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

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

Electronic Medical Records:The Potemkin Village of Healthcare

I truly believe that the 12 page boilerplate notes generated by a hospital EMR system for a problem that would have been a paragraph or two in a paper chart actually will be proven to be dangerous. Because the information is not concise, it is hard for clinicians to sift through all the prefabricated chaff to find the few grains of pertinent information. Also, once erroneous information is entered into a system’s EMR, it is there for eternity. In a paper chart, you put a line through it and initial it. Problem solved. EMRs are a boon for tech companies, … 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

“Repeal and Replace”? No Thanks by Dr. Keith Smith

Anyone who knows me is very well aware that Dr. Keith Smith, co-founder of the Surgery Center of Oklahoma and the Free Market Medical Association, is a hero of mine. I could not agree more that the solution to what now truly is a health care crisis (because of Obamacare, not in spite of it) will come from the grassroots, not from the central planners in government and big industry.   Michael A. Ciampi, M.D.   “Repeal and Replace”?  No Thanks Click here to read online and discuss. By: G. Keith Smith, M.D. – http://SurgeryCenterOK.com Republicans are being urged to “repeal and … Continue reading

When will more Doctors stand up for their Patients and Themselves?

A great post in the Rebel MD Blog.  It echoes what I and so many other doctors have been saying about all the “progress” in medicine brought about by all these EMRs that were not ready for prime time, but shoved down everyone’s throat by government mandate.  If you are not scared and mad, someone needs to check your pulse… Michael A. Ciampi, M.D.   When will more Doctors stand up for their Patients and Themselves? Posted on January 3, 2016 by Marion Mass MD • 10 Comments  I walked into the hospital for my overnight shift through the ER. Always good to know what … Continue reading