Imagine if We Paid for Food like We Do Healthcare

Dr Ryan Neuhofel, a fellow DPC physician, writes this intriguing look at applying our current medical industry regulations to food. I know I would never pay for a $37 burrito twice.

A thought experiment showing just how dysfunctional and distorting our health insurance system is.
— Read on www.libertarianism.org/building-tomorrow/imagine-we-paid-food-we-do-healthcare

Just gimme the facts — DPC Alliance

Just gimme the facts — DPC Alliance
— Read on www.dpcalliance.org/blog/2018/9/11/recent-fact-stats

This data represents about 1/3 of the known DPC practices in the United States. Trinity DPC is glad to be one of the 5 DPC practices in Tennessee.

I believe DPC allows physicians to provide the care they feel a patient needs. It offers us the opportunity to lower the cost of healthcare delivery and offer charity care when appropriate. In this survey 85% of DPC practices routinely offer charity care.

On a side note, with only 4.2% of DPC physicians double boarded in Internal Medicine and Pediatrics like I am, I’m still somewhat of an oddball. No surprise for anyone that knows me.

-Dr McColl

Senator Alexander Advocates for DPC

Tennessee Senator Lamar Alexander discusses on the Senate floor his findings from recent testimony by Dr. Lee Gross, a DPC physician from Florida.

The full hearing for “Reducing Health Care Costs: Improving Affordability Through Innovation” can be viewed here.  Dr. Gross’s testimony can be read here.

Make HRAs and HSAs DPC-compatible

The IRS has an opportunity to clarify HRA and HSA use for Direct Primary Care.  Please take a moment to respond to their request for feedback.

IRS Regulations Comment Section

Ask Your Doctor These Four Questions About Any Treatment

Please, please, please ask questions. Our goal at Trinity DPC is to help you make good decisions not to make decisions for you. We want to provide sound advice and counsel so you can obtain the health goals important to you. We take a minimum of 30 minutes with each patient, are available by phone and email, and have no cost office visits to guarantee you have a chance to get your questions answered.

Your doctor recommends a thing, and you do it. That’s the simplest version of how the doctor-patient relationship might go, but it’s not always the best one. You may find out later that there were other options for treatment that you never knew about, or that the drug you took has risks that may outweigh its benefits. To get the full picture, ask these four questions.
— Read on vitals.lifehacker.com/ask-your-doctor-these-four-questions-about-any-treatmen-1830830788

Buying Health Insurance? The Outlook Is Brighter

As you navigate new low-cost choices, weigh the risks.
— Read on www.kiplinger.com/article/insurance/T027-C000-S002-buying-health-insurance-the-outlook-is-brighter.html

Millennials moving away from primary care doctors | Fox News

Alternatives to the traditional fee for service primary care are on the rise. Direct Primary Care programs are part of the shift away from spending your day in a waiting room for a 10 minute visit. Fellow DPC physician, Jeffrey Gold, MD, is featured in this article as an example of simple, affordable care that focuses on the patient and not their insurance requirements.

Many young Americans are opting to get their healthcare from urgent care centers and retail health clinics.
— Read on www.foxnews.com/health/millennials-moving-away-from-primary-care-doctors.amp

“The Free Market Won’t Work for Specialists…” Except It Is.

Here’s a pediatric endocrinologist in Texas who has opened up a clinic that operates outside of insurance like Trinity Direct Primary Care.

Check out their program and encourage your local specialists to consider doing the same.

Endo4Life

Pre-existing is non-existent with Trinity Direct Primary Care

Trinity Direct Primary Care takes care of you. Pre-existing conditions are not a hinderance to care for us. Providing healthcare is our mission so we don’t charge more for patients with diabetes or hypertension. We don’t charge more if you smoke or have a family history of major illnesses. We just take care of you. Simple as that. Come see the difference. Call 244-1800 to sign up today.

Article: Impact of Statins on Cardiovascular Outcomes Following Coronary Artery Calcium Scoring from JACC: Journal of the American College of Cardiology

Here’s a very interesting study that showed a clear stratification of the benefit of statins in over 13,000 patients who had not previously had any cardiovascular disease.  The average age of patients followed was 50 years and they were followed for a mean duration of 9.4 years.  Patients with a calcium score of 0 showed no benefit.  For reference, the calcium score indicates the amount of atherosclerosis in the coronary arteries where lower numbers indicate less calcification and therefore less damage.  Zero is the perfect score and most desirable result.  As the CAC scoring increased, representing more calcification and pre-existing damage, the benefit of statin use in primary prevention increased.  Remarkably, this was irrespective of lipid levels.  In the highest risk quartile the number needed to treat (NNT) to show benefit was only 12.  That is, of 12 patients taking a statin one of them will see benefit in preventing a major cardiovascular event like a heart attack or stroke over the roughly 10 years of measurement.  That’s pretty good.  For the low risk, non-zero group scoring 0-100 the NNT was 100.  One hundred patients would need to take a statin for roughly 10 years to see one patient avoid a major event.  That’s not very good.

If you’re not sure of your cardiovascular risk or want to know your calcium score, set up an appointment with your Trinity DPC physician and we’ll sort it out with you and help you decide the best course of action for your own good health.  Call us at 244-1800 or 980-8551 to schedule your visit.

statins and CAC

Impact of Statins on Cardiovascular Outcomes Following Coronary Artery Calcium Scoring | JACC: Journal of the American College of Cardiology
— Read on www.onlinejacc.org/content/early/2018/10/31/j.jacc.2018.09.051