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

A Growing Alternative to Obamacare

From the Citizens’ Council for Health Freedom e-Newsletter: In the years since the passage of the Affordable Care Act (ACA), health sharing ministries have grown exponentially. Samaritan Ministries membership has tripled since 2013 and Medi-share has grown from 60,000 in 2013 to 200,000 in 2016. Health sharing is one of the exemptions from the Obamacare mandate and has over 600,000 members according to the Alliance of Health Care Sharing Ministries. With all the problems caused from the ACA, health sharing ministries are worth looking at as we near the next enrollment season. We are seeing more and more patients who are members … 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

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

Why Thousands of Doctors Still Don’t Use Electronic Records

From the March 2016 edition of Governing Magazine: HEALTH & HUMAN SERVICES Why Thousands of Doctors Still Don’t Use Electronic Records With federal incentives to go electronic expiring this year, many wonder what can be done to reach physicians who still rely on paper. BY MATTIE QUINN | MARCH 2016 (AP)           Michael Ciampi runs a family medical practice in Portland, Maine, that’s still entirely reliant on paper records. He has no plans to implement an electronic health records system anytime soon. Ciampi doesn’t have anything against technology, but a failed attempt to go electronic several years ago … Continue reading