Changing the Healthcare model to be like Amazon…

An increasing trend of hospitals offering their own insurance plans could potentially mimic what has been happening in the retail industry with the Amazon model. The amazing change in the retail market over the past decade has been spurred by Amazon providing direct to consumer services in a more convenient and economical fashion. As everybody is aware, the Amazon Prime membership model has moved a large portion of shopping online, and been a boon for Jeff Bezos. Could that same model be applied to healthcare?

Because of the changes that were created with Obamacare the offering of direct to consumer healthcare plans offered by hospitals have proliferated. The governmental regulations have changed, making it much simpler for hospitals to enter this market and become more of a presence in competing for the administrative dollar, as well as the healthcare dollar simultaneously. Prior to this the explanation for existence of insurance companies was to hold the exorbitant costs of healthcare in check. Unfortunately, that reasoning has been specious, and ineffectual. Healthcare costs have spiraled out of control, while simultaneously health insurance companies have continued to take progressively larger bites out of the pie. This has allowed an encroachment in the administrative healthcare expenditures by hospitals, and has been encouraged by the government.

Because hospitals provide the largest share of America’s healthcare, it almost makes sense they would have health insurance plans that they own and administer. The industry can already see a change with the hospitals consolidating and increasing their reach over every aspect of healthcare, from acquiring private practice physician’s offices, to hospital systems and nursing homes, and rehabilitation centers. This large consolidation of the healthcare continuum does provide economic benefits. Unfortunately there are also caveats with this type of consolidation healthcare. As systems become much more unified, they can become unwieldy and monopolistic.

In comparing performances of health insurance companies with hospital systems who are practicing this model a mixed bag of returns is noted. The health insurance companies enjoyed pretty impressive financial profits over the last seven years, however the healthcare systems that are consolidating healthcare have had a variable successes.
Certainly, the changes with the subsidies from Obamacare may influence how quickly this new model of healthcare is adopted. We would expect if the continued subsidies are paid to the insurance companies that it will slow this newer style healthcare development. However, with President Trump in office the subsidies potentially may be diminished or completely eliminated which we would expect to hasten this type of new healthcare system.

The future is notoriously difficult to see, however, we do know that the current system is failing and something will have to arise from what we currently have healthcare is too important to do without. The Amazon model does shed some light on the changes which are taking place in healthcare, and may lead us to more efficient and effective healthcare delivery systems who knows maybe some day we will have Prime Healthcare!

Stay Healthy!


Mark Cuban on healthcare….


Yesterday the billionaire Mark Cuban proposed his plan for making the US healthcare system better than ever. His plan, in short, is to get rid of private insurance companies and use federal funding to increase the number of medical staff so that healthcare is more widely available. Would this work? Well let us take a quick look.

Would it help to get rid of the private insurance companies? I’m a physician, so I’m going to say YES!

All kidding aside though if we were to eliminate the entire private insurance industry there would of course, be some significant administrative savings some estimate that insurance adds an additional overhead of approximately 18-27%. But would it be the solution that would guide us to a more functional healthcare system? I’m sure there would be some positives as well as some negatives so lets look at a few glaring ones.

On the positive side I believe that we could save a significant amount of money by administering healthcare cost in a more economical fashion. As I have blogged before administrative healthcare costs are estimated to be somewhere between 18 and 27% of the US healthcare dollar.  That is money that is NOT directly associated with taking care of patients, or paying for taking care of patients.  It is money that is spent moving data and paper.  At approximately $10,000 per person in the US with around 320 million people we are spending approximately $3.207 Trillion dollars (2016) so says the CMS.  This amounts to approximately $128 Billion dollars a year.  Again, $128 Billion dollars to administer care, not to actually take care of patients.

Conversely, on the negative side the elimination of private insurance companies would leave us at the mercy of government bureaucracy and the compassion that it engenders. I’ll give you one very simple example of governmental bureaucracy.

The coding system that we use for medical billing and procedures has been updated, you may have heard of ICD 10. The system was worked, and reworked with the help of governmental health experts and put into place for clinical billing in 2015.  Work began on ICD-10 in 1983 and was completed in 1992.  It was finally enacted in the US in 2015.  Yes you read that right….a mere 32 years after conception ICD-10 hit the US healthcare market. Nothing is as less responsive, than the US government. Remember this when you are dealing with healthcare.  The slogan of the governmental healthcare could be, “When time matters, you don’t”.  If you don’t believe me ask someone seeking care at a VA medical center.

As a side-note after 30 plus years of development ICD-10 was put into place. Almost instantly, it was obvious that some of the most common codes and procedures were left out… However some of the most random diagnoses were included. Codes such as Y92.253 – Injured at an Opera House, W61.43 – Pecked by a turkey and who could forget V97.33 – Sucked into a jet engine.

I’m not kidding, these are codes that are real and billable. For a more detailed (and sadly hilarious) list of the strangest ICD 10 codes go to the following link at Medical Economics.

My point is, that the elimination of private insurance as the administrative body for healthcare is not the panacea that Mark Cuban is looking for. However, I do agree that keeping healthcare insurance companies as they are is also not good for the US healthcare consumer. So what is a better solution?

I have always wondered why we have not taken the approach of overseeing healthcare companies like we do private utility companies. Certainly, insurance company is entitled to make a profit however the interests of the public are not being served one companies are having year-over-year returns in the high double digits. How come we do not have a governing body that can review the profits and keep them in line with utility companies? It would seem to me that this would be a simple solution, and one that is achievable. It allows the insurance companies to make a profit, but there profit margin is limited. The same as it is for hospitals, and providers.  Oddly, we never even consider this simple solution.

Stay Healthy!


Today we’re going to talk about where sinus drainage comes from!

On occasion, you may wonder to yourself, where is all of this drainage coming from in my nose?  How to get there?  And why is there so much of it?  These are all really great questions, and they have answers.

The sinuses are spaces within the skull that are filled with air.  Ideally, we have four main families of sinuses in our own skull – the Frontal sinus, the Ethmoid sinus, the Maxillary sinus, and the Sphenoid sinus. >>> insert photo <<<

inside the nasal cavity we also have a special type of lining that generates mucus.  You can pick a mucus as the oil that lubricates the inside of the nose and sinuses.  It’s also very special, because it contains immune agents that help to keep you from getting infected.  This special lining however can go a little haywire and occasionally can leave us with more mucus than we actually want or need!

You already know several things that can cause us to have drainage in her nose and sinuses.  From personal experience you may have had difficulties with allergies, and infections.  Some of the lesser-known things that can cause drainage to be a nuisance can be things such as foreign bodies.  Not infrequently, small children will play something inside the nasal cavity and the nose will continue to run and run and run.  Also, polyps can cause patients to have a chronic runny nose as well.


Throughout a typical day while we are breathing, through her nose we may inhale as much as 20,000 L of air.  During this typical day some of it may cause problems because of the allergies, or viruses that may contain.  We generally secrete 1 to 1 ½ leaders of mucus a day.  But this can fluctuate based upon our locality, or help, and medications that we may be taking.


If you are having problems with feeling as though you’re making too much sinus drainage there are a few things that you can do.  Make sure that your allergies are under control.  Do a little research to see whether or not any of the OTC allergy medicines may help you.  Consider using a saline nasal rinse, or the OTC X-clear rinse is another great choice.  Finally, some individuals simply need an antihistamine and/or a decongestant to help him get through difficult times.  If you are finding that you are having hard time controlling the amount of sinus drainage that you’re having you may want to speak to your primary care provider as well.

Being more efficient at your Doctor’s office



We don’t think about it much, but when going to the doctor there are a few tips that we can use that will help to be more efficient with our visit.

Generally when we go to see a physician, we are set in the waiting room, for an interminable amount of time (I promise we’re working!). Finally, we are called back to see the physician so that we can get our appointment underway. In actuality, there are things that we could have done before the appointment that would make it much more efficient. I’m going to talk a little bit about that today, in hopes that this will be a valuable piece of information to you that you can use in your life.

When you call your doctor’s office to get an appointment, many times you are being sent by your primary care provider with a specific problem in mind as to why you are seeing this particular doctor. With the best meaning intentions your primary care provider may not have been able to send any of the records that relate to your particular problem at this time, or in some cases the records may not be available.  Because of the vast disconnectedness of the medical information system that we have at this time this can put both you and your new doctor behind the curve in getting to an answer.

Here are a few things that I recommend that you have ready before you come to the appointment:

  • Describe in your own words what the problem is that you want addressed…
  • As best as possible identify the onset, location, duration, and any characteristics of the problem that you think are relevant.…
  • Describe what you feel makes it better, or what makes it worse…
  • To your knowledge is there anything that you think contributed to this?

Additionally, if your primary care practitioner has already performed some tests try to get copies of them and bring them to your appointment. Do not count on the medical establishment to send the information for you. For instance:

  • If a CT, or MRI has been ordered, when was it ordered? And do you have a copy the results?
  • If you don’t have results, where was the test done?
  • If you have seen another specialist, do you have any notes? What did they tell you?
  • Have you been placed on any medications? Do they work?

The whole purpose of your being your appointment is to get to your problem, and find a solution. If you can help in even a small part of doing what is listed above I guarantee that it will help you achieve your goal. In most cases, your physician is trying to be as efficient as possible. With your help, you can move the process along efficiently and be the better for it!


Stay Healthy!