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Dr. Umbehr appears on the Hannity Show to Oppose HR 6317

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One of the nation’s biggest proponents of the “direct care movement” in the United States stopped by ‘The Sean Hannity Show’ this week, warning those who support co-operative healthcare that a new Senate bill poses a major risk to the low-cost plans.

Dr. Josh Umbehr has spent over a decade launching hundreds of “concierge service” healthcare programs across the country, but new legislation passed days ago creates a threat towards the alternative options.

“There’re now hundreds of these co-ops that he’s developed around the country. Now they’re at risk because of a bill that passed in the Senate,” said Hannity.

“There was a bill that came out of the Ways and Means committee that isn’t great for supporting the direct care movement and patients overall […] We’re hoping to fix it in the Senate, and I think there was a bit of lobbying in the background by more corporate groups,” said Dr. Umbehr

Listen to the Interview and Read Action Points HERE


Background:  Direct Primary Care is the only major medical service offered by doctors you are forbidden to pay for with YOUR Health Savings Account (HSA) dollars.

The IRS in 2014 issued a letter defining DPC as a health plan and disqualified from HSA dollars (like health insurance). HR 365 was a simple piece of legislation designed to fix the problem.

Without debate, the legislation was replaced with HR 6317 in the House Ways and Means Committee and passed out of committee.

OUR original analysis finds the bill creates a regulatory control that is precisely what DPC doctors seek to avoid, undermining the very freedoms that have made the practice model succeed.

Although improved since last reported, this bill creates the regulatory foundation, price fixing, and centralized control that is at the heart of the problems in American health care.

Stay tuned to see how things change in the Senate version.

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Proposed HR 6317 Would Expand Government Regulatory Control of DPC through HSAs

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HR 365 Replaced by HR 6317 Expanded Government Regulatory Control of DPC through YOUR HSAs

Official Statement from Docs 4 Patient Care Foundation:
We are pleased to report that we were successful in removing the critically flawed language that would have dramatically restricted and regulated independent DPC practice.

The issue of CPT coding has been eliminated.

This is still generally not a great bill, but it is no longer critically flawed. We are now in a better position and feel comfortable supporting it with the understanding that other important issues will be able to be addressed in the Senate.

Thanks to an incredible team of dedicated physicians and staff that were able to pull off this big accomplishment in such a short period of time!

– Lee Gross, M.D.
President, Docs 4 Patient Care Foundation

Read the Amended Legislation HERE.

Background:  Direct Primary Care is the only major medical service offered by doctors you are forbidden to pay for with YOUR Health Savings Account (HSA) dollars.

The IRS in 2014 issued a letter defining DPC as a health plan and disqualified from HSA dollars (like health insurance). HR 365 was a simple piece of legislation designed to fix the problem.

Without debate, the legislation was replaced with HR 6317 in the House Ways and Means Committee and passed out of committee.

Our analysis finds the bill creates regulatory control that is precisely what DPC doctors seek to avoid, undermining the very freedoms that have made the practice model succeed.

This Bill will be hailed for finally allowing HSA dollars to be used for DPC.  It is a Trojan horse bringing the worst of Obamacare to DPC.

This bill creates the regulatory foundation, price fixing, and centralized control that is at the heart of the problems in American health care.

Dr. Lee Gross filmed a video analysis in his weekly update from Epiphany Health well worth the time.
Watch HERE.
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Protecting DPC from Washington’s Trojan Horse

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HR 365 Replaced by HR 6317 Expanded Government Regulatory Control of DPC through YOUR HSAs

Official Statement from Docs 4 Patient Care Foundation:
We are pleased to report that we were successful in removing the critically flawed language that would have dramatically restricted and regulated independent DPC practice.

The issue of CPT coding has been eliminated.

This is still generally not a great bill, but it is no longer critically flawed. We are now in a better position and feel comfortable supporting it with the understanding that other important issues will be able to be addressed in the Senate.

Thanks to an incredible team of dedicated physicians and staff that were able to pull off this big accomplishment in such a short period of time!

– Lee Gross, M.D.
President, Docs 4 Patient Care Foundation

Read the Amended Legislation HERE.

Background:  Direct Primary Care is the only major medical service offered by doctors you are forbidden to pay for with YOUR Health Savings Account (HSA) dollars.

The IRS in 2014 issued a lettter defining DPC as a health plan and disqualified from HSA dollars (like health insurance). HR 365 was a simple piece of legislation designed to fix the problem.

Without debate, the legislation was replaced with HR 6317 in the House Ways and Means Committee and passed out of committee.

OUR analysis finds the bill creates regulatory control that is precisely what DPC doctors seek to avoid, undermining the very freedoms that have made the practice model succeed.

This Bill will be hailed for finally allowing HSA dollars to be used for DPC.  It is a Trojan horse bringing the worst of Obamacare to DPC.

This bill creates the regulatory foundation, price fixing, and centralized control that is at the heart of the problems in American health care.

Dr. Lee Gross filmed a video analysis in his weekly update from Epiphany Health well worth the time.
Watch HERE.
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Thomas Jefferson Institute Handbook on Healthcare (2017)

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This Handbook on Healthcare Reform is an effort by the Thomas Jefferson Institute for Public Policy to bring ideas to the table for discussion and legislative debate in order to highlight areas where Virginia and other states can take action to reduce costs, increase availability and thus broaden the number of people who can better afford, thanks to the reforms outlined in this Handbook, to see a doctor.

The Thomas Jefferson Institute worked closely with Dr. Hal Scherz of Atlanta to create this special Handbook on Healthcare Reform. We wanted to bring together the ideas of doctors and other experts in the field of Healthcare on how healthcare can be reasonably reformed so that a better system is the result.

Dr. Scherz reached out to colleagues around the country to write essays on specific areas of healthcare that they felt should be reformed in order to better serve their patients. These doctors work within the current web of regulations and they provide innovative ideas on creating a less bureaucratic system that can improve the overall healthcare delivery system. And we found a few essays from academic healthcare experts to add ideas to this Handbook.

As the founder of “Docs 4 Patient Care,” Dr. Hal Scherz has a deep interest in how healthcare can be improved for all of us and he spent a good deal of time in helping us put this Handbook together. He is well-respected urologist and is deeply interested in improving the healthcare system in this country. We deeply appreciate his time and effort in this project. 5

This Handbook on Healthcare Reform brings ideas to the table for public debate and discussion. It is not an effort to support specific legislation, although it is hoped that the ideas presented herein will become public policy as is the case with Direct Primary Care (DPC) that became state policy earlier this year when Governor Terry McAuliffe signed the legislation into law. This DPC law will allow those in underserved areas to gain better healthcare access if it works as it has in other states. We are proud to have had a small role in putting some of the early pieces together which ultimately resulted in this new law here in Virginia.

Download it here.

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House Calls on D.C. Bureaucracy

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Kimberly Legg-Corba, M.D., D4PCF President Lee Gross, and Josh Umbehr, M.D. brief policy makers at the Department of Health and Human Services on Direct Primary Care.

Kimberly Legg-Corba, M.D., D4PCF President Lee Gross, and Josh Umbehr, M.D. brief policymakers at the Department of Health and Human Services on Direct Primary Care.

It has been a big week for Direct Primary Care (DPC) as physicians steeped in the practice model explained the benefits for patients and doctors.  Tuesday brought meetings with Senior White House officials, the Deputy Secretary of Health and Human Services and senior advisors to CMS and HHS.

DPC’s patient-centered health care delivery innovations that improve affordability and access topped the agenda.

Two days later the discussions continued in a conference call with Treasury Department officials to help resolve some long overdue health policy related tax issues.
President Lee Gross, M.D. in regard to the meetings is “Happy to report that the Administration is actively engaged in finding common-sense solutions.”

All this is possible through your monthly gifts that give the Docs 4 Patient Care Foundation the financial fuel to keep educating key leaders and policymakers on the radical cost savings and care improvements with Direct Primary Care.

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Minnesota Senate Considers Direct Primary Care Bill

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The Minnesota Senate is considering making it easier for health care providers and patients to enter into direct primary care (DPC) agreements.

Senate File 2723 (S.F. 2723) would define direct primary care agreements as a form of health care instead of as health insurance, freeing primary-care providers from the state’s insurance regulations.

Instead of billing insurance companies or the government for patient care, doctors providing DPC charge patients a regularly scheduled fee and list procedure prices up front.

State Sens. Scott Jensen (R-Chaska), Jim Abeler (R-Anoka), Mary Kiffmeyer (R-Big Lake), and Michelle R. Benson (R-Ham Lake) introduced the bill on February 26.

The state Senate’s Commerce and Consumer Protection Finance and Policy Committee met on March 28 to debate S.F. 2723 but did not vote on the bill.

Dr. Lee Gross, president of Docs 4 Patient Care Foundation, a nonprofit organization committed to promoting the sanctity of the physician-patient relationship, says DPC can improve the quality of care.

“The DPC practice is very nimble,” said Dr. Gross. “It can respond to the patient’s immediate needs. You don’t need to bring them in the office to get paid like you do in the insurance system, and you’re not going to upcharge the patient just because they have more complicated problems that need more attention.”

Read the full article at Heartland.

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HB 37 Signed into Law by Governor Scott 

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Amidst the flurry of 74 bills signed into law by Florida Governor Rick Scott on March 23 was HB37 – legislation to protect the Direct Primary Care model of health care from insurance regulators.

Lee Gross, M.D. was among grassroots leaders fighting for years and multiple legislative sessions to protect Direct Primary Care and the doctor/patient relationship.

Dr. Gross released this statement upon enactment,

“Today, Florida Governor Rick Scott signed HB37 in support of Direct Primary Care.

We would like to thank all of the good people that worked hard so that this important bill could allow patients and doctors to free themselves from the shackles of our broken health care system.

These are precisely the bold steps that states will need to take in order to begin to restore health care in America.

We would like to thank the dedicated bill sponsors, Rep. Danny Burgess and Sen. Tom Lee, for their leadership.”

Lee Gross, M.D.
President of Docs 4 Patient Care Foundation

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D4PC Foundation Efforts Leading to Tangible Results

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As politicians debate the political prescription for American health care, this past year has shown our strategic investments are reaping tangible results.

Our efforts in Direct Primary Care (DPC) have trained hundreds of doctors to deliver low cost, high-quality care directly to patients outside of the insurance system.

Our physician speakers are doing more than presenting to the true believers, but testifying before politicians and policymakers to permanently protect the DPC practice model state by state.

The effort to repeal the remaining Certificate of Need (CON) laws in states around the country is crucial to expanding the delivery of actual health care to patients nationwide.  CON laws prevent specialties and medical providers from opening new facilities without securing a certificate, often through the very people with which the new business would compete.

Our 2017 CON conference in Washington trained policymakers, legislators, and advocates to push for legislative changes in 2018.

This is just the tip of the iceberg.  

Even though the road to repeal and replace ObamaCare is stalled at the federal level, the Docs 4 Patient Care Foundation is building the systems to deliver care to patients in spite of government roadblocks.

As the year comes to a close, consider supporting the cause. Fuel in the tank is needed to keep these projects moving forward.

We are getting results.

We are birthing a new generation of doctors in DPC that will shape the delivery of health care for decades to come.

We are unleashing free market solutions birthed out of the minds of those on the front lines of medicine.

Join us in shaping the future.

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Free Market on the March

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The Solutions to Health Care Grow Outside of Government Interference

By Dr. Lee Gross

 

In free, competitive markets, solutions to daunting problems are solved by innovators.

One of the major things missing in Direct Primary Care is insurance wrapping around the practice model.  While Primary Care covers 70-80% of medical needs for patients, finding insurance that covers catastrophic care while not duplicating costs for primary care services was difficult for this innovative practice model.

Our President’s practice, Epiphany Health, has developed a solution in the crucible of the free market.  Their local practice, partnering with an insurance provider, has developed a level-funded major medical plan for hospitalization.

The job for legislators is to 1) protect the DPC practice model from insurance regulators and 2) allow insurance carriers the flexibility to quickly respond to market innovations and join the fight to provide more than coverage, but care.

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