This post in a three minute nutshell Union County created a direct primary care option for its health insured employees. There were two particularly salient features: the monthly DPC fees were extravagant; and the county sweetened the DPC option with cost-sharing reductions (CSR) for downstream care. Despite CSR, the DPC clinic was able to reduceContinue reading “That the Union County DPC experiment was a flop is clear from a careful reading of its two actuarial studies, including the one claimed to vindicate DPC.”
Tag Archives: cost sharing
Protected: RETRACTED – it was a wrong-ISH bit about Nextera. Access on request.
There is no excerpt because this is a protected post.
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.”
DPC Referee 