The Flavors of Direct Primary Care

What do various flavors of DirectPrimaryCare save employers? OneMedical (‘Exceptional Primary Care”) saved Google 🔳8% according to its S1. Meh. NexteraHealth measured 🔳29% in its most recent study. Exceptional. PaladinaHealth 18% on outpatient comparables.

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Qliance offered it had 27% fewer ER visits, 60% fewer hospital days and cost their employers 🔳20% less on average than similar non-Qliance patients in the area.

IoraHealth says 83% of the patients in its practices with high blood pressure have it under control; the national average is 63%.

RHealth, a Philadelphia-based group, says it can save self-funded employers 🔳15% on their total costs, and has high rates of cancer and cholesterol screenings, medication adherence and blood-sugar control. R-Health has teamed up with Aetna and Humana to offer unlimited primary care at four of its practices to New Jersey state employees. It hopes to enroll as many as 60,000 of the 800,000 eligible workers . “We need to hire a lot of doctors,” says Mason Reiner, R-Health’s CEO.

And therein lies a big challenge: Scaling up the model significantly could exacerbate the shortage of primary-care doctors.

Bigs Simply Not Prepared for Spread of Coronavirus

We depend on China’s shutdown heartland for the vast majority of our pharma and basic medical supplies. This potential of spread overwhelming Bigs who simply are not prepared for this double whammy. Hope I got that wrong. This is a classic clog in the narrow neck of the healthcare hourglass.

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US hospitals prepare for coronavirus outbreak to become global pandemic A COVID-19 outbreak across the U.S. could overwhelm emergency rooms and cause shortages of face masks and other crucial medical supplies. “At some point, we are likely to see community spread in the U.S. or in other countries,” she warned. U.S. hospitals from San Diego to New York are taking heed.

The threat of the new virus comes at an already busy time for most U.S. hospitals. Another serious respiratory illness, the seasonal flu, is at its peak in the United States, with more than 26 million cases and many hospitals stretched thin. A larger spread of the new virus across the U.S. could overwhelm emergency rooms and quickly cause supply shortages of some crucial medical supplies, according to half a dozen interviews with doctors, U.S. hospitals and health systems.