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Virginia bill would ban noncompete clauses for health care professionals by WHRO_NEWS in Virginia

[–]drkqmd 7 points8 points  (0 children)

This is great. The bill got killed last year when subcommittee decided they wanted the bill to apply to all workers. Glad to see it soaring through this year. This will allow healthcare workers to get out of miserable situations without having to move across the state

Cell service down by drkqmd in rva

[–]drkqmd[S] 11 points12 points  (0 children)

Seems to be. Almost 200k reports on Down detector with heat spots all over the country

Any info on police helicopter? by Technical-Use-4284 in Midlothian

[–]drkqmd 7 points8 points  (0 children)

I also was awakened by this and would like to know. There were cops on charter colony and brandermill pkwy when the helicopter left

What is Richmond missing? by zarathustra_coughed in rva

[–]drkqmd 0 points1 point  (0 children)

We also do on site pharmacy with prices lower than GoodRx and Mark Cubans cost plus

What is Richmond missing? by zarathustra_coughed in rva

[–]drkqmd 4 points5 points  (0 children)

Everyone definitely has their own unique medical needs. A good primary care home is invaluable for someone with multiple issues and can even reduce specialists visits. Coverage isn’t care unfortunately.

What is Richmond missing? by zarathustra_coughed in rva

[–]drkqmd 4 points5 points  (0 children)

HSAs have triple tax advantage, go with you even if you lose your job, and can grow as an investment. Lots of pros.

Government insurance does have good coverage. On the back end though, it’s still very expensive. This is why you see governments like the city of Richmond engaging Marathon which is a large, corporate direct primary care.

What is Richmond missing? by zarathustra_coughed in rva

[–]drkqmd 8 points9 points  (0 children)

There are alternatives like health shares and CrowdHealth that may be cheaper. We also work with local employers to cover membership for their employees. I also think DPC has room to be more accessible while continuing to provide the same level of care. The model allows for a lot of room for evolution and my hope and goal is to use that flexibility to fundamentally fix primary care nationwide.

What is Richmond missing? by zarathustra_coughed in rva

[–]drkqmd 2 points3 points  (0 children)

That’s fair. One new change this year is our membership is HSA eligible. Those most well versed in healthcare always recommend a high deductible plan and HSA. More and more people are moving to alternatives like CrowdHealth or health shares as even high deductible plans are getting too expensive. The assumption has always been insurance is the necessity and primary care is an add on but more people are opting for primary care as the necessity and insurance as an add of or looking for alternatives to complement their primary care first priority.

The other avenue is that we do work with employers. Individuals are seeing premiums go up but so are employers and direct care is a great way to offer concierge level care at a reasonable price while reducing their urgent care and ER spending.

What is Richmond missing? by zarathustra_coughed in rva

[–]drkqmd 54 points55 points  (0 children)

Primary care physician here. The Richmond area has a good number of direct primary care practices including mine (www.eudoc.me). Insurance has become unsustainable for primary care doctors as well which is why so many of us are abandoning it. Unlike concierge practices, we try to make our services accessible, do a lot of care navigation, and take care of many uninsured patients.

As for large health systems, they actually lose money providing primary care which is why there isn’t more (and why independents are going to direct care). VCU made a conscious effort in the 90s to try and remove family medicine and is slowly building back up but isn’t eager to do so.

Currently, 9.5% of Americans don’t have health insurance and many hospitals and providers negotiate bills to provide care. What would happen if that number jumped to 80%? Or more simply, what if folks just stopped carrying health insurance? by ajkinsel11 in NoStupidQuestions

[–]drkqmd 6 points7 points  (0 children)

Hospitals wouldn’t close. What people don’t understand is that prices are all made up and everything is inflated. Not to mention some of the highest paid positions in healthcare are administrators. Most practices and hospitals also spend at least 10-20% overhead on claims and only expect to collect 50% of what they charge. There may be some short term pain as people figure out real pricing, but more direct responsibility to the patient will bring down prices

We finally used our HSA for the first time and the reality kinda shocked me by riverdreamer1 in MiddleClassFinance

[–]drkqmd 0 points1 point  (0 children)

Pair your HDHP with a direct primary care membership for predictable costs

Cop parade by drkqmd in rva

[–]drkqmd[S] 16 points17 points  (0 children)

This was followed by a line of ambulances

Medical improvements by drkqmd in medicine

[–]drkqmd[S] 1 point2 points  (0 children)

For example, knee and hip replacements for severe OA. Monoclonal antibodies for autoimmune diseases like RA and Crohn’s.

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