Tennessee Direct Primary Care Bill The State of Tennessee has introduced a Direct Primary Care bill. The Tennessee Direct Primary Care  Bill has been dubbed as “the alternative to expanding Medicaid”.  I am working on the further development of the …

admin says:
Thank you Dr. Ames for your comments. That is a very good question. I am... more
J Timothy Ames says:
I am a DPC physician, and I am glad to see a law that acknowledges and protects... more
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A Modern Day Family Doctor Visit American healthcare is in crisis.  Family doctor visit costs are rising. Primary care practices are incurring heavy levels of non-collectable debt, and the percentage is climbing every year. According to MGMA research, average bad …

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Medicare Provider Inpatient Payment Data Released CMS has released  Medicare Provider payment data. CMS released the data at the direct request of the Obama Administration at an attempt to increase transparency between consumers and providers.  The data they released is …

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CMS (Centers for Medicare and Medicaid Services) releases Accountable Care Organization (ACO) data to the public CMS has released select Accountable Care Organization (ACO) data to the general public. The information released measure sets for ACO  group practices that report under …

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Cruise Ship Illnesses: Norovirus

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  Cruise Ship Illnesses Cruise ship illnesses are becoming more and more common. The Norovirus is the most common culprit of the illnesses affecting passengers and crew these days.   As you know, the outbreak of norovirus on cruise ships is …

 

Health Care Reform 2014 Timeline

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Below is the health care reform 2014 timeline.  Are you prepared?  Below you will find everything you need to know in regards to what will be implemented this year.   Health Care Reform 2014 New state health insurance exchanges are …

 

Health Insurance Cancellation Illegal Under Obamacare

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  Health Insurance Cancellation Illegal? Are Health insurance cancellations legal? Since October 1st, millions of Americans have had their health insurance policies terminated by insurance companies. Last Thursday, President Obama made a statement about fixing the ACA and how he will …

 

ObamaCare Enrollment Numbers

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The U.S. Department of Health and Human Services (HHS) has officially released the Obamacare enrollment numbers.  The numbers are in a 28 page report that  gives complete details on who enrolled in Obamacare  between October 1st and November 2nd.    Below are …

 

Dental Insurance Marketplace Guide

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As mentioned in a previous post,  the Dental Insurance Marketplace via Healthcare.Gov is plagued by glitches that has caused many Americans to be unable to sign up for health insurance coverage. On October 23, U.S. Health and Human Services uploaded …

 

Small Business Insurance Marketplace Guide

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As mentioned in a previous post,  the Small Business Insurance Marketplace via Healthcare.Gov is plagued by glitches that has caused many Americans to be unable to sign up for health insurance coverage. On October 23, U.S. Health and Human Services …

 

Health Insurance Individual Marketplace Guide

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Since October 1, the Health Insurance Individual Marketplace via Healthcare.Gov has been plagued by glitches that has caused many Americans to be unable to sign up for health insurance coverage. On October 23, U.S. Health and Human Services uploaded a …

 

Obamacare Healthcare Exchanges: Inside Look

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On October 1st, the Obamacare Healthcare Exchanges went online. Below you will find information on how to log in and purchase coverage. I live in Tennessee and the information below is based upon that exchange. It is very important to …

 

Hospital layoffs – A Solution

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Hospital layoffs have been in the news a lot lately. A whopping 10,169 clinical, management, and support staff have been laid off  by hospitals since January.  Layoffs, however, began accelerating in May and have been rising ever since. Poor reimbursement …

 

ObamaCare Provisions Repealed and Defunded

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Defund and repeal ObamaCare  is all that we are hearing coming out of Washington  these days. Opponents of the law are doing everything they can to repeal and defund this legislative behemoth. Would it surprise you that opponents have already …

 

Medical Access Direct Primary Care

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      Medical Access USA Direct Primary Care The Primary Care Crisis. Many physicians – previously thriving in independent practice – are considering hospital-based practice or leaving primary care practice altogether. Increases in overhead. Decreasing levels of reimbursement. Changes in …

 

What is Direct Primary Care?

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Direct Primary Care Explained Direct Primary Care (DPC for short) is primary care offered directly by primary care physicians (pediatricians, internists, family physicians) to consumers without the need of insurance. The model completely eliminates financial burdens physicians deal with when …

 

Direct Primary Care Regulations

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Direct Primary Care Regulations are becoming more and more prevalent as the model becomes more popular. Direct Primary Care specifically involves paying a primary care physician (pediatrician, internist, or family practitioner) directly for services on a monthly basis without the …

 

How IRS Enforces ObamaCare

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IRS Enforces ObamaCare The IRS enforces ObamaCare  by issuing rules. These rules become final once they are officially signed off by IRS and Treasury Department officials. The IRS has in fact issued the final rules that detail how it will …

 

United Healthcare Fraud Report 2012

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United Healthcare Fraud Report 2012 Below is the United Healthcare Fraud Report for 2012. The report is an updated history of United Healthcare’s felonious misconduct over the past decade. United Healthcare Fraud United Healthcare Financials 42% denial rate (Healthcare.Gov, Kaiser, AMA) …

 

Humana Medicare Fraud Report 2012

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Humana Fraud Report 2012 Below is the Humana Fraud Report for 2012. The report is an updated history of Humana’s misconduct over the past decade. Humana Fraud Humana Financials 40% denial rate (Healthcare.Gov, AMA) CEO compensation: $7.3 million (up 15% according …

 

Sequestration and Health Care

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Sequestration and Health Care By definition, sequestration is the action of taking legal possession of assets until a debt has been paid off (Merriam Webster). In regards to the federal government, sequestration is a process that automatically cuts the budgets …

 

Medical Access CMS Pilot Program

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Medical Access Pilot Program Several members of Congress (members, leadership from U.S. House and U.S. Senate) have come out recently in support of Medical Access’ new non-insurance model. U.S. Representative Alan Grayson (FL) is one of those members who has …