Mason Reiner PAFP Direct Primary Care Discussion
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Transcript of Mason Reiner PAFP Direct Primary Care Discussion
LAUNCHING DIRECTPRIMARY CARE
IN GREATER PHILADELPHIA
Pennsylvania Academy of Family PhysiciansOctober 29, 2014
1Private & Confidential
Private & Confidential
Healthcare spending is out of controlUni
ted
Stat
esNor
way
Switz
erland
Canad
aDen
mar
kGer
man
yFr
ance
Australia
Ireland
Unite
d King
dom
Finlan
d
OEC
D AVER
AGEJa
pan
Spain
Italy
Portug
alSlov
enia
Isra
elKo
rea
Czech
Rep
ublic
Hunga
ryChi
lePo
land
Mex
ico
Turk
ey
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000 Total Per Capita Health Expenditures ($US)
Source: OECD Health Data 2013
The U.S. spends over 2.5 times the OECD average for per capita health expenditures
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Who is shouldering the burden of these costs?
Over 170M people have employment based health insurance
Private employer health expenditure growth
- 75% over the next 10 years
4Private & Confidential
Employers are seeking innovative solutions that: Improve quality Control costs
You can be that solution!
Receive only 5% of healthcare spend but can direct the ‘if, when & where’ of the other 95%
Can deliver 80-90% of the care most people need Conveniently & affordably address health issues before they escalate Proactively manage chronic health conditions Objective referrals based on cost & quality Coordinate care amongst multiple providers
1. Time2. Simple & adequate payments3. Technology focused on patient care, not billing
PCPs need three things to succeed in this role:
PCPs are uniquely positioned to help employers
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Our Vision:• A scalable solution for
employers• Direct contracting with
independent, high-performing primary care practices• Empowering enduring
patient-physician relationships
Acc
ess
ible • Unlimited
access to a personal physician
• Responsive and proactive care
Con
ven
ien
t • Evening and weekend hours
• Same/next day appointments
• Little or no time in the waiting room
Tech
-savvy • Remote
access to the doctor via email and cell phone
• Virtual visits
• Patient portal
Aff
ord
ab
le • One flat, all-inclusive membership
• No co-pays, deductibles or hidden fees
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Our model – breaking down the barriers to primary care
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Employer profiles:1) Self-funded
2) High-deductible
• Launched Q3 2013 with first affiliated practice in Center City Philadelphia• Rapidly expanding
– Currently 96 affiliated physicians throughout Greater Philadelphia– Actively seeking independent PCPs in Southeast PA and Southern NJ
• National industry advocacy – DPCC Steering Committee
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“Insuring primary care is like insuring lunch. You know you're going to need it. You know you can afford it. Why on earth would you pay a third party to pay the restaurant on your behalf, adding overhead and taking a big chunk out of the money you pay - and because of the process, have to wait a week to get a table and then have only 10 minutes to eat?”
– Nick Hanauer, Second Avenue Partners
Why don’t we have i t?
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Thank You
www.RHeal thConnect .com
Mason Re ine r215 -600 -4590
Mason@RHea l thConnec t . com
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