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How a $1,500 Start-up Changed Health Care

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Re: How a $1,500 Start-up Changed Health Care

#3
We have a doctor here in our little town in Western Massachusetts that is doing the same but set it up as a non-profit. He accepts barter as payment and supports other small providers with an open source EMR system:

http://www.cottagemed.org/index.php?option=com_content&v...

Re: How a $1,500 Start-up Changed Health Care

#5
Unless the statement in this posting[1] has changed in the few years since it was posted, this guy could lose his medical license over this... I'm all for using technology to make things easier, but something as regulated as the medical and pharmaceutical industry needs to be thought through and can't just use any third party tool to do what you want with.

[1] http://support.formstack.com/index.php?pg=forums.posts&i...

Re: How a $1,500 Start-up Changed Health Care

#7
post #6

His $1500 dollar startup is just the store front for his $100k+ medical education. There is already a staggering demand for any and all medical services. Not as innovative as the headline made it sound.

What's interesting about the economics of all this is that the cost of an office and staff overhead is now greater than the benefit from taking insurance. Complexity has benefits but it also has a cost that tends to deliver negative marginal returns after a certain point and the U.S health care insurance industry passed that point long ago.

Re: How a $1,500 Start-up Changed Health Care

#8
post #7
post #6

His $1500 dollar startup is just the store front for his $100k+ medical education. There is already a staggering demand for any and all medical services. Not as innovative as the headline made it sound.

What's interesting about the economics of all this is that the cost of an office and staff overhead is now greater than the benefit from taking insurance. Complexity has benefits but it also has a cost that tends to deliver negative marginal returns after a certain point and the U.S health care insurance industry passed that point long ago.

I'm not particularly well informed on the issue, but a local doctor who would prefer to make house visits like in the old days, informed me that the hindrance wasn't taking insurance, but liability. According to him America is too litigious these days to visit people in their house, and the cost of malpractice insurance for home visits was prohibitive.

Re: How a $1,500 Start-up Changed Health Care

#9
post #7
post #6

His $1500 dollar startup is just the store front for his $100k+ medical education. There is already a staggering demand for any and all medical services. Not as innovative as the headline made it sound.

What's interesting about the economics of all this is that the cost of an office and staff overhead is now greater than the benefit from taking insurance. Complexity has benefits but it also has a cost that tends to deliver negative marginal returns after a certain point and the U.S health care insurance industry passed that point long ago.

No, not in general but only for this one particular doctor. He is basically providing the simplest of medical services to the most well-paying patients. This is a teeny tiny market, one whose consumers' needs and means are not reflective of the average consumer of medical care. He may have success doing this in two zip codes in a metropolitan area, but this business can't be replicated to any meaningful scale.

Re: How a $1,500 Start-up Changed Health Care

#10

Sounds like it changed health care for the people living in those two zip codes who don't want to go through the insurance company. Woohoo, but I'm still hosed.

BTW the patient can still submit the bill to insurance and request to be reimbursed.

It might be an interesting model to push all insurance work from the doctors to the patients. I think it may even have some benefits: people will actually know what they are paying for.

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