Fri. Apr 19th, 2024

When you google Direct Primary Care you will often see articles come up about Direct Contracting. Are they the same? Hell, no.

Let me highlight this article, which glorifies this crap, to show you the difference:

To solve these problems, Valley Oaks Med moves to implement programs and structures to control costs while providing high quality value based medical services. Mr. Charan currently is developing a program involving direct contracting with Medicare and Medicare Advantage programs  to benefit medicare eligible seniors.

Valley Oaks Med focuses on acquiring physician clinics that are currently serving high volumes of Medicare patients and introducing programs and procedures that will streamline the operations and further the care coordination aspect of healthcare at these clinics.

Mr. Charan is expecting to put in place direct contracting with Medicare as well as Medicare Advantage capitation plans with commercial providers which will enable value-based payments. This business model aligns incentives as it improves health and financial outcomes for both payers and patients.

When asked about the challenges he’s faced, Mr. Charan explains, “There is stiff competition from large companies to target and buy Primary Care clinics. There are also a few small, regional,  well-funded groups that are acquiring physician practices as well.”

So there you have it. High volumes. Streamlined operations. Providers. Incentives. Financial outcomes. Buying primary clinics.

Direct contracting is the same old industrialized model. It’s whipped cream on dog sh%t.

13440cookie-checkIs Direct Contracting the Same as Direct Primary Care?
(Visited 57 times, 1 visits today)

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.

Comment Here and Join the Discussion