The two largest and most current AEG/WP examples of downstream cost reduction failed to adequately address selection bias.

Although the AEG/WP report does not support its key claim with data or citation, the report’s authors responded to my request for information by indicating their sources. One of them was an e-zine article about the CHI clinic. The other two were promotional brochures, denominated case studies used, by the DPC companies Paladina and Nextera,Continue reading “The two largest and most current AEG/WP examples of downstream cost reduction failed to adequately address selection bias.”

Why did Wilson Partners’ research into DPC cost-reduction bypass uniquely available and pointedly relevant data?

As noted in a prior post, the report by the Anderson Economic Group and Wilson Partners supported the assumption that direct primary care reduces downstream care cost by 15% with nothing more than a cryptic reference to “research and case studies prepared by Wilson Partners”, presented with neither data nor citation. Initially, I thought thisContinue reading “Why did Wilson Partners’ research into DPC cost-reduction bypass uniquely available and pointedly relevant data?”

Selection bias infected the best documented argument that direct primary care reduced downstream costs.

A unique and powerful opportunity for quantitatively informed assessment of such claims has come from a DPC clinic serving employees of Union County. There, health plan members are able to choose between receiving primary care in a DPC clinic or through physicians under traditional model of insurance and fee for service. Mark Watson is theContinue reading “Selection bias infected the best documented argument that direct primary care reduced downstream costs.”

The marketplace reached a judgment about direct primary care pioneer, Qliance.

Washington State is deservedly recognized as the birthplace and one of the most prominent frontiers for DPC, in large part because of Qliance. The Seattle-based DPC conglomerate is recognized as an exemplary market force in the private sector of health care. Major investors such as Amazon CEO Jeff Bezos have propelled Qliance . . .Continue reading “The marketplace reached a judgment about direct primary care pioneer, Qliance.”

“Trust us. We did studies.” AEG/WP have a special way of showing that direct primary care reduces the costs of downstream care.

The focal assumption of the AEG/WP report’s calculations is that DPC membership will reduce the claims cost for downstream care by 15%, a number represented as a low end estimate. The sole support offered in the AEG/WP report for this 15% presumption is a statement that, “the factor is based on research and case studiesContinue reading ““Trust us. We did studies.” AEG/WP have a special way of showing that direct primary care reduces the costs of downstream care.”

$938,824,142. How fair adjustments to the $70 DPC assumption reduce the billion dollar savings claimed in the AEG/WP report by 85%.

A billion here, a billion there, and pretty soon you’re talking real money. Attributed to Senate Everett Dirkson (R-IL, deceased) This spreadsheet recomputes net five year savings from direct primary care if AEG/WP’s assumptions of (a) a $70 per month DPC fee that (b) stays constant for the next ten years are replaced with theContinue reading “$938,824,142. How fair adjustments to the $70 DPC assumption reduce the billion dollar savings claimed in the AEG/WP report by 85%.”

Origins and future of the report “Healthcare Innovations in Georgia”

The Medicaid goal of the political right in Georgia has always been careful stewardship of tax-payer funds. Three years ago, the Georgia Public Policy Foundation began to flog a bargain basement Medicaid waiver plan priced at $2500 per capita. The core rationale for this seemingly meager amount was that $60-$70 a month direct primary careContinue reading “Origins and future of the report “Healthcare Innovations in Georgia””

Monthly direct primary care fees will not hold steady at $70 for a decade.

That alone makes the AEG/WP report off by about $500,000,000. In “Healthcare Innovations in Georgia:Two Recommendations”, the report prepared by the Anderson Economic Group and Wilson Partners (AEG/WP) for the Georgia Public Policy Foundation, the authors clearly explained their computations and made clear the assumptions underlying their report. One of the assumptions was that theContinue reading “Monthly direct primary care fees will not hold steady at $70 for a decade.”

$70 lowballs the monthly direct primary care fee.

On that score alone, the AEG/WP report is off by $750,000,000. In “Healthcare Innovations in Georgia:Two Recommendations”, the report prepared by the Anderson Economic Group and Wilson Partners (AEG/WP) for the Georgia Public Policy Foundation, the authors clearly explained their computations and made clear the assumptions underlying their report. One of the assumptions was thatContinue reading “$70 lowballs the monthly direct primary care fee.”