There’s No Metric For What We Actually Do
Value-based care loves a metric. Asthma Scores. Readmission rates. Screening completion. Every insurance model that claims to reward quality over
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Value-based care loves a metric. Asthma Scores. Readmission rates. Screening completion. Every insurance model that claims to reward quality over
Continue readingThe DPC model has faced its share of criticism. My first viral post was a rebuttal to a misguided JAMA article where I
Continue reading“Is this how doctors dress now?” an elderly white male lawyer who works in my building asked me today. I’m
Continue readingI saw the above being highlighted on LinkedIn. There were a lot of “thumbs up” and pats on the back
Continue readingDirect primary care earned its place in healthcare system conversations by building durable practices on patients who pay directly and
Continue readingBut you got to be tough when consumed by desire ’Cause it’s not enough just to stand outside the fire.”
Continue readingI read Dr. Qiu’s recent piece on DPC leverage with genuine appreciation. He gets a very important thing exactly right: physicians built
Continue readingIt’s the same old game. Doctors treat patients. No middleman. Patients are happy. Third parties see a way to get
Continue readingYes, this is a dentist and not DPC, but it is relevant. And I do think this story is true
Continue readingIn the 2026 NRMP Main Residency Match, family medicine offered a record 5,512 positions yet filled only 83.6 percent, leaving
Continue readingIt’s been too long since I touched on the importance of continuous learning, not just learning medicine — new procedures,
Continue readingChange is never easy. Habits are hard to break. People are stuck in their ways. Really? I don’t think so.
Continue readingI recently received this email as a pitch for an article. It was from a PR firm, and so I
Continue readingAs a physician practicing Direct Primary Care, I’m often asked whether DPC is simply another form of concierge medicine. The
Continue readingYou just have to love government healthcare. In 2021, Medicare tried to boost the pay for primary care doctors a
Continue readingI thought I would share this Simpsons clip as a perfect representation of those doctors leaving the FFS system and
Continue readingA piece ran recently on KevinMD arguing that DPC physicians who resist employer-aligned models are ideologically naive — economic purists
Continue readingIf you’re an independent physician in Maine and you miscode an office visit — say you bill a level four
Continue readingI have long discussed the risk of private equity salivating over Direct Primary Care. It has mostly failed (Forward) so
Continue readingI remember when I was in the system and received a group email from the CEO. He was concerned and
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