New DPC leader is incredible – unfortunately, not in the good way.

Let’s meet Cladogh Ryan MD, one of the new board members for DPC Alliance for 2021 who picked up the torch from some of those golden oldies. Dr Ryan cranked up a town meeting style event to recruit some of her Cook County, IL, fee-for-service patients into her new enterprise, Cara Direct Care. She layedContinue reading “New DPC leader is incredible – unfortunately, not in the good way.”

DPC bragging rights update.

I try to keep tabs on who has the ultimate DPC brag, but I run into issues of incommensurability. It’s even hard to decide between Nextera Healthcare’s own big brag. Is it the 27%/$913 PMPY brag for overall cost reduction, or the 92.7% reduction of IP admit rates. Until thought Nextera would have been theContinue reading “DPC bragging rights update.”

KPI Ninja and bad faith.

KPI Ninja missed so many boats — a whole fleet really — in its Nextera report, you may wonder whether they come to analysis in good faith. Well, there’s one note in their favor. Sometimes, KPI Ninja’s inability to make important adjustments disfavors their DPC client. In their analysis of DirectAccessMD, for example, an inducedContinue reading “KPI Ninja and bad faith.”

Nextera and Paladina: a race to the top of Mount Brag

In 2015, Qliance still towered over all in the world of Direct Primary Care bragging with its claim of 20% overall cost reductions. Even that, of course, was quite a come down from the extravagant claims previously spewed under the Qliance banner; fond memories still linger of those heady days when the Heritage Foundation drooledContinue reading “Nextera and Paladina: a race to the top of Mount Brag”

In rural areas, decreased primary care panel size is a problem, not a solution.

Montana’s last governor twice vetoed DPC legislation. He was not wrong. Over the last month or so, DPC advocates from think-tanks of the right have trotted out the proposition that direct primary care could be “the key to addressing disparities in health care access in underserved areas of Montana facing severe shortages of primary care”.Continue reading “In rural areas, decreased primary care panel size is a problem, not a solution.”

Shorter KPI Ninja/Nextera SVVSD report

“Our statistically valid risk measurement was accurate enough to support our bragging when we say so, but not accurate enough to refute our bragging when anyone else says so. Although we used only about $10 million out of nearly $15 million dollars in claims data, rest assured that the missing millions can only reinforce ourContinue reading “Shorter KPI Ninja/Nextera SVVSD report”

Nextera brags about THIS? Really?

In its recent report from KPI Ninja, Nextera Healthcare bragged unpersuasively about overall costs savings and reduced utilization of downstream care services. But they also bragged about the following utilization figures for a group of 754 members for whose primary care they were paid $580,868 in DPC subscription fees over the equivalent of a ten-monthContinue reading “Nextera brags about THIS? Really?”

KPI Ninja/Nextera report: every single cost comparison has a 10% benefit design error.

In KPI Ninja’s “School District Claims Analysis” comparing claims costs under the Nextera plan and the competing fee for service (Choice) plan, the “Analyst” overlooked two major differences between the plans in how the “School District” pays “Claims“.   Nextera members pay post-deductible coinsurance at a 20% rate and the district pays an 80% share. ButContinue reading “KPI Ninja/Nextera report: every single cost comparison has a 10% benefit design error.”

KPI Ninja’s Nextera risk measurement charade

Abstract: The Nextera “study” by KPI Ninja misappropriated the prestige of a Johns Hopkins research team to support its risk measurement claims; relied on an undisclosed and unvalidated methodology for obtaining population risk measurements; obtained highly dubious risk measurement results; and sharply mischaracterized the significance of those results. In the end, because applying even theirContinue reading “KPI Ninja’s Nextera risk measurement charade”