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Quick guide/recap for Brekke’s “Paying for Primary HealthCare” and my responses

The mathmatical core of Brekke’s “Paying for Primary Healthcare rests is not reasonably supported by the sources to which Brekke attributes it.

Paying for Primary Care with Insurance Makes Considerable Sense

Brekke’s “Paying for Primary Care”, Comment on Part 4

Brekke’s “Paying for Primary Care”, Comment on Part 3

Brekke’s “Paying for Primary Care”, Comment on Part 2

Brekke’s “Paying for Primary Care”, Comment on Part 1

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

Oldie, but always on my mind!

Milliman’s valuation of DPC health care services at $8 PMPM rests on faulty data.

The rest

KPI Ninja’s Nextera risk measurement charade
Nextera brags about THIS? Really?
KPI Ninja’s Nextera analysis: more than enough problems.
KPI Ninja/Nextera report: every single cost comparison has an 10.5% benefit design error.
KPI Ninja’s Nextera study: a “single blunder” introduction
Nextera did not reduce inpatient hospital admissions by 92.7%.
Nextera’s Next Era in Cherry-Picking Machine Design
The Nextera/DigitalGlobe study design made any conclusion on the downstream effect of subscription primary care impossible.
Medi-Share gives its Christian take on DPC downstream cost savings: $31 — a year.
CHANGED GRADE: The mixed bag of Milliman earns a final grade: B+
dpcreferee’s 2017 op-ed on Union County’s failure to save with DPC proved to be almost spot on.
Milliman: A $60 PMPM DPC fee buys an employer a zero ROI.
DPC cherry-picking: the defense speaks. Part 1.
DPC cherry-picking: the defense speaks. Part 2.

HSA breaks for DPC defeat the purpose of HSA breaks
Helping those patients most dependent on DPC means defeating the DPC/HDHP/HSA “fix”.
DPC subscriptions transfer financial risk.
DPC ultimate goal: capitation without accountability?
Downstream consequences when employers fall for non-risk-adjusted data brags.
Archeologists find Jesus’s lost wallet.
Nothing huge, but a possible small win for DirectAccessMD cost reduction claims.
Two new DPC brags failed to show bona fide risk-adjusted savings; together, they make clear that DPC brags rely on cherry-picking.
Do bears sh. . .ake cherries out of trees? Selection pressure is built into DPC choices for any population with a normal deductible.
For Qliance, a plausible net savings is 6.8%
Risk adjustment, and more, badly needed for KPI Ninja’s Strada-brag
Iora’s Las Vegas experience is an inapt model for DPC, and shows no real cost reduction.
Why is subscription DPC the precise hill on which self-styled “patient-centered” providers have chosen to make a stand?
Why a policy wonk like Wyden might (and, perhaps, should) kill a DPC/HDHP fix for subscription medicine. Short version.
There never was a British Medical Journal study of Qliance.
The only bona fide university study of DPC has a message: “There’s no data.”
The marketplace reached a judgment about direct primary care pioneer, Qliance.
Giant direct primary care pioneer Qliance has turned to online begging.
Going insurance-free does not, and cannot, reduce the overhead expenses of primary care practices by 60%, or even 40%.
Direct primary care is no excuse for parsimony.
Direct Primary Care is not a magic bullet that will bring adequate health care to low income Georgia citizens. (Revised.)
DPC is uniquely able to telemed: a meme that suffered an early death.
That “DPC is working while FFS is failing financially because of COVID” meme takes a big hit; proof furnished by DPC Alliance.
DPC Alliance manifesto steps on its own foot attempting to prove that DPC saves money.
DPC + Cat is not a good substitute for full ACA Medicaid expansion
Spin doctor says DPC saves 85%. Don’t bet on it.
Spin Doctor: DPC office visits are four times as long as PPS office visits. Don’t believe it.
A single-post critique of AEG/WP’s recommendation on direct primary care.
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