Plum Health Blog
Dr. Paul Thomas on the Soul of Enterprise
Dr. Paul Thomas on the Soul of Enterprise
In February 2022, Dr. Paul Thomas was featured in an episode of The Soul of Enterprise with Ron Baker and Ed Kless. In the episode we discuss all things Direct Primary Care! and they plug my book, Startup DPC:
Dr. Paul WROTE THE BOOK on Direct Primary Care. It’s called Startup DPC. Ron recommends this book because you can learn a lot from Dr. Paul’s experience. Here’s the Amazon link.
Dr. Paul Thomas is a family medicine physician who started Plum Health DPC in 2016, right out of residency. He is a board-certified Family Medicine Physician.
Direct Primary Care (DPC) is a model of primary care that is growing in popularity as an alternative to the traditional fee-for-service model. In a DPC practice, patients pay a monthly or annual membership fee for access to comprehensive primary care services. This fee typically covers all office visits and DPC practices offer at-cost medications, lab work, and imaging services to lower the cost of care for patients.
One of the benefits of DPC is that it allows for more time for the physician to spend with each patient. This is because DPC practices typically have fewer patients than traditional practices, which allows for more personalized care. Additionally, DPC patients often have direct access to their physician through phone or email, which can lead to quicker resolution of health concerns.
Another benefit of DPC is that it can help to lower healthcare costs for patients. By eliminating the need for insurance and reducing the number of unnecessary tests and procedures, DPC can save patients money in the long run.
Dr. Paul Thomas has been offering DPC services for the last 6 years and has seen positive results in the health of his patients. He believes that the DPC model allows for better continuity of care and a stronger physician-patient relationship, which leads to better health outcomes.
A big thanks to Ed Kless and Ron Baker for highlighting the work of Dr. Thomas and Plum Health DPC on The Soul of Enterprise!
-Paul Thomas MD with Startup DPC
A Brief History of Plum Health DPC
A Brief History of Plum Health DPC in Detroit
Plum Health DPC is a Family Medicine practice based in Detroit, Michigan that is dedicated to providing high-quality, affordable primary care to its patients. But where did it all begin? Here is a brief history of Plum Health DPC:
Plum Health DPC was founded in 2016 by Dr. Paul Thomas, a board-certified family medicine physician with a passion for improving healthcare for his patients. Dr. Thomas saw firsthand the challenges that patients faced when trying to navigate the traditional fee-for-service healthcare system, and he knew there had to be a better way.
That's when he discovered the direct primary care (DPC) model. In a DPC model, patients pay a monthly or annual fee for access to primary care services. This allows patients to have a close relationship with their primary care doctor and receive a wide range of medical services, including preventative care, chronic disease management, and acute care.
Dr. Thomas was convinced that the DPC model was the future of healthcare, and he set out to create Plum Health DPC to bring this model to his patients in Detroit. Since its founding, Plum Health DPC has grown to serve thousands of patients in the Detroit area and has become a leader in the DPC movement.
Today, Plum Health DPC is committed to providing high-quality, affordable primary care to its patients and improving the healthcare system in Detroit and beyond. We are proud of our history and look forward to continuing to serve our community for years to come.
Plum Health DPC at Men's Health Event at Ford Field in Detroit, Michigan
Plum Health DPC at Men's Health Event at Ford Field in Detroit, Michigan
On Saturday October 8th, we were out at Ford Field for the Men’s Health event - we had a booth and we talked with men of all ages and backgrounds about the affordable and accessible health care services that we offer at Plum Health DPC.
We know that men face many health challenges - mental health concerns, high blood pressure, diabetes, colon health, prostate health, obesity, and so much more
We also know that having an excellent primary care doctor to help you navigate these issues can be transformative. That’s where we come in - to help, serve, and guide our patients through their health challenges so that they can live their best life.
Further, we had a lot of fun at the event! It’s great meeting up with other health care professionals, and it was even cooler meeting up with health care professionals at Ford Field! We were mostly on the concourse, be we were able to go down to the Detroit Lion’s field of play and kick a few field goals. Here’s one:
Dr. Raquel Orlich Celebrates 2 Years with Plum Health DPC
Dr. Raquel Orlich Celebrates 2 Years with Plum Health DPC
As of this month, Dr. Raquel Orlich has been with Plum Health DPC for 2 years!
Dr. Orlich is Board Certified in Family Medicine, Board Certified in Obesity Medicine, and she holds a certification in administering Botox in our clinic (treating wrinkles, TMJ, and migraines).
Beyond her technical skills, Dr. Orlich has built trusting and healing relationships with her patients. She is currently accepting new patients.
Thank you for helping us make health care affordable and accessible in Detroit and beyond!
How to Get the Coronavirus Vaccine at Ford Field in Detroit
This letter from Governor Gretchen Whitmer elucidates how to get the Coronavirus Vaccine at Ford Field:
The Ford Field site will operate from 8 a.m. to 8:30 p.m., seven days a week, for eight weeks under the federal government's vaccination pilot program. The community vaccination site is set to officially open on March 24.
After the registration process is completed, Michiganders who have registered will receive an invitation either by voice or text when it’s your turn to schedule the appointment. Vaccine appointments will be scheduled a few days in advance.
Sign-up is available through these three options:
Text EndCOVID to 75049
Call the MDHHS COVID-19 Hotline at 888-535-6136 (press 1)
Residents who don’t have access to the internet or need assistance navigating through the registration process can use the MDHHS COVID-19 Hotline to register. Call Monday through Friday from 8 a.m. to 5 p.m., and Saturday and Sunday 8 a.m. to 1 p.m. It is expected that the call center will have long wait times, so calling is recommended only if you cannot register online or by text.
The vaccine will be offered at no cost, and insurance is not required, nor will it be requested at the vaccination center.
Free parking will be available at the vaccination site. For those who indicate, during the registration process, they need assistance obtaining transportation to and from the vaccination site, the state is working to provide free of charge ride share options.
The Ford Field community vaccination site is a testament to what we can do when we work together. I am grateful for President Biden’s leadership and for the partnership of the Detroit Lions, Meijer, Wayne County, the City of Detroit, and our federals partners at FEMA.
We will keep ramping up our equitable vaccine rollout, and with the addition of the Ford Field community site, we are taking a significant step towards returning to normal as we continue rebuilding our economy.
Let's end this pandemic together.
Governor Gretchen Whitmer
Ford Field has hosted different health related events in the past - check out our blog post from two years ago where we participated in a Men’s Health event at Ford Field.
Also, let me clear on this point: getting the Coronavirus Vaccine at Ford Field will not be the most painful experience that you’ve ever had at Ford Field, especially if you’re a Lion’s Fan. If you’ve lived through this moment, then you can tolerate the Coronavirus Vaccine.
Thanks for reading all of that, as a reward, here’s a video of me kicking a field goal at Ford Field:
More information on the Coronavirus Vaccine at Ford Field:
Vaccine is offered at no cost
No insurance required to get the vaccine
Any Michigan resident, 16 or older, can register
After registration, the Michigan Dept. of Health and Human Services will offer you a time to schedule the vaccine
Folks who are eligible now include:
65 years of age or older
50 to 64 years with a medical condition or disability
health care workers
long term care residents and staff
frontline responders
school and childcare staff
mortuary service workers
correctional staff and detained individuals
congregate care facility staff and residents
food workers
caregivers for children with special needs
Free parking is available at the Gem Theatre if you’re entering through Gate A (red gate)
Free parking is available at the Ford Field Parking Deck if you’re entering through Gate G (green gate)
Free transportation is an option, and you can request free transport at the time of registration
In short, get your COVID vaccine now, and let's end the pandemic, just like the Green Bay Packers end our playoff hopes every season.
Thanks for reading and have a wonderful day,
-Dr. Paul Thomas with Plum Health DPC
Paul Thomas MD in the Conference Room with Mark S Lee
Today I’ll be in the Conference Room with Mark S Lee. Here’s what he posted on his LinkedIn:
This week “In the Conference Room”, we welcome Dana C. Harvey, MBA, Paul Thomas, M.D. and Wayne Handmarsh.
Topics include entrepreneurial challenges during COVID, medical challenges in diverse segments and and senior care services.
You can join the conversation, Sunday, 11 am, EDT, by calling (313) 778-7600. You can also stream via the station’s FB Live, iHeart Radio or the station’s app (click on “Watch Live”).
And don’t forget to Spring Forward this weekend!
I’ve known Mark for the last 4 years as he was one of the first journalists to cover me and my journey with Plum Health DPC. He wrote an excellent article about us in Crain’s Detroit Business back in March 2017, and that was a tremendous boost for our business and our brand.
Mark’s program today starts at 11 am on 910 am Superstation (you can watch or listen live, here) and we’ll be featured at the noon hour. Please join us!
MORE ABOUT PLUM HEALTH DPC
At Plum Health, we believe that health care should be affordable and accessible for everyone. Members of the practice can call, text, or email the doctor anytime they need health care services. We guarantee same-day/next-day appointments. Additionally, patients have access to wholesale medications, at-cost imaging services, and at-cost lab work. Plum Health began in November 2016 with 8 patients, and now has 975 active patients, spanning in age from 4 months to 101 years of age. Our vision is to provide the best healthcare experience in Detroit and beyond.
-Paul Thomas MD with Plum Health DPC
Plum Health Direct Primary Care Simplifies How Patients Connect with their Doctor
Health Insurance Overcomplicates Health Care
Intentionally or unintentionally, health insurance companies have made the practice of medicine overly complicated. As a patient, have you ever felt like you wanted to ask your doctor a simple question, but didn’t want to have to call the office, to leave a message, to have someone pass that message to the doctor, to have the doctor call you back 3 days later? I mean, what gives? We have text messaging and emails that make communication seamless among regular people, but for some reason, doctors remain out of reach.
I was watching the Super Bowl Halftime Show when I saw The Weeknd trying to find his way through a house of mirrors. It reminded me of how patients feel when trying to navigate the health insurance system - it’s hard to find your way through a distorted system with blinding lights. So, I made this post on my LinkedIn page (connect with me on LinkedIn if you haven’t already!):
Trying to navigate the health insurance system when all you want to do is ask your doctor a simple question...
This is why so many people are reaching out to their Direct Primary Care doctor - we get rid of this house of mirrors and the distorted versions of primary care and create a system where the patient's needs are prioritized.
See what all the buzz is about at Plum Health DPC.
Direct Primary Care Simplifies the Healthcare Experience
The direct primary care model simplifies health care delivery in that our patients are able to text, email, or call us anytime. We guarantee a response within 24 hours, and if you text during business hours, you’ll often hear from us within a few minutes to a few hours. This takes a lot of the anxiety and stress out of the health care experience and our patients can seamlessly access the care that they need, when they need it.
If you’d like to enroll in our service, you can sign up here:
Thanks for reading and have a wonderful day,
-Dr. Paul Thomas with Plum Health DPC
I Love Direct Primary Care
I love Direct Primary Care.
What is Direct Primary Care?
It’s not concierge.
It’s not insurance-based care.
It’s not a referral source for the hospital systems.
It doesn’t inflate the cost of care.
It doesn’t let people slip through the cracks of the health care system.
It’s affordable and accessible.
It’s comprehensive and compassionate.
It’s personable and reliable.
You can visit in person with your own doctor, for an hour if you need the time.
You can call, text , FaceTime, or email with your doctor.
You can communicate via Messenger or Instagram.
It’s medical care and a real relationship with an independent physician who truly cares about you and your family.
I love Direct Primary Care because it’s how primary care is supposed to be delivered.
Plum Health DPC Ribbon Cutting - One Year Later
On December 12th, 2019, we had a fabulous event at our Plum Health DPC office in Corktown - we officially cut the ribbon and opened our space on Michigan Avenue to the surrounding community.
Our patients, friends, families, neighboring businesses, community leaders, members of the news media, and Mayor Mike Duggan were on hand to make it a very special occasion.
This space serves us so well - it holds all of the medications that we need for our patients, it holds all of the equipment like EKGs that we need for patient care, it houses all of the laboratory equipment and blood draw supplies that we need to lower the cost of lab work for our patients.
One year later, our only regret is that we didn’t build a larger office! The only thing we’re missing is a little more space to accommodate more doctors and therefore serve more patients.
That aside, we look back on December 2019 with a big smile for the fond memories, as it marked the beginning of something great, and that is to serve our patients and the broader community with affordable and accessible healthcare services.
Thanks for reading and have a wonderful day,
-Dr. Paul Thomas, Dr. Raquel Orlich, Dr. Jamie Qualls, and Medical Assistant Chris Lake with Plum Health DPC in Detroit Michigan
Dr. Raquel Orlich and Dr. Paul Thomas of Plum Health DPC gather with members of the community to celebrate the ribbon cutting of Plum Health DPC in Detroit, Michigan. The office is at 1620 Michigan Ave, Suite 125, Detroit, Michigan 48216.
Open Enrollment in Detroit Michigan
We wrote an Opinion on open enrollment, and how it upholds the bottom line for insurance companies, rather than protecting the health of every day Americans.
You see, if you miss the open enrollment period, you can be excluded from health insurance coverage for 12 months, which will reduce your ability to have access to healthcare resources.
Plus health insurance plan prices are often exorbitant, forcing folks to pay hefty deductibles before any "coverage" from the health insurance company kicks in.
Finally, it's a mistake to tie health insurance coverage to employment - as we've seen with this pandemic, millions of job losses lead to millions more uninsured, and this is horrible considering that the job losses are due to a pandemic that leaves folks vulnerable to high cost hospitalizations.
I have to give a big thank you to my co-author Geoffrey Ginter a 3rd year medical student at Wayne State University School of Medicine. Also a big thank you to the editorial staff at The Detroit News for featuring our opinion.
The Shocking Reason Why Health Insurance Premiums Continue to Rise
This year, I had the opportunity to speak at TEDxDetroit. At first, I struggled with what to say, other than I’m grateful for the platform and the opportunity. But, I realized that it was important to discuss the outrageous increases in health insurance costs for the average American family.
The Way Rising Health Insurance Costs Affect the Take Home Pay of Americans
The average family in the United States paid about $3,500 for employer-sponsored health insurance coverage in 2009 and that amount of money ballooned to about $6,000 in 2019.
What’s even worse is that employers were spending $9,860 per employee in 2009 to administer those health insurance plans, and in 2019 they’re paying $14,561 for those same health insurance plans.
All of this money spent on Health Insurance costs is a huge detriment for our national economy and for the paychecks of individual Americans. Imagine if health insurance costs were the same today as they were in 2009, each American family would have an extra $10,000 in wages from their employer. Instead, that extra $10,000 is spent on health insurance costs.
The Reason Why Health Insurance Costs Continue to Rise in the United States
Let’s start by discussing the 80/20 rule in the Affordable Care Act (ACA). The ACA set forth some well-intentioned provisions. Here’s what HealthCare.gov has to say about this 80/20 rule:
The 80/20 Rule generally requires insurance companies to spend at least 80% of the money they take in from premiums on health care costs and quality improvement activities. The other 20% can go to administrative, overhead, and marketing costs. The 80/20 rule is sometimes known as Medical Loss Ratio, or MLR.
According to the American Economic Association: “Rather than lower premiums, insurers searched for other ways to come into compliance. Initially, there were efforts to relabel some administrative costs as “quality improvements”—like lobbying to count spending on nurses’ hotlines as part of the 80 percent. But the easiest route to meeting the requirement was simply to let medical claims increase. That companies opted to do this, instead of lowering premiums, didn’t come as a surprise”
Within that 20% of administrative, overhead, and marketing costs, insurance companies have their profit margin. Therefore, the more money spent on insurance claims, no matter how bogus, the larger the profit margin becomes for the insurance companies.
Increased Health Care Spending on Inflated Health Insurance Claims
This brings me to the glaring example of inflated health care costs based on questionable medical care and out-of-network billing. In December 2019, I heard about the $25,865 throat swab that Blue Cross Blue Shield of Minnesota paid for. The gist of the story, from NPR’s Bill of the Month series, is that a woman in Manhattan went to a doctor for a sore throat, received a throat swab, and was given an antibiotic.
Because the throat swab was processed by an out-of-network lab, the cost of the throat swab was $25,865.
First of all, a good primary care doctor can develop a trusting relationship with a patient, obtain a history of the illness, and perform a physical exam for 99% of viral or bacterial throat infections or cases of pharyngitis. In other words, a throat swab is NOT NEEDED in 99% of pharyngitis cases.
Second, the fact that the insurance company paid for this $25,865 throat swab is insane. The reasonable cost for a throat swab like this might be $100 to $500, no $25,865. If I ran the insurance company, I would be calling the out-of-network lab’s bluff here and they’d be paid a reasonable $500 at most.
However, as discussed above, the more money insurance companies spend on health care or medical losses, the more profits they’re able to rake in due to the 80/20 rule in the affordable care act.
That’s why we’ve seen our health care spending increase from $2.5 Trillion in 2009 to $4.01 Trillion in 2020.
We must end these insane health insurance practices before it further affects our earnings and our Nation’s economy.
Thanks for reading and thanks for watching my TEDxDetroit talk,
-Dr. Paul Thomas with Plum Health DPC in Detroit
House Call Doctor in Detroit
I make house calls because I believe that healthcare should be affordable and accessible. 🥼
That accessibility piece can be out of reach for some elderly and disabled patients who cannot leave their home. This is especially true in Detroit, where nearly one third of Detroiters lack access to reliable transportation. 🚗
Studies on the effects of house calls on healthcare outcomes show fewer hospitalizations 🏥, fewer emergency room visits, decrease in re-admissions (going back to the hospital shortly after discharge), and these house 🏠 calls save patients money 💵.
That’s why it’s important for me to offer this vital service. This pic was taken last week in the Five Points neighborhood. I’m proud of this work and of how we’re able to lower the cost of care and make excellent health care available to more people.
The vast majority of our visits take place in our offices - we have two locations where we take care of people face to face and by using virtual visits. But, house calls can be used at any time to help our patients who are shut in, who have mobility issues, or who have concerns where they’d prefer not to leave their homes.
From the American Academy of Family Physicians:
House calls, also referred to as home visits, are increasing in the United States. Approximately 40% of patient visits in the 1930s were house calls. By 1996, this decreased to 0.5% because insurance reimbursements for house calls decreased. The pendulum in the United States is swinging again to house calls because of the need to develop care models for the growing aging population.
More information from the American Academy of Family Physicians on the benefits of house calls:
The Independence at Home program demonstrated a 23% reduction in hospitalizations, a 27% decrease in 30-day readmissions, and a cost savings of $111 per beneficiary per month, which is a $70 million savings over three years. Similarly, a large systematic review (N = 46,154; nine studies) evaluating home-based primary care outcomes for homebound older adults reported fewer hospitalizations, hospital bed days of care, emergency department visits, long-term care admissions, and long-term bed days of care.
If you’d like this type of care and service for yourself or your family, you can sign up here.
Dr. Paul Thomas makes a house call on the West Side of Detroit in the Five Points neighborhood. House calls can make health care more affordable and more accessible.
Doctors Embracing Startup DPC Book on Social Media
Startup DPC Book Gets Great Feedback on Social Media
This week, we’ve been getting a lot of love for the Startup DPC Book on Social Media.
Let me preface this post by stating a few things. First, I’m a physician on a mission to delivery affordable and accessible healthcare here in Detroit and beyond. Second, I’m an educator. Not only am I a clinical assistant professor at Wayne State University School of Medicine, but I also teach in other ways. One of those ways is by teaching other doctors how to successfully start and grow their own direct primary care practices.
I truly believe that direct primary care is a better way of serving our patients - we have more time to listen to our patients, we have more tools to deliver compassionate care, and we can actively lower the cost of medical care for our patients. Therefore, I want to reach as many doctors as possible with this information.
My physician colleagues have responded and they’ve sent me some tremendous feedback via social media. Below are a few of those posts!
Direct Primary Care Doctor Inspired by Startup DPC Book
Recently, Rebecca Berens, MD of Vida Family Medicine in Houston Texas sent out very kind post on Instagram. She recently read the Startup DPC book, Startup DPC: How to Start and Grow Your Direct Primary Care Practice and she posted a quote on her Instagram that I used in the book from John C Maxwell, “Growth is the great separator between those who succeed and those who do not. When I see a person beginning to separate themselves from the pack, it's almost always due to personal growth.”
This is the quote that I used at the beginning of Chapter 6 on How to Prepare for Direct Primary Care While in Residency. I used the quote here because I believe that new doctors and residents have the greatest opportunity to learn a new system of care, and they have a unique opportunity to adopt the DPC model and the DPC mindset before getting enmeshed in the dysfunctional fee-for-service system as an employed physician.
Here’s what Dr. Berens had to say:
I love this quote that Dr. Paul Thomas from @plumhealthdpc added to his new book, #startupdpc Direct Primary Care is a new concept to many patients (and even doctors), but it was truly personal growth that led me to take this path. I was so tired of churning patients through the system in 10 minute increments, never having enough time to really help them in the way I knew I could. Meanwhile, I was arriving home to my family emotionally drained and physically exhausted. Becoming a mother made me realise that I needed to do better, for my patients and my family. Starting your own business is a huge risk (even without a pandemic throwing a wrench in the mix!) but in the end all of the stress and uncertainty it will be worth it.
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Does spending more time at home during pandemic have you reflecting too? How have you grown over the last few months?
TESTIMONIAL FOR STARTUP DPC BOOK AND COURSES
Post from Dr. Prisiliano Salas about the Startup DPC Book and Startup DPC Courses:
Just finished a course by Paul Thomas, M.D. from Plum Health DPC and #startupdpc. Let me just say that Paul knows his stuff. I met him in 2018 at the Family Medicine DPC Summit. He gave a lecture about his experience starting a #DirectPrimaryCare practice and using social media marketing strategies. I've been following him on/off during this time but had not fully made the jump onto social platforms the way he describes it. Now two years later his practice growth is testament to this method. He's full and added a new doc! On top of that he remains faithful to his mission, to empower the #DPC community with his knowledge and reproducible success. I'm now ready to embrace social media to share my knowledge and experience with my patients (though still working up to youtube to get more camera ready 😎 ). Take one of his courses or read one of his 2 books, he won't disappoint. Keep the momentum going!
Thank you so much for the shout out Dr. Salas! and best of luck with your direct primary care practice. I know that you’ll have every advantage on attracting new patients after taking our Sales Funnel course.
Regina Allen Hardin, MD of Modern Medicine made this post on LinkedIn:
Medical Student gives a shout out to the Startup DPC book
This week, Startup DPC got a nice shout out from Pretty Girl Practice on Instagram. If you’re a direct primary care doctor, social media applications like Facebook and Instagram can be great platforms to reach new audiences and also to improve your branding. If you don’t have a Facebook Page or an Instagram page for your direct primary care practice, consider making one to improve how people in your community perceive your brand and your business. I teach doctors how to do this, step-by-step, in the Sales Funnel course on our website, here.
Here’s what Pretty Girl Practice on Instagram had to say about direct primary care:
You pay a monthly membership fee (like Netflix) to your Doctor
You can schedule as many visits as you like with your DOCTOR and text your doctor medical questions when needed (no more Dr. Google 🤓)
Hour long visits and you receive higher quality care (currently insurance companies often have quick 20 minute visits to see more patients and therefore make more money)
great for fields like Family Medicine, Pediatrics, even some Dermatologists use this model
allows Doctors to be entrepreneurs again! and brings back the treasured physician-patient relationship. Also, decreases burnout for physicians. Plus patients are more satisfied, win-win!
I really think DPC will be the practice of the future. It’s the practice a lot of us dreamt of when we first became doctors.
The following image is a screenshot from her story about Direct Primary Care:
Startup DPC gets a nice shout out from PrettyGirlPractice on Instagram.
Sincerely thank you to all of the doctors who’ve picked up a copy of the book and who’ve used their social media platforms to share about the book. I appreciate all of you!
-Dr. Paul Thomas with Plum Health DPC
Startup DPC Book Reaches Number 1 on Amazon in the Physicians Category
This is Dr. Paul Thomas with Plum Health DPC here in Detroit Michigan. We believe that healthcare should be affordable and accessible for everyone, and we are doing our part to make that happen here in Corktown, and Detroit, and beyond.
However, several doctors have reached out to me and asked how we made Plum Health such a successful direct primary care practice. How are we attracting new patients? How are we lowering the cost of healthcare? How are we lowering the cost of medications, labs, and imaging services? How are we cutting all of the bureaucratic red tape?
I answered all those questions individually for my physician colleagues, but I also saved those answers in a word document, which eventually became this book.
This book is intended to help family physicians and internal medicine physicians start and grow their direct primary care practices. We want to see more doctors adopt this model that lowers healthcare costs and puts patients first.
The response to the book has been tremendous, and we’ve received many great reviews and a ton of great feedback about the content of the book. Thank you so much to everyone who has purchased the book, thank you for everyone who has left a review on Amazon, and thank you for making us number one on Amazon in the physicians category. We sincerely appreciate all of you!
- Dr. Paul Thomas with Plum Health DPC
PS if you're a doctor looking to start a direct primary care practice, check out Startup DPC
Startup DPC: How to Start and Grow Your Direct Primary Care Practice is the number 1 new release on Amazon in the Physicians category!
Startup DPC Paperback is Now Available
Direct Primary Care Book Available in Paperback Format
The Startup DPC book is published and it feels amazing to have it in my hands. It took me 3 years to write this book, as I documented many of my experiences in starting and growing a direct primary care practice. I took all of my experience, knowledge, and wisdom and poured it into this text.
My goal is to help other doctors start and grow successful and thriving direct primary care practices. There are so many challenges and obstacles that they will face along the way, and I know that this book will help them overcome those challenges and obstacles.
Today was a big day for me, as I published the book on May 5th, and received my first few copies in the mail today. I'm really excited to see this direct primary care movement grow and I'm wishing all of the DPC doctors out there continued success. I know that we are improving health care for our patients, our communities, and our nation.
Thanks for reading and watching,
- Dr. Paul Thomas with Plum Health DPC
Meet our Medical Assistant at Plum Health
Medical Assistant at Plum Health DPC
Everyone this is Chris, Chris this is everyone! He’s our amazing Medical Assistant and he helps us give injections 💉 and draw blood among other things.
Chris Lake is the Medical Assistant at Plum Health DPC
You might be thinking 🤔 “why is Chris holding a plate of cookies 🍪?” Well, he had a small bet with one of our patients who bruises easily during blood draws. She said that she would definitely bruise, regardless of how good the blood draw was - she just always bruises, she said. Chris made a friendly wager of a plate of cookies 🍪 and our patient delivered after “the best blood draw she’s ever had.” Later that week, a plate of white chocolate macadamia nut cookies found their way to our office!
In all seriousness, it’s great to have Chris as a part of our team. He does excellent work and is a great person to know. We can’t wait to see you for your next appointment,
-Dr. Paul Thomas, Dr. Raquel Orlich, and Chris Lake
Taking Care of People with Auto-Immune Conditions in Detroit
Auto-immune conditions can be very difficult and expensive to manage. We recently had a patient present with swollen fingers and painful joints going on for 6 weeks. It was disabling for him and he was having a hard time doing the work he needed to do at home and at work. Worst of all, he was having a hard time playing/being active with his grand kids.
We were able to complete a work up of his condition for about $100 in terms of labs, and about $50 in terms of x-rays. He pays our monthly membership and is able to have as many appointments as he needs in our office without co-pays.
After collecting the labs and x-rays, and after thoughtful deliberation, we came up with a diagnosis of Rheumatoid Arthritis. Rheumatoid Arthritis or RA is an autoimmune disease in which the body's immune system – which normally protects its health by attacking foreign substances like bacteria and viruses – mistakenly attacks the joints. This causes joint swelling and joint pain, as seen in our patient.
Once we had the right diagnosis, we were then able to start him on Methotrexate, a medication to manage his Rheumatoid Arthritis. The medication costs $4.08/week or about $16.32/month, which is affordable for our patient.
Best of all, the medication works really well for our patient and he can now do the work that he needs to do at work and at home, without the considerable joint pain that he initially experienced. Above all, he has a better quality of life, because he can now play with his grand kids and be the grandpa he wants to be.
I love taking care of people - people of all ages and stages, with diverse backgrounds and conditions. Thanks for reading and have a great day.
- Dr. Paul Thomas with Plum Health DPC in Detroit Michigan
Plum Health teaming up with Veterans Care Network
Plum Health teaming up with Veterans Care Network
Plum Health DPC is teaming up with Veterans Care Network to provide affordable, accessible healthcare services to those who have served in the military. Veterans Care Network has set aside some funding to sponsor a few Veterans and help them receive primary care services. They chose to use Direct Primary Care because they know how valuable the services in the DPC model can be.
Plum Health DPC Serves Veterans in Detroit
At Plum Health, we’re passionate about serving veterans and providing excellent healthcare services to all people, but especially those who have served our country. One of the biggest concerns that my patients who are Veterans have is the level of customer service at the Veterans Administration hospital. We rectify that issue by focusing our care on the patient and making sure that they not only have excellent healthcare, but also an excellent experience.
We’re excited to partner with Veterans Care Network, and if you’d like to apply for this opportunity, follow this link.
Thanks for reading and have a wonderful day,
-Dr. Paul Thomas with Plum Health DPC
Veterans Care Network and Plum Health DPC team up to provide Direct Primary Care services for Veterans in Detroit, Michigan.
Paul Thomas MD Presents at Grand Rounds at Wayne State
On February 15th, I had the honor of presenting at Grand Rounds at Wayne State University School of Medicine. Grand Rounds is a weekly presentation and an integral part of medical education. Clinical problems in medicine are discussed by focusing on current or interesting cases. Grand Rounds presentations can also be used to disseminate new research or interesting changes in the healthcare landscape.
For this Grand Rounds for the Internal Medicine Department at Wayne State University, I was asked to share my expertise regarding Direct Primary Care. This is a presentation that I have given in the past to the Michigan Academy of Family Physicians and at Oakland University William Beaumont School of Medicine. I updated the presentation to include a clinical case, or a person in our practice who I helped by managing their diabetes and hypertension. The personal information is anonymized to protect their identity.
It was a tremendous honor to be invited by my alma mater to give a presentation of this magnitude, and I’m happy to share this information about Direct Primary Care. I believe that healthcare should be affordable and accessible for everyone, and we will need more doctors to adopt Direct Primary Care practices to meet this goal.
Thanks for reading and watching,
-Dr. Paul Thomas of Plum Health
Dr. Paul Thomas of Plum Health Featured on Sound Financial Bites
This week, we were featured on Sound Financial Bites. The topic was wide ranging, and it was great to be featured on this podcast. The producers of Sound Financial Bites, Paul Adams and Cory Shepherd, wrote a fantastic summary of our conversation, here:
EPISODE SUMMARY
This episode of the Sound Financial Bites Podcast tackles a topic that is central to our financial and physical wellbeing: healthcare. Paul Adams and Cory Shepherd welcome primary care physician Dr. Paul Thomas to discuss his practice, Plum Health, and the innovative strides he is making in the healthcare industry. Dr. Paul’s mission is to make healthcare accessible to those who cannot afford it and those who are fed up with the time, energy and money spent on traditional methods.
WHAT WAS COVERED
01:24 – Introducing today’s guest, Dr. Paul Thomas
02:38 – Dr. Paul defines the term direct primary care
03:18 – Concierge medicine
04:59 – How Dr. Paul’s business model makes money
06:39 – The huge markup on healthcare services
09:49 – The amount of patients a typical primary care physician has
11:26 – The pricing model that Dr. Paul utilizes
13:32 – Dr. Paul talks about the incredible growth of his practice, Plum Health
15:53 – Dr. Paul’s vision for the next five years of his practice
19:25 – Cosmetic surgery and Lasik
20:43 – Paul interrupts the podcast to provide the audience with a special offer
21:52 – The distinction between health insurance and healthcare
22:42 – Making healthcare accessible to those who cannot afford it
24:49 – The high-income earning patients that Dr. Paul also serves
26:28 – How Dr. Paul’s practice remains profitable
29:45 – The value of primary care
34:04 – The convenience factor
34:36 – Paul invites the audience to submit questions for Dr. Paul that he will answer in the next episode he joins
35:58 – Cory thanks Dr. Paul for joining Sound Financial Bites
TWEETABLES
“If you make greater than sixteen thousand dollars, you are disqualified from Medicaid services.”
LINKS
Sound Financial Group on Facebook - @SoundFinancialGroup
Sound Financial Group on LinkedIn
Dr. Paul Thomas Book - Direct Primary Care: The Cure for Our Broken Healthcare System
Thinking about Direct Primary Care, if you’re able to integrate our service with the right insurance product, there could be tremendous savings for you, your family, or your business. In short, part of my job is to protect you from insurance companies, big lab companies, and hospital systems that will overcharge you for your routine primary care services.
Thanks for reading and listening, and have a great day,
-Dr. Paul Thomas with Plum Health DPC
Here’s the promo image from Sound Financial Bites for the podcast on Healthcare vs Health Insurance featuring Dr. Paul Thomas of Plum Health DPC.