Give the Poor Insurance Companies a Break

This is another great Authentic Medicine blog by Dr. Douglas Farrago.  He points out that  we, the common men and women of this country, must comply with the rule of law and purchase health insurance or face fines.  Meanwhile, the companies that pushed the legislation through to guarantee they have involuntary customers face no consequences for not delivering what we are paying for.  It must be nice to be a crony capitalist… Michael A. Ciampi, M.D. In another example of this administration doing whatever ever they want with the Affordable Care Act it was found recently that “health insurers that sell … Continue reading

Clinical Face Time Now 29% by Douglas Farrago, M.D.

This post is shamelessly stolen from Dr. Doug Farrago’s Authentic Medicine Blog. It is a great illustration of why physicians like Dr. Farrago and myself have decided to go into the Direct Primary Care (DPC) model of practice.  We spend time with our patients rather than waste most of the day doing meaningless paperwork and data entry for insurance companies. Michael A. Ciampi, M.D. Here is what the job of being a physician has come to: During office hours, physicians spent 27% of their time providing direct clinical face time to patients Physicians also spend almost 50% of their time on … Continue reading

FIRST THE BREXIT, NOW THE DREXIT?

  There is a lot of attention being paid to the surprise move by the people of the United Kingdom who last week voted to exercise their right to opt out of the European Union, aka “The Brexit.”  Those who benefit from maintaining the status quo are shocked and aghast.  They should not have been so unprepared for the result.  When you oppress a free people long enough and make them do things that they know are against their own self interest, and may even bring about the end of their own existence as they know it, at some point, … Continue reading

Non-Profit Hospitals & Their Employees

Whenever I talk about hospitals which don’t pay taxes because they supposedly do not make a profit, and write off so much money because of bad debt and charity care, I always use air quotes when I use the term, “non-profit.” The truth is that these entities, while crying poor, are often constantly expanding.  They build multimillion dollar buildings, buy up surrounding property and take it off tax rolls, and pay their executives seven figure salaries.  If that is not making a profit, I would like in on the action. In the article below by Dr. Arvind Cavale, published in … Continue reading

Three Reasons Why Employers Should Care about Direct Primary Care

The following essay is written by Samir Qamar, M.D., CEO of Medlion, a large Direct Primary Care company based in Nevada.  He does a great job of outlining why the Direct Primary Care (DPC) model of healthcare delivery works much better for employers and employees than the traditional insurance based practices. It is our belief that DPC provides 1) price transparency,  2) predictability  3) outstanding access  4) increased patient, employer, and physician satisfaction.   Michael A. Ciampi, M.D.   Three Reasons Why Employers Should Care about Direct Primary Care By Samir Qamar, M.D. Apr 14, 2016 1.“Insurance is not necessary … Continue reading

Collecting Your Data Through Employer Wellness Programs

Most employers, especially small to medium sized businesses really have their employees’ best interest at heart.  They know that happy and healthy employees are absent from their job less and are more productive.  I have talked to many and truly believe that they have no other agenda than maintaining a healthy workforce, with the side benefit of having lower insurance costs as a result. That being said, it is scary to think that some of these programs are subject to third party data mining without the express consent of the employees.  I see this as a violation of their personal … Continue reading

Tennessee Lawmakers Offer Direct Primary Care as Alternative to Medicaid Expansion

Tennessee gets it! We need similar legislation here in Maine, and in the other states where this legislation does not exist. It is a great idea to facilitate price transparency and increase truly affordable health care without burdening taxpayers.   Michael A. Ciampi, M.D. From The Heartland News Institute: (via the Goodman Institute For Public Policy Research’s Linkedin Page) Tennessee Lawmakers Offer Direct Primary Care as Alternative to Medicaid Expansion April 2, 2016 Dustin Siggins  A year after rejecting Gov. Bill Haslam’s (R) plan to expand Medicaid under the Affordable Care Act (ACA), Tennessee lawmakers are adopting free-market reforms to increase … Continue reading

Is Your Hospital Next?

From the Citizen’s Council for Health Care Freedom e-newsletter:  Hacker attacks using ‘ransomware’ endanger patient lives. Recent attacks on electronic health record (EHR) systems have disabled hospitals full of sick and dying patients. Under this digital extortion scheme, hackers infect EHR systems with malware that locks down hospital computers and then demand Bitcoin ransom payments to decrypt the data. In 2014, ransomware thieves extorted $27 million in just six months. Some IT experts worry ransomware could be the downfall of health care. Hospitals areparticularly vulnerable to these crimes: “Without quick access to drug histories, surgery directives and other information, patient care can get delayed or halted, which … Continue reading

What Has the Physician World Become? There is a way out! By Dr. Arvind Cavale

In our practice, we experimented with electronic medical records for a little over a year before finally pulling the plug on them.  They added several hours to my workday, none of those extra hours of work, keeping me away from my family, helped a single patient.  I cannot remember a single time that my EMR gave me a shred of useful clinical output, despite my spending thousands of hours inputting data. I could not agree with Dr. Cavale’s sentiments more.   Like him, I like technology, but only when it helps me and my patients.   Michael A. Ciampi, M.D.   … Continue reading

Quality Measurements: Beware Unintended Consequences

Whenever anything is presented to us by the government, and/or corporations who work closely with the government as progress, we should be very skeptical. The whole concept of measuring “quality” in medicine and paying doctors for performance is a case in point.  The article below touts a government/big insurance corporation collaboration to rate doctors on quality, so they can pay less to physicians whose patients have worse outcomes. On the surface, this sounds like a great idea.  We all want to have high quality goods and services.  On some level, it makes sense to demand some kind of measurements in … Continue reading