The Dry Tortugas and Being a Deplorably Good Physician by Dr. Marilyn Singleton

This is a brilliant piece by my friend, Dr. Marilyn Singleton.  She is both a doctor of medicine and a doctor of law.  She does a fantastic job at calling out the political establishment for what they have done, and are planning to do to health care in America.  Not only will you not be able to keep your doctor, but your doctor will not be able to keep his/her practice open after they are done. This article comes from The Association of American Physicians and Surgeons (AAPS) website, Michael A. Ciampi, M.D.   By Marilyn Singleton, MD, JD Hillary … 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

Bill Has A DPC Doctor. Be Like Bill.

Michael A. Ciampi, M.D. This is just a friendly reminder that having health insurance is not the same thing as having access to high quality, affordable health care. Having a plastic card issued by an insurance company that you have to pay several hundred dollars a month for, and are still liable for high copayments, deductibles, and other out of pocket costs, is not the same as having a great relationship with a doctor and office staff who know you and will take care of all your primary care needs. Direct Primary Care doctors actually deliver the health care that … Continue reading

Direct Primary Care vs. Concierge Medicine

Michael A. Ciampi, M.D.   I often I talk to people who don’t understand Direct Primary Care (DPC) and try to educate them about it.  Very often, when I tell them that in a DPC practice, we expect payment from our patients directly rather than submit bills to an insurance company, they snicker and accuse me of being a greedy concierge doctor who is only affordable for rich patients. I do my best to smile, bite my tongue, and try to explain the model to them, assuming they are willing to listen and learn about an exciting way to deliver health … Continue reading

Maine Heritage Policy Center Releases Report on Direct Primary Care

July 6, 2016 Today I had the pleasure of being invited to the Hall of Flags at the Maine State House to give some remarks about the newly released report from the Maine Heritage Policy Center entitled “Restoring The Doctor-Patient Relationship, How Entrepreneurship Is Revolutionizing Health Care In Maine.”  It is a research project authored by Liam Siguad doing an analysis on Direct Primary Care (DPC) in Maine. I am admittedly biased on the subject, but I think it was very well done.  It is a concise summary of what DPC is, who is doing it, and how it can … 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