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.”

Good for you, GPPF!

AEG/WP accurately reported that health coverage costs real money. Annual premiums are: $8,829 in the individual market $6,668 in the small group market $5,845 in the large group market. In the lowest priced large group, members of the vast majority of plans also are subject to at least some cost sharing (deductibles, copayments, and/or coinsurance).Continue reading “Good for you, GPPF!”

Direct Primary Care Poster Child Qliance has collapsed.

I  had  told  you  that would  happen  and  why. It did, and now 25,000+ people have had less than a month’s notice to make new primary care arrangements. But the whole idea of direct primary care was to have been that these patients chose to pay a subscription fee to Qliance instead of maintaining anContinue reading “Direct Primary Care Poster Child Qliance has collapsed.”

Going insurance-free does not, and cannot, reduce the overhead expenses of primary care practices by 60%, or even 40%.

Substantial correction made on 2/12/2-13. About 13% of revenue (22% of overhead) according to academic research.  I’ve back-tracked Katherine Restrepo’s and Julie Tisdale’s 2016 claim that: By dealing directly with patients and filing no insurance billing whatsoever, DPC practices are able to eliminate 40-60 percent of their overhead expenses. A footnote there takes you to a 2015Continue reading “Going insurance-free does not, and cannot, reduce the overhead expenses of primary care practices by 60%, or even 40%.”

The only academic journal studies on point failed to show the efficacy of direct primary care.

Georgia’s conservative fans of direct primary care swoon over PHS, a 1500 member, insurance-free, hospital-based, direct primary care clinic in Altoona, Pennsylvania. PHS was the subject of not just one, but two quantitatively detailed academic journal articles addressing the efficacy of direct primary care. Since the oft-cited British Medical Journal study on the efficiency of direct primaryContinue reading “The only academic journal studies on point failed to show the efficacy of direct primary care.”