The Truth in Numbers. It’s a DPC Thing.

The Truth in Numbers. It’s a DPC Thing.

We talk a lot about the services Direct Care practices offer. We also talk a lot about how DPC docs have the time and resources to put their patients first. And then there’s the ever present mantra of how DPC cuts out the middle man, taking healthcare back to two key embodiments: quality and simplicity.

That’s all well and good, but it’s time we talked more about the numbers. They don’t get nearly enough attention, and they’re starting to feel left out. And they definitely deserve it.

Dr. Josh of Atlas MD recently talked to the Vermont Watchdog about some of the savings his clinic is able to pass along to their patients:

“I just stitched up a kid, one of our patients, who fell at the ice rink and needed six stitches in the chin. That could be $2,000 in an emergency room or $500 at an urgent care center. But I can do it for free.”

Beyond that, though, there are savings around nearly every corner.

“MRIs cost about 80 percent less than what hospitals charge. Blood tests costs $3, not the hundreds of dollars charged in the hospital system. Migraine medicines that cost more than $100 per month at a pharmacy cost just $6 at Atlas MD.”

The savings extend to companies, too. Dr. Josh explains:

“We have an employer with 17 employees in a local company. In 2013, they paid $98,000 for their health insurance. By the end of 2014, they were paying $48,000 because of how we helped restructure their plan in combination with us.”

Of course Atlas MD isn’t the only clinic who can offer these types of savings – it’s a DPC thing. Dr. Ryan Neuhofel of Neucare gives an example of the savings his Direct Care practice can offer in the way of affordability.

“I also recently managed a forearm fracture in an uninsured patient for a total cost of $45 ($10 for a splint, $25 for an X-ray, and $10 for cast a few days later).”

The savings are everywhere – even in prescription medications. We talked about that a while back, remember? Many Direct Care clinics have an in-house pharmacy which not only makes things incredibly convenient for the patient, but brings wholesale prices to the forefront. That’s right – prescription medications at wholesale prices. Oh, and if the DPC clinic can’t offer you the prescription in-house, they’ll probably send you out the door with a @GoodRx coupon for additional savings at the pharmacy.

They say there is strength in numbers. With Direct Primary Care, we also find the truth.

What’s New In Atlas.md EMR?

Atlas.md EMR rolled out some new updates. Besides the improved features listed below, we also strengthened security measures to ensure better compliance with HIPAA standards.

Manage Your Shared Appointment Resources
Now your clinic can manage resources that they share in the practice facilities, such as a procedure room or a piece of equipment.

  • First, go to your Calendar page
  • Next, use the cog menu to add new resources (training facility, procedure room, portable EKG monitior, etc.)
  • Whenever you add an appointment, mark the resource you plan to use
  • Atlas.md EMR will alert you if there are any scheduling conflicts

Improved Search Feature
We built a new search engine to help you complete advanced searches, fast.

Redesigned Online Bill Pay
Now Atlas.md EMR’s Pay Online page works aesthetically with your own clinic’s logo. It also gives your patients quick access to all of their past invoices.

Universal Autocomplete Support
The autocomplete feature works wherever you enter text in Atlas.md EMR.

New “Do-Not-Refill-Before” Notices On Prescriptions
Now when you fax Rx and refills to pharmacies, your clinic will be more compliant with regulations.

To follow up on suggestions from pharmacists we’ve been talking to, now if a prescription has a DEA controlled drug and that drug can be refilled, we display a “Do not refill before MM-DD-YYYY” notice for the pharmacists.

New Medication Savings Included In Patient Invoices
Now your patients can see the value they’re saving in ordering medications from your pratice’s inventory. We use the GoodRx database, which gives accurate prices in pharmacies all over the country (see example below of what your patients will see).

More Batch Actions When Billing
Now you can use batch actions when you are billing companies, e.g. print or email a batch of invoices, or print a batch of envelope labels instead of going one by one

Thanks for sharing your feedback with us. Keep it coming so we can make Direct Care’s EMR that much better.

Prescription Prices Are Too Damn High

Our nation loves prescriptions.

According to researchers at the Mayo Clinic and Olmsted Medical Center, “Nearly 70% of Americans take one prescription drug and more than half take two.”

It gets better. Approximately 20% of Americans use at least five prescription medications. Imagine the cost savings if Direct Care doctors directly prescribed a majority of these at wholesale prices.

Prescription drug use has been increasing steadily in the U.S. for the last ten years.

So what drugs are being prescribed, and why?

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Direct Care Subscription Savings — Wholesale Prescriptions

We keep telling them, but some critics still doubt that Direct Care can save patients a tremendous amount of money each month.

Venlafaxine tablets  (generic for Effexor) is a prime example.

Assuming you know about the coupon option, you can buy the generic for $17. However, if not, you’ll pay ~$150 cash.

Keep in mind that we can sell a monthly script of Venlafaxine tablets for $5.70.

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Meet Atlas MD, Wichita’s Premiere Cash-Only Family Practice

Dr. Josh Umbehr cofounded Atlas MD in 2010 with Dr. Doug Nunamaker. Fresh out of residency, we’ve found tremendous success providing cash-only medicine — from zero subscribers to three docs and a full roster of patients.

Here, Dr. Josh speaks at the Association of American Physicians and Surgeons Conference.

If you’re new to Direct Care, this video will introduce you to an innovative insurance-free model of family medicine.

And if you want Direct Care in your area, make sure to register at “I Want Direct Care“. It only takes a name, email, and zip code to add a pin on our interactive map — and prove the demand for affordable healthcare.

Coverage Does Not Equate To Savings — Bronze Plan’s High Deductible Leaves Family Out To Dry

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Recently, we received a call from someone who wanted to learn more about our model.

Turns out, their ACA Bronze Plan no longer covers their medications, meaning they now will pay $600/mo until they reach their $6800 deductible.

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That Didn’t Take Long. Congress Delays ICD-10 Legislation.

icd10

Congress is now going to vote to delay the ICD-10 implementation date.

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Myth Buster, Cash-Only Medicine Edition

Some people have a knee-jerk reaction when asked about direct primary care: “Only the rich can afford direct primary care” and the end result will be “fewer doctors seeing fewer patients”. These statements are true but ironically only in context with the current dysfunctional system that impairs quality by reducing actual patient care time. It’s this patient mill mentality that drives doctors away from a career in primary care, and further exacerbates the problem. Its leads to efficiency delusions like Meaningful Use Stage 2, and ICD-10 billing codes and fast-talking EMR vendors which all to the red tape that makes healthcare so needlessly expensive.

The current insurance-driven primary care system is underfunded and overburdened and gives poorer quality care than a direct care system would. The top 9 conniptions about direct care are as follows:

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Insurance Exchange Could Save $9 Billion : Insurance-Free Prescriptions Could Save $130 Billion

Insurance Exchange Could Save $9 Billion : Insurance-Free Prescriptions Could Save $130 Billion

According to a new collaborative study, “Smart design of health insurance exchanges that will enable Americans to purchase individual coverage under the Affordable Care Act could save consumers and the government more than $9 billion annually.”

The study was called “Can Consumers Make Affordable Care Affordable? The Value of Choice Architecture,” and it tested the ability of consumers to choose the best health insurance plan for their needs without assistance. FierceHealthIT claims, “Most participants struggled to make the most cost-effective choices for themselves and their families.” Which on one hand is just sad, that Americans have trouble buying anything (since it’s safe to say consumer spending drives our country). However, it does draw attention to an inarguable truth out–bureaucracy selling anything tends towards confusing, unfavorable market outcomes. Perhaps part of the reason is the lack of realistic motivators.

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LISTEN: Atlas MD Podcast, Ep. 3

LISTEN: Atlas MD Podcast, Ep. 3

The third taping of the Atlas MD podcast is live. You can stream it on iTunes. Drs. Josh and Doug focused this week on dispensing prescriptions from your own office. The team goes over everything you need to know — state legislation, permits, etc. They also offer some tips about what’s realistic to prescribe and what prescriptions you’ll want to coordinate with local pharmacies.

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