Plum Health Blog
Plum Health featured on the Beyond Medicine Podcast
This week, I was able to speak with Dr. Rami Wehbi about Direct Primary Care on his podcast, the Beyond Medicine Podcast.
Dr. Wehbi brings a unique perspective to the conversation as he is a Family Medicine Resident, considering his options as he creates a career for himself in Medicine.
This a crucial time in the life of a young professional, especially the life of a family physician. For a family doc like Dr. Wehbi, he could pursue an additional year of training in something like Sports Medicine, he could become a teaching physician, he could sign a contract with a large hospital system to see patients at a high rate, he could start a Direct Primary Care practice, or he could take on other options.
For me, Dr. Wehbi is the future - his choice, and the choices of his colleagues like him, will shape the future of family medicine and the future of how our patients afford and access health care in their communities.
I am so grateful to Dr. Rami Wehbi for having this conversation with me and I know that he will be successful in whatever path he chooses. People like Dr. Wehbi thinking critically about health care, and how we deliver that care, will advance the discussion and bring us closer to a better system.
In this part of the show, we discuss why health insurance really hurts low income people. Health insurance sets the price point too high for accessing routine, every day care. Often times, uninsured folks who are unable to afford the high cost of private insurance often go without basic health care services. For these patients, they cannot participate in the system because they don't have enough money to buy into the system. Further, if they do buy private insurance, they might be afraid to use health care services in the fee-for-service system because of the unknown/unclear pricing in that system.
In this video, we discuss the difference between health care and health insurance. In our health care model, we focus on developing relationships with our patients so that we can get to the root of the problem, rather than just treating the symptoms. We have this ability because we have enough time with our patients.
Here's the full list of what we discuss in the Beyond Medicine Podcast episode:
- Background of Dr. Paul and why he decided to start a Direct Primary Care practice in Detroit, Michigan.
- Why Insurance is a failing system in the medical world.
- How Insurance is inflating the cost of medicine.
- Why doctors have been unable to maintain a healthy doctor patient relationship.
- The difference between Direct Primary Care and Concierge Medicine.
- What is included in a Direct Primary Care practice.
- How does Direct Primary Care work and how does it benefit patients.
- How to find a doctor that practice in a Direct Primary Care model.
- How DPC can work with your insurance plan. HMO vs PPO vs Medicaid
- How Direct Primary Care can save you money every month.
- Doing the math of savings and how you can change your insurance plan and join a direct primary care.
- Wholesaling medications for patients in Detroit and Southeast Michigan and how Dr. Paul is able to save patients the cost of membership with the savings on medications alone.
- How DPC can work in non- affluent neighborhoods and how to start one.
- Patient pool in DPC vs a insurance based model.
- How to make a DPC practice sustainable and profitable. My experience with being demoralized seeing the current state of healthcare.
- How do you order imaging, get consults from specialists.
- How does pricing work?
You can listen to or download the podcast, here. You can find out more about Dr. Wehbi, here.
Thanks for reading and watching, and have a wonderful day.
- Dr. Paul Thomas with Plum Health DPC
Below are some extra videos produced by Dr. Rami Wehbi, enjoy!
In the above video, we discuss our values at Plum Health DPC, and we value the doctor-patient relationship. We value getting to know our patients, understanding who they are, and where they want to go in their health care journey. We also really value price transparency. We want all of our patients to know what the prices for health care are, so that they can make informed choices about consuming health care services.
Below, Dr. Rami Wehbi and I discuss why it's important to have longer, often 1 hour appointments with our patients. This really allows us to focus on the relationship, and developing strong relationships with our patients.
Plum Health Interviewed by Daily Detroit
This week, we were interviewed by Daily Detroit about our Demo Day Win! Here's the "News Byte"
In the above interview, Jeremiah mentions a previous interview, and that interview can be heard here:
If you're unfamiliar with our service, my name is Dr. Paul Thomas and I'm a Family Medicine Doctor in Detroit. Our office is in Southwest Detroit and we take care of people of all ages and stages - our youngest patient is 6 months old and our oldest is now 92 years young.
We offer the same services as any other primary care office, but we use a membership model - that means that our members pay $10/month for children and starting at $49/month for adults to use our service. This allows us to have more one-on-one time with our patients and deliver a higher level of service in our office.
One way that we go above and beyond is that every patient has my cell phone number - meaning that they can call or text me anytime they need me. We guarantee same-day or next-day appointments, and the majority of our in-office procedures are free of charge, like abscess drainage, toenail removal, ear lavage, etc...
If you're ready to start your journey to better health with Plum Health, then head over to our enrollment link, here.
Thanks for reading and listening!
- Dr. Paul Thomas with Plum Health DPC
Plum Health with the Black Health Academy
Last month, we had a great visit from and interview with Lisa A. Smith with the Black Health Academy. We first met during a small business course with the Build Institute in Detroit, and it was great getting back together for this interview! She has a passion for health and wellness and helping people reach their full potential. Here's how she tells her story on her webpage:
Lisa A. Smith, MBA, is the founder of Professionally Fit INC and The Black Health Academy. She began her own weight loss journey in 2012 at 190 lbs. She fell in love with fitness, nutrition and self-development, lost over 60 lbs and gained a bottomless amount of confidence. It wasn't until she gained confidence in her physical health that she was able to gain confidence in her career. With her new found confidence she launched Professionally Fit in July of 2015. Professionally Fit is an executive coaching platform which provides both the customization and accountability necessary for high performing entrepreneurs and executives to achieve their health and wellness goals from anywhere in the world.
Health disparities in detroit
Our conversation focused on health and wellness in the black community. There are almost unbelievable health disparities between white Americans and black Americans, and we discuss some of these differences during our interview. Lisa also highlights these disparities on her website:
Here are the facts:
- 47.8% of African Americans are considered overweight or obese
- African Americans are 20% less likely to be treated for depression
- 13.6% of African Americans have fair to poor health
- 40.9% of black men over the age of 20 have high blood pressure
- Heart disease, cancer and stroke are the leading causes of death in the black community
Topics covered during our masterclass
During our Masterclass, we discuss these health disparities, what inspired me to become a physician, the community-focused efforts at Wayne State University School of Medicine, why other physicians might not practice in a more community service-oriented way, what Plum Health is, how we manage the volume of patients in our practice, our range of services or scope of practice, the type of feedback that we've been getting from our members, trends in African American health, on not making assumptions about people's health and meeting people where they're at, and on making lifestyle recommendations versus taking medications.
I really loved this interview with Lisa A Smith - it was like siting down with an old friend. If you want to learn more about her and what she does, please visit the Black Health Academy or follow her on Facebook.
Thanks for reading and watching, and have a wonderful day!
- Dr. Paul Thomas with Plum Health DPC
PS Follow us on Instagram!
Plum Health on Daily Detroit
This week, we were featured on the Daily Detroit Podcast. It was great meeting up with Sven Gustafson and Jeremiah Staes, the journalists behind the publication, and hosting them in our office in Southwest Detroit.
You can listen to the full episode here:
Here's what Sven Gustafson wrote about our practice, in the context of the interview:
Dealing with health insurance is few people’s idea of a good time — if you can afford it at all, that is.
Now, a doctor operating out of an office in a former Detroit Police Department precinct headquarters? That’s flipping the script on the traditional model of health care.
On this episode of the Daily Detroit Happy Hour podcast, we schedule an appointment with Dr. Paul Thomas of Plum Health in Southwest Detroit. He’s practicing a model known as direct primary care in which patients pay a membership rate, starting at $10 a month for children and climbing to $89 a month for seniors, directly to the doctor. In exchange, patients get more personalized care, better access and lower-cost medications, imaging and laboratory services.
Dr. Thomas, who graduated from the Wayne State University School of Medicine, estimates he can cover 80 to 90 percent of most people’s health care needs. So he acknowledges it’s not a complete solution to our country’s problem-plagued health care system.
We talk to Dr. Thomas about how direct primary care works, how it differs from traditional insurance-directed health care and how it affects both patients and his life as a working physician. He also tells us about the various ways he’s using digital technology to facilitate his job and market his business.
Find us and subscribe on Apple Podcasts or wherever fine podcasts are downloaded. Previous episodes are here.
Daily Detroit's tagline is "what to know and where to go in Detroit" - it's worth knowing more about Detroit, if you're a resident, a Metro Detroiter, or from another part of the world. Sven and Jeremiah cover interesting stories and give great insights, so their podcast is worth a listen/subscription.
Thanks for reading and listening, and have a wonderful day,
- Dr. Paul Thomas with Plum Health DPC
Plum Health Featured on the Detroit Rising Podcast
This week, Plum Health DPC was featured in Crain's Detroit Business in an article by Senior Reporter Chad Livengood. There is an accompanying audio recording of the interview, here.
The Detroit Rising Podcast focuses on business and commerce and the intersection of Public Policy in Detroit. It was a pleasure to be featured on the podcast and on the Crain's Detroit website. Additionally, Chad Livengood brings excellent insights along with his investigative reporting.
In the audio segment, Mr. Livengood states, "one of the biggest challenges to rebuilding Detroit is getting service-based businesses to set up shop after decades of disinvestment." And, Plum Health DPC is one of those service-based businesses, and it was exciting to discuss how we're making health care more affordable and accessible in Detroit.
During the interview, we talk about the Direct Primary Care business model, the availability of primary care physicians in Detroit, and what the City of Detroit is doing to improve the quality of life in the city.
Thanks for reading and listening, and have a wonderful day,
- Dr. Paul Thomas with Plum Health DPC
A screenshot from the Crain's Detroit webpage featuring our interview.
Plum Health on Jibs Podcast
This week Plum Health DPC was featured on Jibs Podcast, hosted by Jibran Ahmed. On the podcast he will be interviewing movers and shakers in the Detroit community and discussing topics that can move the city forward.
From Jibran: "I'm hoping to create a platform that showcases the entrepreneurs, creatives, and hustlers that are moving Detroit forward. In order to make Detroit the city of the future, it's important to share with the world that this city embodies gusto, grit, and innovation."
During our conversation we talked about Plum Health and it's origin story. We also talk about why it's important for business people to build relationships in the community and how those early relationships can translate into a prosperous business.
We dove into the difference between Direct Primary Care and traditional or fee-for-service medical practice and discussed why more doctors aren't practicing in the DPC model of care. We also highlight the many community resources in the Detroit ecosystem that enable businesses in the City and region to thrive.
Thanks for reading and watching!
- Dr. Paul Thomas with Plum Health DPC
Detroit Businesses are Humming in the Motor City, via Inc.com
This week, Inc.com released a video in collaboration with Fiverr. It featured Detroit businesses, including Shinola, Excelerate America, and Plum Health DPC! They had this to say about the video:
Detroit's entrepreneurial scene is exploding with companies who are growing for good. Which is why this rejuvenating city was the perfect stop on our Doers Across America tour. The energy, vibrancy, and warmth was always present when meeting the incredible Detroit entrepreneurial community. There was so much to celebrate and learn from these resilient doers, and by the end of our time there, it was clear why Detroit is the embodiment of the “comeback kid.”
You can find the full video, here, or in the YouTube link below:
Yes! Detroit's entrepreneurial scene is thriving and I was happy to be a part of this feature! The crew did a marvelous job filming and editing this piece on a tight time schedule - they brought a high degree of professionalism and the video is informative and interesting.
It's an exciting time to be an entrepreneur in Detroit - there is indeed a ton of energy, excitement and attention paid to this community of growing businesses. However, I would like to acknowledge all of those that make up the Detroit small business ecosystem that weren't featured in this video. I know that I would not be successful were it not for the thriving scene that I have immersed myself in.
I'm hinting at a greater point here, which is best illustrated in an article by Ron Fournier, published in Crain's Detroit Business from October 2017: "Amid Detroit's post-bankruptcy resurgence, the money and attention heaped upon startups in downtown and Midtown threatens to overshadow long-running businesses in Detroit's neighborhoods. That startups are often run by young, white Detroit transplants arriving at the crest of an economic wave and "been-ups" are often owned by minorities who struggled through the worst of times feeds a "two-Detroits" narrative."
So, to all of those 'start-ups' and 'been-ups' in the community, thank you! Let's keep working together to make Detroit beautiful and prosperous!
- Dr. Paul Thomas with Plum Health DPC
Paul Thomas MD on Small Talk with Mark S. Lee
This weekend I was featured on Small Talk with Mark S. Lee. The radio broadcast airs on CBS Radio in Detroit! I was last on Small Talk in March 2017, and since that time, Plum Health DPC has grown in size and I've been asked to participate in some speaking and community events.
In this episode of Small Talk with Mark S Lee, we talk about the TEDxDetroit event that was held on November 9th 2017. We highlight a few of the key points that I spoke about during that event. Foremost, I believe that health care should be affordable and accessible for everyone. Second, we talk about how doctors can be overloaded by their patients' concerns, and those concerns can slip through their fingers, like grains of sand.
We also give an overview of Direct Primary Care and how you can find a Direct Primary Care doctor near you by using the DPC Mapper online.
Mark asks what's wrong with our current system? And I respond by saying that the prices in the health care ecosystem are inflated, which makes health care unaffordable for many people.
To illustrate, I make an analogy about Health Insurance vs. Auto Insurance. If we used our Auto Insurance policies to pay for tire rotations, oil changes or gasoline, those prices would be significantly inflated. However, that's exactly what we do with our Health Insurance policies.
It's always enjoyable being on Small Talk with Mark S. Lee, and this time was a unique experience as the Honorable Former Mayor Dave Bing was interviewed just prior to my time slot! Not only is Dave Bing a former mayor, but he's also in the NBA Hall of Fame. He continues to be an example of great leadership as he continues his work with the Bing Youth Institute, so it was an honor to be a part of the show with him.
Thanks for reading and thanks for watching!
Sincerely,
Dr. Paul Thomas with Plum Health DPC
Plum Health Direct Primary Care in Midtown Detroit
This week, I was able to sit down with Pamela Owens of yb2c Marketing and talk about what we do at Plum Health DPC. We had a wide ranging conversation and it was a really fun time getting to know Pamela and her husband Keith Owens. They record their podcast out of Green Garage in Midtown Detroit. For the full episode, hit this link!
We dove deep on some issues, like why I've chosen to be in Detroit to practice Direct Primary Care. Fist, I am here because I want to give back to a community that has given a lot to me and my family. Personally, I received a world-class medical education from Wayne State University School of Medicine along with so many volunteer opportunities at free clinics across the city.
I learned a great deal by practicing medicine at the Detroit Medical Center, Henry Ford Hospital, Oakwood, St. John Hospital, Cass Clinic, the Student Run Free Clinic, and the Joy-Southfield Clinic. All of these learning experiences have shaped me into the physician that I am today.
I also see an opportunity in Detroit. This is a medically underserved area, with a dearth of primary care physicians. Because of my unique set of skills and training in Family Medicine, I am able to fill some of these gaps in care. I am proud to be providing this kind of affordable, accessible health care service in the City.
Finally, Detroit has provided many resources for small business growth. I've talked about this before, but being able to take classes at the Build Institute and with TechTown's Retail Boot Camp has allowed me to improve my business concept and execution substantially. It has also allowed me to network with several entrepreneurs in the community. Larger grant programs like the Motor City Match program has also provided funding for the build out of the next phase of my business, as Plum Health grows over time.
As a side note, If you haven't been to the Green Garage, it is a beautiful space in the Midtown community. It has been created in the most sustainable way possible, with almost all of the construction materials being repurposed from what had been in the building before the Green Garage built out that space. The materials were painstakingly conserved, and the space turned out wonderfully.
They hold a weekly lunch and meet up at 12 pm each Friday at the Green Garage, which is a great way to network and meet innovate people in the Detroit community. Here's a few photos from the last one that I went to (below).
Thanks for watching and reading,
- Dr. Paul Thomas with Plum Health Direct Primary Care
Plum Health at Build Institute
This week, I was invited to sit on a panel at the Build Institute to celebrate their 5th year of investing in and uplifting small businesses in the City of Detroit. Fortunately, I was able to take and graduate from a Build Institute course over the summer of 2016.
This Build Institute Course allowed me to develop and solidify my business plan, make connections with fellow entrepreneurs, and tap into Build's ever-expanding network of small business owners and service providers. Through Build, I was able to be a part of big events like Detroit Homecoming sponsored by Crain's Detroit. I was also able to meet future customers and future service providers like my lawyer.
On Wednesday, I was invited to sit on a panel of small business owners who have benefitted from the Build Institute's unique programming. It featured Lana Rodriguez of Mama Coo's Boutique, April Anderson of Good Cakes and Bakes, April Boyle of Build Institute, and Christianne Malone of Build Institute.
After the panel, Steve Garagiola of Local 4 News (WDIV) asked if I'd be interested in an interview. I invited him to my office at 1759 West 21st Street, Detroit MI, and he came over with his cameraman. During the interview, we discussed the basics of what we provide at Plum Health DPC.
I was surprised at how fast the turn around time was for the interview, as it aired during the 6 pm news on Detroit's Local 4 News. In case you missed it, here's the interview!
In addition, Kurt Nagl, a writer from Crain's Detroit wrote an article about the event and it appeared on their website on Tuesday.
Thanks so much for reading and watching!
- Dr. Paul with Plum Health DPC
Plum Health on Small Talk with Mark S Lee
This week, I was invited onto Small Talk with Mark S. Lee! I first met Mr. Lee at the Motor City Match Round 6 showcase in our building, 1759 West 21st Street, Detroit, MI, when then Vice President Joe Biden came to town. I recognized Mr. Lee as he is a frequent contributor to Crain's Detroit Business and a thought leader on small business growth in Detroit.
This month, he invited me onto his radio program, which airs on CBS Detroit, AM 1270 at 8:00 am every Sunday morning.
Not only is Small Talk broadcasted in the local market, Mr. Lee has faithful listeners from across the country as Small Talk is broadcasted nationally through CBS Radio's online and digital platforms. Some of these listeners write in to the show to express their gratitude as Mr. Lee covers small businesses, small business owners, and discusses a wide range of issues pertaining to starting and running a business in Detroit. He even has some listeners who want to come to Detroit to start a business!
During the show, we talk about Detroit, Direct Primary Care, Plum Health DPC, and some of the issues with Health Care as we know it today.
I really appreciate Mark's invitation, and I hope you enjoy the broadcast, which you can find here, as well as the video of the interview, which is here:
Thank you for reading and have a great day!
- Dr. Paul with Plum Health
P.S. you can follow Mark S. Lee on Twitter, @LeeGroup, and read more about what he does on his website, Lee Group Innovation.