. Most of our patients spend more for cable or cell phones than for primary care.

Save insurance for catastrophic care. Keep a public safety net for the unfortunate. Free primary care from this third party payment system that is killing it.

Then you'll see plenty of innovation.