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Legalize catastrophic insurance! Bring back low-cost insurance now!
June 23, 2017
Why the heck would you want to freeze hi-cost insurance into law and foreclose all other options? That’s crazy.
Retire outside U.S. – insurance $80/mo, specialists $30, half-price surgery
Have your dental work done in Mexico, save 90%
North American outbound medical tourism to grow 25.5% a year between 2016 and 2026
A billion dollars is invested in new micro-hospitals; beat national average on infection and mortality rates
Entrenched interests lose fights in several states to ban ocular telemedicine (Internet eye exams)
Hospitals opening urgent care clinics to nab self-referrals
Businesses signing up employees with Direct Primary Care practices
‘Despite all our efforts, the more we proved Direct Primary Care really works, the more the system resisted us’
Some Direct Primary Care practices faltering – ‘worried well’ get too much care?
June 16, 2017
Insurers negotiate secret prices with hospitals; spawns price transparency efforts; MRI in San Fran $475 – $6,221
Direct employer-purchasing of bundled care is a burgeoning area of healthcare payment innovation
“Amino raises $25 million to match patients with doctors best qualified to help them”
Look at what paying cash cuts out: overhead, back office, clinical time spent on billing documentation
D.C. house call service offers better care at lower cost – ‘feel comfortable w/patient-centered, unhurried docs’
HSAs good way to plan for medical expenses in retirement; triple-tax free
Demand high for nurse practitioners; have full practice authority in 22 states
AMA monopoly led to closure of 35 medical schools
Healthcare is so expensive because of the AMA’s monopoly on number of medical schools and doctors
Market-oriented healthcare systems outperform #SinglePayer. Evidence-based policy, anyone?
June 2, 2017
Docs catching on to free market healthcare – ‘Big Medicine screwed up, we can get our lives back’
Proposed 13-bed micro-hospital in Illinois draws fire from big rivals with empty beds http://www.chicagobusiness.com/article/20170422/ISSUE01/170429950/how-big-of-a-threat-can-a-13-bed-hospital-really-be
Micro-hospitals gain in popularity, trending in 19 states
‘Archaic’ cash pay medicine can heal doctor-patient relationship torn by industrial hospital/insurance medicine
Concierge/DPC docs ‘fire’ patients who feel entitled to special treatment, pain killers on demand, etc.
Concierge/DPC practice not for every doc; consultants turn away the un-established, poor bedside manner, etc.
Direct Primary Care (DPC) now recognized in 18 states
More docs can buy into ownership at Franciscan Surgery Center
Facility to become North Carolina’s first dental-only surgery center
Cash pay an option at physical therapy ‘non-clinic’ clinic
Cash pay offered at new California urgent care center opened by husband & wife doctor team
May 26, 2017
“Physician-owned hospitals have positive impact on communities”; often located in under-served areas
Fire your doc if: you don’t mesh, keeps you in the dark, doesn’t listen, is condescending, etc.
Retail clinics fill niche for patients w/pressing needs w/o waiting days to see doc – ‘you’re sick, we’re quick’
Innovation: pharmacy data, text reminders can improve medication regimen adherence
“More employers view HSAs as part of retirement strategy”
“An uninsured patient should never just pay the falsely inflated hospital Chargemaster bill.”
Tips for consumers in choosing an ambulatory surgery center
Russian, European docs visit Surgery Center of Oklahoma
May 19, 2017
“U.S. urgent care clinic market hit $15 billion this year”
Concierge and DPC docs should rely more on staff in hiring process
5,486 surgery centers certified by Medicare; look for combinations with imaging, physical therapy, etc.
Certificate of Need a remnant of regulatory era which restricted supply of services valued by consumers.
Certificate of Need laws “limit the introduction and expansion of a wide variety of medical services and equipment”
Comment: While masterminds dream up more ways to control your healthcare, the free market offers real solutions.
“If you are considering a trip to a foreign country to have your surgery, you should look here first.”
The physician-owned and managed Surgery Center of Oklahoma demonstrates the efficiency and effectiveness of putting control of medical care in the hands of consumers.
What sets the Surgery Center apart?
- Sensible, transparent pricing
- A fraction of what hospitals charge
- No outrageous padded bills that shift the cost of caring for others onto you
- Price transparency – prices are posted online.
- Simple, easy-to-read bills
- No dead-weight administrators
- Source: Reason.TV
- “Some businesses are even paying the entirety of their employees’ hospitals bills when their employees go to SCO, because the facility saves them so much money.” Source: National Center for Policy Analysis
- An Oklahoma County saved $570,000 in five months by using Surgery Center of Oklahoma. Source:CapitolBeatOK
- “SCO boasts a near-zero infection rate — a rate which ranges between 4 percent and 10 percent at other hospitals across the United States.” Source: National Center for Policy Analysis
From the Center’s website: “We can offer these prices because we are completely physician-owned and managed. We control every aspect of the facility from real estate costs, to the most efficient use of staff, to the elimination of wasteful operating room practices that non-profit hospitals have no incentive to curb. We are truly committed to providing the best quality care at the lowest possible price.”