Fri. Apr 19th, 2024

We found this article, In an Unprecedented Move, Seven National Primary Care Organizations Launch Joint Vision to Rewire Primary Care Financing, to be ridiculous but obviously we weren’t the only ones.

“Primary care physicians cannot adequately meet the needs of their communities if they remain shackled to payment schemes which reimburse for volume instead of value,” said John Brady, MD, Chair of the American Board of Family Medicine. “Many current regulatory demands unnecessarily distract clinicians from patient care. Coming out of the pandemic, a return to the status quo is not sufficient. The American public deserves better.”

These seven national organizations developed specific recommendations to advance primary care as a public good, shift the model of financing primary care and dismantle the regulatory and financing structures that interfere with optimal individual and population health. The unified vision includes a shift from cost-based attributes of the current model (sick care, organized around episodic, transactional, and fragmented care delivery) to a model grounded in health equity and investment – with attributes based in health and organized around longitudinal, relational, and integrated care delivery.

That’s a lot of big words that will fix nothing.

Dr. Dan Swartz, MD of Forest Direct Primary Care in Forest, Virginia responded to this article in Doximity:

Having recently purchased a direct primary care practice and tasting the freedom, I’m convinced that this is the way to change primary care. If more primary care docs would join the DPC ranks, we wouldn’t need these organizations to attempt to change. They have a level of optimism (or delusion) well beyond me to believe that the other specialties and established systems will change in a way that decreases their revenue and shifts it to primary care! DPC empowers patients to pay for primary care they value (usually the cost of hair+nails or a cell phone or cable bill for the month!); if they don’t value it, they leave. No middleman. Funny, few leave…..

You go, Dr. Swartz!! DPC rocks.

(Editor’s Note: Full disclosure. Dr. Swartz purchased his practice from us.:))

3480cookie-checkRewiring Primary Care Financing?
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By Douglas Farrago, MD

Douglas Farrago MD is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Douglas Farrago, MD received his Bachelor of Science from the University of Virginia in 1987, his Masters of Education degree in the area of Exercise Science from the University of Houston in 1990, and his Medical Degree from the University of Texas at Houston in 1994. His residency training occurred way up north at the Eastern Maine Medical Center in Bangor, Maine. In his final year, he was elected Chief Resident by his peers. Dr. Farrago has practiced family medicine for twenty-three years, first in Auburn, Maine and now in Forest, Virginia. He founded Forest Direct Primary Care in 2014, which quickly filled in 18 months. Dr. Farrago still blogs every day on his website Authenticmedicine.com and lectures worldwide about the present crisis in our healthcare system and the effect it has on the doctor-patient relationship. Dr. Farrago’s has written three books on direct primary care: The Official Guide to Starting Your Own Direct Primary Care Practice, The Direct Primary Care Doctor’s Daily Motivational Journal and Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) are all best sellers in this genre. He is a leading expert in direct primary care model and lectures medical students, residents, and doctors on how to start their own DPC practice. He retired from clinical medicine in October, 2020.

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