Plum Health Blog
Direct Primary Care Removes the Middlemen and Lowers the Cost of Health Care
There are perverse incentives in the healthcare system. As a part of my mission to provide affordable and accessible health care in Detroit and beyond, it needs to be said that the middlemen in healthcare inflate the cost of the care that you receive.
Anthem Revenue $104 Billion (2019)
Cigna Revenue $154 Billion (2019)
United Revenue $242 Billion (2019)
Cigna CEO salary $18.9 million (2018)
United CEO salary $21.5 million (2018)
Blue Cross CEO salary $19.2 million (2018)
The total annual healthcare spending in the US is over $3.6 trillion annually.
Healthcare spending on administration: 34%
Healthcare spending on physician salary: 8.6%
When your doctor can’t get you the tests/imaging/procedures/surgery/medication you NEED, remind yourself that the middle management, the CEOs, the lobbyists for health insurance company did NOT swear an oath to put your health above money.
Your doctor did.
Doctors are missing sleep, skipping vacation, answering calls on weekend and holidays, missing important family events, and otherwise working tirelessly to keep you healthy.
All of that's to say that I firmly believe in the power of the doctor-patient relationship and removing the middlemen from this equation. This is why we do what we do at Plum Health DPC.
https://www.plumhealthdpc.com/
#DirectPrimaryCare #PlumHealth
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Plum Health Takes Care of Patients of All Ages and Stages
Doctors at Plum Health DPC take care of Patients of All Ages and Stages
This week we welcomed the newest member of the Plum Pack, Zaya! 👶 We saw this bundle of joy for her newborn appointment and she was healthy and had a great cry (a sign of vitality).
At Plum Health, we take care of patients of all ages and stages. Our youngest member is now 4 days old and our oldest member is 93 years young 😊
We’re family medicine doctors 🥼 and we’re trained to take care of people as they age and transition through life’s many challenges
Happy birthday Zaya 🎁 🎈 🎂 and here’s to your health!
Thanks for letting us share this moment, and 📸 photo cred to @goodlifedetroit
Patient Ages at Plum Health DPC
At Plum Health, the vast majority of our patients are ages 18 to 39 (55% of our panel) or ages 40 to 64 (32% of our panel). However, we take care of children or pediatric patients ages 0 to 17 (9% of our panel) as well as geriatric patients ages 65 and above (4% of our panel). See below:
At Plum Health, the vast majority of our patients are ages 18 to 39 (55% of our panel) or ages 40 to 64 (32% of our panel). However, we take care of children or pediatric patients ages 0 to 17 (9% of our panel) as well as geriatric patients ages 65 and above (4% of our panel).
If you’d like to sign up to be one of our patients, you can enroll here - all ages welcome!
- Dr. Paul Thomas with Plum Health DPC
Press Coverage for Direct Primary Care in Detroit and Michigan
This was a big week for press coverage for Direct Primary Care in Detroit and Michigan. The bottom line is this: people are hearing more and more about this Direct Primary Care movement and we’re getting more and better coverage as the DPC movement grows.
Plum Health DPC Interview on The Craig Fahle Show
First off, we had a fabulous interview with Craig Fahle of Deadline Detroit. Craig Fahle is the former host of the Craig Fahle Show on WDET and he currently hosts the Craig Fahle Show on Deadline Detroit:
A mix of interviews and commentary, The Craig Fahle Show is a daily 30 minute podcast telling the important political, business, and cultural stories that matter to Detroit and Michigan. Hosted by Craig Fahle, an award winning journalist and talk show host who for years hosted his eponymous talk show on WDET, Detroit's Public Radio station.
Craig Fahle’s coverage of our story at Plum Health DPC was insightful and robust. He brought a really well thought out, professional approach to this interview. You can listen to the full episode here:
Dr. Paul Thomas of Plum Health DPC interviewed by Craig Fahle of Deadline Detroit on the Craig Fahle Show. The conversation focused on the Direct Primary Care model and the impact that it is having in the Detroit market.
Paul Thomas, MD of Plum Health Mentioned During WDET’s Detroit Today
Second, during WDET’s Detroit Today radio program with Stephen Henderson, a caller rang in and asked if there was a health care model similar to the Green Bay Packers, where everyone buys in and benefits from the system. Start listening to the interview at the 34:30 mark to hear the question and answer. Additionally, I’ve taken the time to transcribe the conversation here:
Kevin in Grosse Pointe Park: “My idea may be a little simplistic, but I’d love to see something modeled off of the Green Bay Packers. As in, all of us pay our premiums to a hospital on a monthly basis, so the doctors, and the nurses, and the hospitals get our premiums. Let’s eliminate the insurance companies and the in-betweens. The doctors and nurses own the hospitals and we own shares in the hospitals and have an interest in this possibility.”
Stephen Henderson, Host of Detroit Today: “Hmm. Kevin it’s simplistic but it does get to a fundamental issue in the healthcare system. What role do the insurance companies play, and how much money do they add to the cost of things in the system and is there a way to eliminate them all-together. Abdul El-Sayed, we had a physician on the program a few months ago, Paul Thomas here in the City of Detroit, who is treating patients by eliminating insurance. He doesn’t take insurance, he has them pay into kind of a share system like Kevin is talking about. He deals with pharmaceutical companies directly to lower the cost of the meds and it seems like he’s got kind of a solution to some of the problems we see in the system now. The idea of dealing directly with physicians and hospital systems rather than insurance companies. Is that maybe a way forward?
Abdul El-Sayed, MD, MPH: “So, I love Paul’s model and I think it’s a great model for primary care. You pay him, he takes care of you, it’s simple, you eliminate the middle man. In fact though, Kevin’s idea, that’s how insurance companies started.”
Dr. Abdul El-Sayed goes on to talk about the founding of Blue Cross with Baylor’s Hospital System. When I heard this conversation, I was absolutely floored! It’s amazing that Stephen Henderson recalled our conversation and offered our model as a solution to our current health care problems.
Paul Thomas MD of Plum Health DPC was mentioned by Stephen Henderson of WDET and Abdul El-Sayed during a comprehensive conversation of healthcare costs during the Detroit Today radio program.
Direct Primary Care Physician on Michigan Radio
Finally, a friend and colleague of mine, Matthew Falkiewicz, MD Of Nova Direct Primary Care in Grand Rapids was interviewed on Michigan Radio with Cynthia Canty.
“Before insurance companies, and co-pays, and filing claims, the relationship between doctors and patients was simple. Those who needed medical care would visit their doctor’s office or request a house call. Once that care was provided, the doctor was paid directly.
“Some physicians are bringing that model into the 21st century by offering direct primary care to their patients on a subscription basis.
“Dr. Matt Falkiewicz is a physician with Nova Direct Primary Care in Grand Rapids. His practice offers a membership-based model where patients pay a monthly fee”
All told, three big mentions of Direct Primary Care in Detroit and Michigan over the last 1 week. This tells me that there’s a growing momentum for Direct Primary Care in our state. When I first started in 2016, I was an early adopter, perhaps the second doctor in the state of Michigan with a pure Direct Primary Care practice. Now, there’s over 10 doctors practicing in the DPC model in Michigan.
I believe in this model and these doctors - Direct Primary Care allows us to serve our patients on their own terms, and not at the dictates or mandates of an insurance company. The DPC model allows us to develop caring relationships with our patients and to deliver the best service possible to our patients.
I’m really excited for this growing movement - thanks for reading!
-Dr. Paul Thomas with Plum Health DPC in Detroit, Michigan
Paul Thomas, MD of Plum Health DPC. Direct Primary Care allows doctors and patients to develop deeper, more trusting relationships that can result in better health for both patients and doctors.
Direct Primary Care Book by Paul Thomas MD
Direct Primary Care: The Cure for Our Broken Healthcare System
This week, I had the privilege of publishing and releasing my first book, Direct Primary Care: The Cure for Our Broken Healthcare System. Here’s the blurb I wrote for the book on Amazon:
They said it couldn't be done. It wouldn't be possible to fix our broken healthcare system. It wouldn't be possible to fix a healthcare system that undervalues primary care and human relationships. But here we are, a courageous group of primary care doctors, tirelessly working to create value for our patients in communities across the country. This is the story of the Direct Primary Care movement, and how it could revolutionize not only primary care, but the entire healthcare system. The book begins by describing the current crisis in primary care and goes on to define the scope of Direct Primary Care. It closes with concrete examples of how the Direct Primary Care model is working at Plum Health DPC in Southwest Detroit.
It’s been a long journey from “idea” to “published”, and there’s still a lot of work to do promoting the book and getting it out into the world. I wrote the book because I believe that healthcare should be affordable and accessible for everyone, and I also believe that the Direct Primary Care model gets us closer to that goal. So, in the book, I set out to explain and describe the ethos of the Direct Primary Care movement and the work that I do in SW Detroit with Plum Health DPC.
Screenshot from Amazon.com with the Kindle version of the book. Direct Primary Care: The Cure for Our Broken Healthcare System.
Screenshot from Amazon.com with the Paperback version of the book. Direct Primary Care: The Cure for Our Broken Healthcare System.
Within 72 hours, these titles will be merged into one page on Amazon!
Author Page for Paul Thomas MD on Amazon.com
One of the things that I had to do to publish the book on Amazon, was to set up an Author Page for myself, Paul Thomas MD, on Amazon.com. My bio reads something like this:
Dr. Paul Thomas is a board-certified family medicine physician practicing in Southwest Detroit. His practice is Plum Health DPC, a Direct Primary Care service that is the first of its kind in Detroit and Wayne County. His mission is to deliver affordable, accessible health care services in Detroit and beyond. He has been featured on WDIV-TV Channel 4, WXYZ Channel 7, Crain's Detroit Business and CBS Radio. He has been a speaker at TEDxDetroit and is a graduate of and Clinical Assistant Professor at Wayne State University School of Medicine. You can find out more at PlumHealthDPC.com.
It’s pretty neat and motivating to get working on the next book! I have a lot of ideas that I want to write about, mostly involving Direct Primary Care, and this was such a cool process.
The Process of Writing the Direct Primary Care Book
I wrote the book in about one week in January 2018. I thought I’d have it published in March. Boy was I wrong! After writing it, I sent the draft to some brave alpha readers, who read it and gave me feedback. That brought me to February. I then edited the draft with those suggestions and came up with a second draft, which I sent to some beta readers.
From there, Amanda and I edited the entire book and had the final draft. This was March. I still needed a cover design, formatting, promotional quotes from people I knew, and so many other things that I was naive to prior to starting this process.
In the spirit of Thanksgiving, I have a million people to thank, from those alpha readers to those who helped me design the cover through those who wrote blurbs for the book and my publisher. It definitely took a village to get this over the finish line. A very special thank you to Zain Ismail for writing the foreword.
Reception So Far
So far, the reception to the Direct Primary Care book has been good. We have been number one in the “Physician & Patient” and “Administration & Policy” categories on Amazon.com, which is exciting, and we broke the top ten for “Medical eBooks!”
Direct Primary Care: The Cure for Our Broken Healthcare System trending in Medical eBooks “Administration and Policy”.
Direct Primary Care: The Cure for Our Broken Healthcare System is trending in Medical eBooks “Physicians & Patient” Category on Amazon.com
Thanks so much for reading, I appreciate all of you, and enjoy the book!
- Dr. Paul Thomas, MD, Physician with Plum Health DPC and now author of Direct Primary Care: The Cure for our Broken Healthcare System
We’ve been getting a ton of support on Social Media, like our Facebook post. Follow us on Facebook, here: https://www.facebook.com/PlumHealthDPC/
We’ve been getting a lot of support on Social Media, like on our Instagram Page, follow us here: https://www.instagram.com/plumhealthdpc/