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One Medical S-1

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Re: One Medical S-1

#41

Post by dcow »

uberduber wrote: post #36
dcow wrote: post #29

Earlier quoted context omitted.

Totally agree. For people who are proactive, I’ve found One Medical is excellent. However, if you’re not keeping your own tabs on your, or someone you love’s, health, it’s easy to fall through the cracks. I wish they would improve on actual active management of subscribers‘ health. I’ve had or discussed many experiences where people expect follow ups that never come. Have an uncommon condition? Make sure you keep bug…

Active management is expensive. I've seen it for $1800/yr and the rate of followup was still poor. If you want a doctor to take care of you like family the rate seems to be $7500-30000 annually depending on what's wrong with you. Seems like it might be cheaper to hire a healthcare advocate though most of them are more about geriatric and end of life care.

Seems like an industry ripe for disruption (:

I probably assumed OneMedical did more of this than it intends to based on previous experiences and the subscription fee. Like I’ve had good care, nice offices, etc. in the past why should it now cost $200/yr?

Re: One Medical S-1

#42

Post by TuringNYC »

rcheu wrote: post #27

I like One Medical a lot, I hope they find some way to be profitable. Their doctors are far less rushed than any other GP doctor office I've been to, and their app is well done too. I've been confused how they're able to do this and not charge more than they do (only $200 a year).

Long-time customer here and totally agree -- they are awesome on timing. I think they do this by virtue of having a system. They seem to have a systematic effort thru the entire office of abiding by schedule appt times. Some of that is systematic scheduling to prevent overbookings, etc.

I one time showed up 2min late and they sent me back home, that is when I knew they were the real deal. I'm so glad they did, because 1. I was never late again, and 2. I know they wouldn't be late for me in the future.

I think many times when doctors are late, it is often because

0. They have a cascade of latenesses with really just a single early appt that is actually late causing the domino of late starts and hence ends.

1. They have a patient come in late or w/o appt, cater to them or "squeeze them in"

One thing OMG has going for them is the generally professional clientele -- many of the clients dont want to arrive/leave later either, so that is good for everyone.

Re: One Medical S-1

#43

Post by TuringNYC »

cgb223 wrote: post #10

Why do people use One Medical vs just having a doctor? Been thinking about my current medical care and wondering the advantages

Because of so many reasons:

1. When I was a crazy-busy and overbooked professional, I could simply not afford lateness in my schedule. With OMG, I can leave my office at X:52, be at their office at X:59, be seen between X+1:00 and X+1:15 and be back at my desk by X+1:23, and be confident of making my next meeting.

When the chief variability is how long an elevator takes to arrive, you know this is a serious operation!

2. Because many doctors front desk booking services tend to become authoritarian and making booking way harder than required. I can do everything electronically w/ OMG.

3. Because they do everything electronically, which saves everyone time -- including them

4. Because they provide detailed records of everything for FSA/HSA purposes as well as for your records.

5. Because they offer multi-tier service (NPC, PA, MD // video/email/inperson) so you can save everyone's time for minor things.

6. Because they do lots of things in one place (vaccinations, bloodwork, etc.) rather than you having to go to many places

Re: One Medical S-1

#44

Post by TuringNYC »

not_a_moth wrote: post #31
cgb223 wrote: post #10

Why do people use One Medical vs just having a doctor? Been thinking about my current medical care and wondering the advantages

I used One Medical for a year and quit, because their medical practitioners are low quality in my opinion. Probably why they are cheap. I would book appointments and I would only ever see nurses, and then when needed I would be referred to one of their doctors. For my shoulder injury they sent me to their sports medicine doctor, who was not only rude and rushed, but told me I was fine just common tightness in shoulde…

>> Probably why they are cheap.

I'm not sure why you think they are cheap. They charge insurance just as any other doctor. The annual fee is on top of that.

Re: One Medical S-1

#46

Post by chucky_z »

cgb223 wrote: post #10

Why do people use One Medical vs just having a doctor? Been thinking about my current medical care and wondering the advantages

My answer is "Why doesn't everyone use One Medical and have a doctor?"

To laser-focus on the peninsula/south-bay in the bay area; going to PAMF or Stanford Medical typically results in a 2-3 day wait to see a Dr.

If you're sick, you want to see a Dr asap. I have a doctor at PAMF, a doctor at Stanford Medical, and One Medical. If I am sick, I simply book an appointment at One Medical usually 30-min ahead of time, see them, get whatever treatment I need and go back home and be sick.

When something is truly wrong I start at One Medical for temporary help, and immediately book either at PAMF or Stanford depending on who is available sooner.

Re: One Medical S-1

#47

Post by winfred »

surfmike wrote: post #33

The two times I used One Medical, me and the doctor just ended up googling my symptoms together. Don’t have a lot of confidence in their staff. It’s a nice idea though, although concierge care like this probably pushes health care costs even higher.

Do you have any idea how much can go wrong with a human body and in how many different ways? And we're not even close to figuring out all the illnesses. Sure, brain cancer they can detect just fine, but try to go to a doctor because you're fatigued or have joint pain or other inflammation related issues. See the shit show you'll run into then. 9 out of 10 times they'll toss you through a few machines and then claim it's psychological.

Most doctors are just guessing, some are just better at making it appear they know what they are doing to improve placebo. I rather have a doctor that's using Google than one that thinks he knows what's wrong but doesn't fact check.

Re: One Medical S-1

#48

Post by alpb »

They highly cater to the corporate benefits market:

> Historically, our revenue has been concentrated among a small number of customers. In 2017, 2018 and the nine months ended September 30, 2019, our top customers accounted for 42%, 37% and 36% of our net revenue, respectively. These customers included Google Inc., which accounted for 10% of our net revenue for 2018 and the nine months ended September 30, 2019.

Re: One Medical S-1

#49

Post by avocado4 »

rcheu wrote: post #27

I like One Medical a lot, I hope they find some way to be profitable. Their doctors are far less rushed than any other GP doctor office I've been to, and their app is well done too. I've been confused how they're able to do this and not charge more than they do (only $200 a year).

Their doctors get paid by insurance (employer or Medicare/Medicaid) the same way any other doctor gets paid. $200 per year is a fee on top.

They are just much nicer to use than some alternatives.

Re: One Medical S-1

#50

Post by 1auralynn »

TuringNYC wrote: post #42
rcheu wrote: post #27

I like One Medical a lot, I hope they find some way to be profitable. Their doctors are far less rushed than any other GP doctor office I've been to, and their app is well done too. I've been confused how they're able to do this and not charge more than they do (only $200 a year).

Long-time customer here and totally agree -- they are awesome on timing. I think they do this by virtue of having a system. They seem to have a systematic effort thru the entire office of abiding by schedule appt times. Some of that is systematic scheduling to prevent overbookings, etc. I one time showed up 2min late and they sent me back home, that is when I knew they were the real deal. I'm so glad they did, becaus…

Last summer I had a severely broken wrist, and the orthopedic surgeon was able to "squeeze me in" a few days later - literally at the first possible moment I could have had a surgery consult. Later on I had a follow-up with him, he kept me waiting for at least half an hour, but I totally didn't care because I knew why.

But yeah, I use One Medical and it's amazing. For primary care, they really respect your time like none other.

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