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“Clear Eyes, Full Heart,
Can’t Lose.”
“Clear Eyes, Full Heart,
Can’t Lose.”
The Real Math of
Healthcare Costs in the US
1 + 1 =
1 + 1 =
When Can
1 + 1 = 3?
x3=x2+x2+x2+…+x2(xtimes)
x3=x2+x2+x2+...+x2(xtimes)
3x2=2x+2x+2x+…+2x(xtimes)
3x2=2x+2x+2x+...+2x(xtimes)
3x2=2x.x3x2=2x.x
3 = 2 or 3 = 1+1
Differential calculus proof
www.practiceonyourterms.com
The Lurking Variable
that will impact 

YOUR PAYMENTS
The
3
(and what to do about them)
TRENDS
L U R K I N G
www.practiceonyourterms.com
Highest Cost - Sickest Nation
MACRA / MIPS Resistance
Failed Promise of EHR
1
2
3
www.practiceonyourterms.com
1. Highest Cost, Sickest Nation
www.practiceonyourterms.com
www.practiceonyourterms.com
USA - The Global Outlier
www.practiceonyourterms.com
Life Expectancy
78.94yrs
Health Spending
per capita
$9,024.21
Lowest
Highest
www.practiceonyourterms.com
Avg. Projected Patient 

Out-Of-Pocket Cost 

Under “Trump-care”
$10k
www.practiceonyourterms.com
Does free medical care lead to 

better health than insurance
that requires the patient to
shoulder part the cost?
www.practiceonyourterms.com
Desperate patients 

are paying cash or
avoiding care all together.
What’s the Result?
What to do:
Educate your patients about 

the cost of their care.
[Why OB/GYN is great at this: Global Pricing]
What to do:
What to do:
www.practiceonyourterms.com
2. MACRA/MIPS Resistance
www.practiceonyourterms.com
RESISTMACRA / MIPS
www.practiceonyourterms.com
The 962 pages of MACRA are so
overwhelmingly complex, that no
mere human will be able to
understand them.


As a practicing clinician for 30
years, I can honestly say that it’s
time to leave the profession if we
stay on the current trajectory.
John Halamka, MD & CIO (Beth Israel Deaconess
Medical Center), in "A Deep Dive on the MACRA
NPRM," May 2016
www.practiceonyourterms.com
Practicing Physicians of America @ Library of Congress
How to Act:
Own your own quality
measurement.
qpp.cms.gov
3. Failed Promise of EHR
Meaningless Use /
Data Hoarding
Ransomware/
Too Big to Fail Mentality
Poor User Experience /
In Top 3 Cause for Burnout
www.practiceonyourterms.com
Fast
Efficient
Seamless
The goal for Health IT:
www.practiceonyourterms.com
How to Act:
Choose lean tools
and share patient data.
Step 1: Map Your Workflow:
Step 2: Smart Selection Guide:
healthit.gov
Step 3: Share Patient Data
www.practiceonyourterms.com
THANK YOU!
subscribe
@ practiceonyourterms.com

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3 Lurking Trends in Healthcare (and what do to about them)