Ron Barshop on LinkedIn: #primarycare #dpc #onsite #nearsite #fencesite #mobile #virtual… (2024)

Bigs. Carriers. PBMs. Not all. Systems. RCM. Extractive,entrenched cash cows. Bigs win only if we we lose:Employers.Taxpayers.Unions. Employees. Doctors. Nurses.Communities.Costs. Outcomes. Our long term standing as a viable leader of the free world. Who wins. Suits. A few shareholders…tops maybe 20% of ‘em. Politicos. Regulators. Brokers-most.The System.Bankruptcy counsel. Chaos.Bigs are divorced from the unwashed masses they gleefully profiteer off of. Because of their bigness. No heart. No soul. Just ebitda and bonuses.

Strongly disagree w Peter Bonis here. Walmart got the success formula wrong not the FFS model. That model works perfectly when the right ancillaries house with independent PCPs who take home double to triple the median with plenty of billable diagnostics within the scope of practice. All valuable to patients. Not high-end cash pay vanity offerings like Botox. Juvederm. Walmart lasered on pumping out more meds glasses and DME which they couldn’t control because they leased to docs -and then did their billing. An upsell and collections cluster. Day 1. ◾️They overspent. No one needs X-ray on-site and a tech at $80k. They are on every street corner. ◾️6000sf for 2-3 whitecoats makes zero sense and dentists don’t refer nor do eye ear and behavioral. So totally reliant on walk in. Not a “strategy” any of this. But likely Ivy League generated medical delivery rookie errors all this opex / capex silliness. And the highly publicized #shortage isn’t one. It is tomorrow as 63% of med students want nothing to do with patients. NPs is 60%. Gen Z isn’t adulting. We have enough PCPs for every American to share one with 730 others. That’s a panel 1/3 the sickcare model. What we have is an efficiency issue solved mostly by #virtualprimarycare a part of every #DPC serving 35m of us. Meet all who are scaling this right here. We are living in a future where everyone wins. www.PrimaryCareCures.comThis is brought to you by Redirect HealthFree report -How to Slash Healthcare Costshttps://lnkd.in/gfNdnS8T Excerptprimary care has been the bedrock of health services delivery, but the traditional model is no longer sustainable. There are too few primary care doctors in practice, and many are nearing retirement or planning to cut back due to professional burnout and other factors.Source: Fierce Healthcarehttps://lnkd.in/gt4zX73d

3

Copay. Deductible. Coinsurance. We score a D- in literacy of these terms. Less for some demos. For over a decade. With a doc and he says #Obamacare is a remarkable achievement. How so?Well they had nothing and now have something. I didn’t talk about 159 new commissions and committees. That Father-Of-It-All Gruber bragged it was intentionally a scam so as to not be scored by CBO. That its actual cost a decade later was double. A near cool trillion. Law thicker than the Internal Revanue Code -with its century plus head start(1883). That independent docs then 70% + are now 20% or less thanks to regulatory over reach and ruthless mandates from the swamp created. Asked him do you know the average #deductible for most covered in exchanges? $9000+. So I said they are functionally uninsured still. That they have a “free” car they can’t afford to drive. Well they have more than before…This from a wizened silver haired doc. We are just above passing in knowledge of the morass called “insurance”. Even our doctors. Nurses. Shocking? For most -as many as 100m who trapped in #medicaldebt -it’s a myth,this insurance thing. It’s that car they can’t afford to drive except in catastrophic cases. Most Americans are hourly employees. We are a great nation but the vulnerable are in the majority. A big reason we are so divided. Here’s what unites us.#directcare is a future where we all win. www.PrimaryCareCures.com brought to you by Redirect Health Free report -How to Slash Healthcare Costshttps://lnkd.in/gfNdnS8T Excerpt Most Americans (65%) do not feel that health insurance providers are transparent about what they cover, do not believe that healthcare bills are clear and easy to understand (62%), or find health insurance coverage like co-insurance payments and deductibles to be easy to understand (62%).https://lnkd.in/gcUZ4aNN

5

5 Comments

Sorry food chains and 10,000 restaurant employees for our foolish minimum wage policies.♥️Gav and The Can’t Shoot Straight Gang Excerpt Fast food chains in California are slashing jobs - as a way to cut costs after the minimum wage in the state was hiked to $20-an-hour. Almost 10,000 positions across chains from Pizza Hut to Burger King have been cut since the law came into effect on April 1, according to a report from a trade group in the state. On top of that, chains have been shuttering restaurants - including beloved Mexican chain Rubio's Coastal Grill, which this week filed for bankruptcy. 'California businesses have been under total attack and total assault for years,' CABIA president and founder Tom Manzo told Fox Business. 'It's just another law that puts businesses in further jeopardy.'He said that officials were living in a 'fantasyland' if they think drastic wage increases will actually help workers or businesses. 'You can only raise prices so much,' Manzo told the outlet. 'And you're seeing it. People are not going to pay $20 for a Big Mac. It's not going to happen.' https://lnkd.in/gY4KJDvM

9

12 Comments

CVS Health Glassdoor for those w/o access…https://lnkd.in/gWhSYHMT

1

Will legacy care ever go the way of mullets,bell bottoms and koulats ? Will #consumers and #unions #schools #taxpayers and #employers wake up and chunk most of factory medicine into a museum case as a history lesson?Project Museum Case has already started. 🔺22% of employees have access to #directcare. 🔺Looks like 44% eoy ‘26 if trends hold. 🔺90% of jumbos are studying it. 🔺83% want it once they understand it🔺10% get h.care free or nearly free at work…Winners:▪️Employers▪️Employee/members/pts▪️Docs/nurses▪️Unions▪️Communities▪️Shareholders 🔻Costs🔺Outcomes 8 aims. Count’em. Enough quadruple aim talk already. So grandpa. Red/blue state,blue/white collar,rainbow color choice/skin color -everyone wins in this spectrum. Everyone wins in this future. www.PrimaryCareCures.com Brought to you by Redirect Health Free report -How to Slash Healthcare Costshttps://lnkd.in/gfNdn

3

Gary Taubes the author of Rethinking Diabetes (2024), The Case Against Sugar (2016), Why We Get Fat and What to Do About It (2011) and Good Calories, Bad Calories (2007), published as The Diet Delusion in the UK. Taubes is the recipient of a Robert Wood Johnson Foundation Investigator Award in Health Policy Research, and has won numerous other awards for his journalism. These include the International Health Reporting Award from the Pan American Health Organization and the National Association of Science Writers Science in Society Journalism Award, which he won in 1996, 1999 and 2001. (He is the first print journalist to win this award three times.) Taubes graduated from Harvard College in 1977 with an S.B. degree in applied physics, and received an M.S. degree in engineering from Stanford University (1978) and in journalism from Columbia University (1981).https://lnkd.in/gNUqbvqnFrom his new book…“The history of diabetes is marked by the recurrence of certain ideaswhich rise, decline and disappear, only to make a new appearanceand go through a similar cycle again in an altered form, and a newgeneration. This is notably true of trends in diet.”­ Rollin Woodyatt,“Round Table Conference on Diabetes Mellitus. Dietary Trends,” 1934“Diet has always generated passion, and passion in science is aninfallible marker of lack of evidence.”­ Lynn Sawyer and Edwin Gale,“Diet, Delusion and Diabetes,” 2009https://lnkd.in/geKMXeV2 This episode is brought to you by Redirect Health Here’s Your Free report -How to Slash Healthcare Costshttps://lnkd.in/gfNdnS8T

4

Nordics and Israelis. Happiest on earth. USA drops out of Top 20. What’s corporate h.care got to do with it? The Dream is dying killed by healthcare. h/t Dave Chase, Health Rosetta-discovering archaeologist Excerpt… the young are now, in 2021-2023, the least happy age group," according to the new report. "This is a big change from 2006-2010, when the young were happier than those in the midlife groups, and about as happy as those aged 60 and over. For the young, the happiness drop was about three-quarters of a point, and greater for females than males."https://lnkd.in/g6q7RaD3

4

3 Comments

Sorry Retailers/Employers about our dumb social experiments. ❤️Gav and The Can’t Shoot Straight Gang

3

3 Comments

#Foodprescriptions helped people lower blood pressure and lose weight. How’s that for a novel approach v pill slinging?h/t Hippocrates 400 AD. -Let food be thy medicine. Excerpt A new kind of prescription could help you eat your way to better #hearthealth, with doctor-recommended foods and money to buy them.The new research looked at data from nearly 4,000 people, including 1,817 children, from low-income neighborhoods in 12 different states, including California, Texas, Florida, New York, and Minnesota. Participants either had or were at risk of #cardiovascular problems, and were provided with #nutritional classes on healthy eating habits.They were also given money specifically to buy fruits and veggies from grocery stores and farmers markets. The amount of money was about $63 per month on average, but varied by location, and in some cases was based on the number of people per household, ranging from $15 up to $300 (for a large family) per month. Participants stayed on the programs for an average of six months. In that time, they reported eating more fruits and veggies: about a quarter cup more per day for children, and nearly one cup more per day for adults. Food prescriptions also significantly improved measures of heart health like blood pressure, blood sugar levels, and body mass index, according to the study results, published August 29 in the journal Circulation: Cardiovascular Quality and Outcomes.