They Want It to Be Secret: How a Common Blood Test Can Cost $11 or Almost $1,000 – The New York Times

I offer this test for free to our Trinity DPC patients four times a year. It’s so inexpensive for me to purchase wholesale that it’s not worth the hassle to bill for it.

Huge price discrepancies like that are unimaginable in other industries. Also unusual: not knowing the fee ahead of time.
— Read on www.nytimes.com/2019/04/30/upshot/health-care-huge-price-discrepancies.html

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

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

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.

DPC is growing with all generations

This morning I enrolled my 500th patient to the Direct Primary Care program.  I’m thrilled to have crossed this milestone.  It has been a rich blessing to meet new patients every week who participate with us in a vision for better healthcare.  I’ve met and cared for patients from all walks of life, from all backgrounds, and from all demographics.

affection-baby-baby-girl-377058My youngest patients and their parents share with me that DPC offers easier access for those sudden illness like fevers and strep throat both in appointment scheduling and communication with me.  Even today I’ve been able to address several issues with young mothers about their children which kept them from coming in for an office visit.  When we can appropriately deal with the concern remotely there is no need for them to pile everyone into the minivan and drive down to the office.  I can communicate and care for my patients in ways that simplify their busy lives.

Tachievement-adult-business-937481he young adult and middle age group see DPC as a way to address their growing list of minor (and not so minor) health issues.  So often they only need someone to counsel them on making good health decisions as they plan for their family’s future.  An unusual chest pain or new onset heartburn often enough is harmless but, occasionally, concern sets in and they need someone to evaluate their symptom with an eye for resolution.  Spending time addressing issues of nutrition, exercise, and sleep management yields large dividends for adults interested in choosing a future full of health and vitality.  With many of our labs included in membership and the time to review them with each patient in person, I get to teach them how to manage their own health without the need of many ‘experts’ in their life and at a fraction of the cost.

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Today’s 500th patient is now my 5th oldest patient.  My elderly patients express to me that they value having someone with whom to sit and spend adequate time on their complex issues of multiple concerns, multiple medications, and multiple specialists.  Modern insurance based care often runs too short on time for patients more deliberate in their movements and conversation.  The extra time and energy to go the extra mile for these patients is so satisfying.  Medical training teaches us what the right answer is but DPC let’s me provide the right answer for my patient in the right way.

If you’ve been following along with our progress over these last 2.5 years but haven’t jumped on board yet, now is the time to join.  Come be part of a better healthcare world.  DPC is a model where patients are the focus again.  Call today at 244-1800 or sign up at trinitydpc.com.  Feel free to email me directly at mbmccoll@trinitymedical.net if you have questions.  We’re always happy to help.  We are healthcare without hassles, built for you.

35% of Americans have been surprised by an imaging bill

Fifty-seven percent of adults in the United States have received a surprise medical bill for services they thought would be covered by their insurance, according to a new survey from NORC at the University of Chicago. For 35 percent of adults, that surprise bill was for imaging services.
— Read on www.radiologybusiness.com/topics/healthcare-economics/surprise-billing-imaging-services-survey

At Trinity DPC we put all our prices in plain view and talk about them before anything is ever done. I’ll be honest though, I feel like some people get a little annoyed at me when I keep telling the price of stuff. ‘Mr. Jones, I recommend we do these five blood tests. Four of them are free with membership but the last one is $9. Does that sound okay to you?’

I do this for imaging services that coordinated for you too. If I recommend a CT scan for a suspected kidney stone, I know the price is going to be $250 which is about 90% off the full charged price elsewhere. However, when Kristen calls to schedule it she always reconfirms the price. No surprises from us and, as far as we can help, no surprises from anyone with whom we work. That’s just the way Primary Care should be.

We are healthcare without hassles, but for you.

The doctor is out? Why physicians are leaving their practices to pursue other careers

The doctor is out? Why physicians are leaving their practices to pursue other careers
— Read on www.nbcnews.com/news/amp/ncna900921

As one of my DPC colleagues said, ‘[I] left the bureaucracy not the calling.’

Physicians aren’t ‘burning out.’ They’re suffering from moral injury – STAT

Physicians are smart, tough, durable, resourceful people. If there was a way to MacGyver themselves out of this situation by working harder, smarter, or differently, they would have done it already.
— Read on www.statnews.com/2018/07/26/physicians-not-burning-out-they-are-suffering-moral-injury/

A consistent theme of Jesus and the apostles of the early New Testament church in spreading the Gospel message is when push comes to shove don’t change your theology, change your geography. That is why I left insurance based primary care to launch Trinity Direct Primary Care. The moral conflict of trying to care for patients while being incentivized by insurance companies in the opposite direct all the while spending more and more hours disconnected from my wife and kids was too much. If I was going to survive in medicine, I had to chart a better path with Trinity Direct Primary Care.

Obamacare premiums expected to climb 38% nationwide

Axios.com reported this interesting infographic on the predicted average increases of Obamacare premiums when open enrollment starts November 1st.  It is expected to be a sharp increase again.  Tennessee is slated to be a 20% or higher increase as a statewide average. Knox County has fared worse than most Tennessee regions in the last couple years.  Many patients choose lower tiered plans to shave cost off their premiums only to find that their deductibles are so high they provide no practical help with day to day health needs. Even the gold plan requires  nearly $1200 out of pocket before it starts to cover routine primary care needs. 

Trinity Direct Primary Care stands ready to provide exceptional primary care services for you and your family regardless of insurance coverage or deductibles.  We offer month to month memberships that cover all visits, all phone calls, and emails with your physician and most in house labs such as strep tests and flu tests as well as many labs used to manage common medication concerns such as diabetes and hypertension.  One out of pocket payment for a walk in clinic or urgent treatment center often exceeds 2-3 months of membership costs. One 15 minute visit for the same price as 3 months of access in Direct Primary Care. Which seems like a better deal to you?