Sat. May 4th, 2024

Check out this article. Here was the interviewee:

Ramin Rafie, MD, a strategic adviser and clinical consultant based in West Bloomfield Township, Michigan, joined Becker’s ASC Review to discuss how loss of physician autonomy is affecting the industry.

And what does he say?

With the ever-changing nature of healthcare, it’s also very difficult for a physician to open up their own practice. If you want to participate in Medicare, you have to be in a health system. That’s why these doctors open up their own cash-based practices doing direct primary care  — so they go out of the insurance-based system.

and

I think making groups of a manageable size and having physicians be in charge of meetings and teams. Insurance has way too much power, and part of that is because of Medicare. They pass these laws and don’t even think about the physicians’ point of view. The doctor’s voice gets swept under the rug. 

So there it is. Physicians in charge. And..

DIRECT PRIMARY CARE

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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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