Union County is estimated by Milliman to have lost money. The odds that Union County saved more than 5.2% are less than one in twenty. The odds that Union County saved 28% or anything near that are miniscule. Do you remember when DPC was claimed to be saving Union County $1.25 Million per year? SoContinue reading “Union County Direct Primary Care in a nutshell.”
Tag Archives: Union County
dpcreferee’s 2017 op-ed on Union County’s failure to save with DPC proved to be almost spot on.
In February 2017, I sent the op-ed piece below to the Charlotte Observer. It was not selected for publication. But it has been proven accurate in a detailed, independent study by a team of health care actuaries from the Milliman firm, known widely for its health care work. The study was prepared for the SocietyContinue reading “dpcreferee’s 2017 op-ed on Union County’s failure to save with DPC proved to be almost spot on.”
A single-post critique of AEG/WP’s recommendation on direct primary care.
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. The report’s authors put a great deal or energy into demonstrating that billion dollar savings could beContinue reading “A single-post critique of AEG/WP’s recommendation on direct primary care.”
A possible 11% reduction in overall care cost, adjusted for risk, is suggested by Union County’s 2018 report.
NEVERMIND! In Union County adoption of a DPC option cost the county money. So say actual actuaries. I’ll leave this post essentially intact, for the record (of my folly!) Here’s some data that shows plausible overall cost reduction from direct primary care even after adjusting selection bias. It comes from the Paladina-operated clinic in UnionContinue reading “A possible 11% reduction in overall care cost, adjusted for risk, is suggested by Union County’s 2018 report.”
Three bad ways to bet the health of Georgia citizens on direct primary care.
Every published claim that direct primary care makes a significant dent in necessary health care spending is dubious at best. See, for example, here, here, here, here, here, here, here, here, here, here and here. When the data from the Union County clinic — a Georgia Public Policy Foundation favorite — is age-adjusted, it indicatesContinue reading “Three bad ways to bet the health of Georgia citizens on direct primary care.”
The two largest and most current AEG/WP examples of downstream cost reduction failed to adequately address selection bias.
“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, makes some valuable contributions to deliberations about direct primary care. The AEG/WP team clearly explained their computations and made clear the assumptions underlying their report. This facilitates the public discussion that theContinue 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?
“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, makes some valuable contributions to deliberations about direct primary care. The AEG/WP team clearly explained their computations and made clear the assumptions underlying their report. This facilitates the public discussion that theContinue 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.
An update appears at the bottom of the page. “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, makes some valuable contributions to deliberations about direct primary care. The AEG/WP team clearly explained their computations and made clear the assumptions underlyingContinue reading “Selection bias infected the best documented argument that direct primary care reduced downstream costs.”
DPC Referee 