Buried Treasure

What’s the diff? An ancient buried treasure worth millions or unlocking EBITDA millions buried in healthcare spending. This calculation is happening soon daily:
The average corporate spend:
$5000/employee is recovered using

Direct contracting with

  • Hospitals, surgeons, independent imaging, wholesale pharmacy and specialists like mental health and physical medicine like PT/ chiropractic
  • Direct Primary Care
  • Virtual Primary Care
  • On-site clinics
  • Reference-based pricing
  • Navigators to Centers of Excellence

But unlike sunken ships packed with doubloons, these millions are one great benefit advisor away from reality. Here’s the best secret I’ve learned living in this solution two years as an employer: Company Culture STARTS with my people feeling safe. Maslow was right. Feeling safe is widening the messaging highway so this can get through.

  • Vivid vision
  • Mission
  • Values

Here are my goosebumps :

  • Requires no marches, banners, pitchforks nor stump speeches, no lobby no pitches, torches, endless meetings, backroom deals.
  • This move makes heroes of true leaders.
  • This raises life quality for 80% ✔️hope for a nice neighborhood.✔️six-figure mortgages✔️retirement spigots ✔️credit repair/ repaid

I live in a future where everyone wins. Do you?

Daddy Was Wrong

We grew up from “A Because Daddy Said So” mentality. Daddy was wrong. The day our healthcare outcomes placed us between Croatia and Cuba. Two combined GDPs equal to ?

SanAntonio the poorest of top 20 metros with 25% in poverty , my hometown.

We spend almost double per capita hashtagSwitzerland the second biggest spender and half as much @ 7% of our peer countries on hashtagprimarycare
Dimon says this outcome to spend ratio is embarrassing
Buffet calls healthcare a tapeworm on our economy.
Bezos says this is the era of disappearing middles
Military leaders say the state of our healthcare is a national security threat. Up there with Iran. North Korea. Terrorism. American Healthcare.

The day the music died is when this all came together for us.

I live in a future for two years now where everyone wins.

  • Employers
  • Employees
  • Docs
  • Population Health
  • Costs


No Audits Ever Required?

Oh my. I just realized if Direct Primary Care or Direct Contracting with wholesale price transparent pharmacies, surgery, imaging no audits are ever required. Those consultants, lawyers, and accountants who thrive on audit misery are now under the bus. These edible headlines for those folks won’t carry water anymore.

“HHS OIG Flags $2.2 Billion in Potential
Medicare Advantage Overpayments for CMS Audits”
National Law Review

“How firms are delivering
value with audit data analytics”
Journal of Accountancy

My Conversation with an Orthopedic Surgeon

I had to ask the #orthopedicsurgeon twice last night at dinner.

“Ron, I make $2,000 per surgery. That’s it.”

I asked where does the other $106,000 go? He truly did not know but agreed in his career spinal surgeons once made healthy seven figures. He’s at half that now. What happened?

How do I get a better-paying client? He asked.

Via direct contracting with the likes of #SanoSurgery who connects him to employers who are self-insured. I used to think everyone in healthcare was getting hammered except docs like him. I live in a future where everybody wins. #Doctor #Employer #Customer / #Employee.