Why Obamacare is a Failure from a Doctor's Perspective, and How to Fix It.
10/27/2016 12:36 PM
I got an email from a fan this morning with a link to an article "Dr. Marc Siegel: What doctors know about the ObamaCare crisis (and you should, too)" by (of course) Dr. Marc Siegel. His premise is one I haven't considered. The plans on the healthcare exchanges don't have large diverse networks. When you go to the doctor demanding service, you may need lab work, x-rays, specialists, and all manner of things that the general practitioner doesn't or even can't provide. This means they can't send you to their preferred partner, down the prebuilt channel, they have to farm your referral out to some practitioner they have never heard of and then re-integrate your data from several disparate sources, back into your medical records, wasting everyone's time and money, and ultimately increasing the cost and complexity of healthcare.
Just as bad, practitioners are forced to sit in front of a computer (a 2009 federal law mandates electronic medical records (EMR)) with his or her back to you documenting your care. To add insult to injury, private practices spend about $32,000 per year to implement and maintain an EMR. With the average number of patients a practitioner maintains around 2800, that means that you personally spend over $100 per year for your doctor's EMR. Even worse than that is the fact that your hospital probably spent over one hundred million dollars on its EMR system.
You who follow along with my meanderings, here, on Sentia Health, and on LinkedIn, you know we never identify a problem with out pointing out a solution. The solution is a have a health insurance company run by technology. The health insurance company provides an EMR to the practitioner that is capable of documenting the patient encounter quickly and easily, showing the practitioner what is covered, what is not, and for how much for that particular patient, then pays the claim, in near real time, automatically. This new insurance company would only charge the insured a small subscription fee of $10 per month. That's what we, Sentia Health Services, do.
How does this solve the problem? We estimate the we can save the consumer 45% on his or her health insurance. We actually publish that we can save 1/3 for the same coverage by eliminating all the waste and greed that is imposed by big insurance on the practitioners and the public, medical coding, insurance adjudication, EMR, and of course excessive profit, with that $10 subscription fee. This drives insured people to us, because we are at least 1/3 less expensive, and drives doctors and practices to us for the free, easy to use EMR giving us incredible leverage to put every practitioner in the United States in our network.
I don't know what you all call that, but where i come from we say 'cat skinned.' That means 'problem solved' to the rest of us. As we grow, we can apply this expertise in automation to every aspect of the medical industry, further driving down administrative costs, until there is nobody left but the you, the patient, and your team of caregivers. Even better, Sentia Health is a division of Sentia Systems where we do this kind of automation for every industry.
Share this with every person in your network. Call ME. Call your senators, call your congressmen. Call Hillary and The Donald and shout to them that this is the solution they've been looking for.