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What if DPC wasn’t about the Primary Care?
Today’s Intention
 Think differently about DPC
 Lower healthcare cost
 Leverage into MUCH BIGGER
Basic Economic Theory
Basic Economic Theory
Dr. David Berg: Direct Care - A Blue Ocean Strategy
Basic Economic Theory
Basic Economic Theory
Basic Economic Theory
Basic Economic Theory
Basic Economic Theory
Dr. David Berg: Direct Care - A Blue Ocean Strategy
Dr. David Berg: Direct Care - A Blue Ocean Strategy
APPLES
What if DPC could lower
healthcare costs for
employers?
The Right Side of History
Will PCP’s see
the Opportunity?
PCP
PROBLEMS
Thinking differently
CUSTOMER
PROBLEMS
Always FASTER
and CHEAPER
#1 NEW Big Problem
for Business (and their
workers)?
$10/hour?
$15.00?
Dr. David Berg: Direct Care - A Blue Ocean Strategy
“The ballooning costs of healthcare act
as a hungry tapeworm on the
American economy…”
– Warren Buffett
2001 2009 2018
Employer
Worker (Payroll & Out-of-pocket)
$4,918
$28,530
$10,743
15x
3.8x
Total Healthcare Cost
– The Tapeworm in the Room
51% of working families have
less than $480 in savings
Not Bad for Everyone
0%
100%
200%
300%
400%
500%
600%
700%
800%
Jan 2010 Jan-12 Jan-14 Jan 2016 Jan-18
DOW
UHC
Aetna
Humana
Cigna
DOW
2.4x
Health
Insurance
8.6x
$28 $240
COST OF HEALTH INSURANCE
…Clearly Not Working for ME!
“What’s the REAL
problem?!”
Now we spend approx. $2000 per person
Bending the Cost Curve
Flip the model
nsurance-First Strategy
Medium
Costs
Deductibles CATASTROPHIC
Costs
Routine Costs
Copays
CATASTROPHIC
Costs
Better STRATEGY…for Business
Dr. David Berg: Direct Care - A Blue Ocean Strategy
Meaningful Access to
HEALTHCARE
Mid wage High wage
Better STRATEGY…for Business
Meaningful
Access to
Healthcare
• FAIR PRICE
• ASSISTANCE
PROGRAMS
Payment
Assistanc
e
Programs
Member
Real-Time
Data
The Redirect Health Solution
End-to-End Integration wins
Non-conflicted
Legal Structure
“Meaningful Access”
Strategy
Care Logistics
And Redirection
Care Navigation and
Fair Price Protection
Physician to Physician
Hospital Collaboration
Efficient Payment
Strategy
Leveraging
Meaningful Access
to Healthcare
FREE Healthcare
Medical Assistant 534 4
Janitor 299 15
• Protection from larger
competitor
• Increase average age
of workforce
• Work comp
• Recruiting in
Puerto Rico
Employers
&
Employees
CUSTOMER
S
Healthcare & Cost Redirection/Protection
DPC
Hospitals
Pharma
Insurance
Specialists
Middle men
DPC = Lower TOTAL Costs
Be More
• Lower costs/Detest waste
• Solve meaningful problems
for both employers and
workers
Final thoughts & Recommendations
• Fair price (i.e. GoodRx,
specialists/surgeries)
• Chiropractors
• 24 hour access to team
• Pay as you go option
• Help avoid UC’s and Hospitals
Be More
What if DPC wasn’t about the Primary Care?

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Dr. David Berg: Direct Care - A Blue Ocean Strategy

Editor's Notes

  1. Quick survey… Anyone here still think traditional insurance/medicare reimbursement system can work? Anyone struggling a bit to figure out how to convince people that DPC could be their answer? I’m not here today to complain…
  2. My hypothesis is that DPC will enable great things much beyond patient care …and I’m grateful for HINT being the platform that enables my company to do what I’ll show you.
  3. How would they buy more of it, and how would they do different things with it?
  4. Everything becoming less expensive… Except education and healthcare …Making money by finding ways to increase costs is the WRONG SIDE OF HISTORY
  5. PCPs know the problems: Insurance system controls them…marginalized, decreasing income, overwhelm, suicide rates so high now… BUT will they be able to see the incredible opportunities?
  6. Many PCPs see the question as: “How do I charge more by negotiating better with insurance companies, or joining big groups or hospitals?” Some realize that like everything else in history, the winners will figure out how to make things cheaper.
  7. Wrong question: “Where is Amazon headed?” Right question: “What will our customers always want? What will never change?” Answer: “FASTER AND CHEAPER”
  8. Now Impossible for 95% of working families to buy healthcare without help of employer …Workers chronically worried and powerless. ALICE (United Way) ……New pressures on Employers – record low unemployment rates and with only 62% of adults in job market AND health insurance rates at record highs
  9. What is RDH all about? Affordable, High Quality Healthcare for Everyone. We get more people healthcare, not just more employees, but more of their loved ones too.
  10. What is RDH all about? Affordable, High Quality Healthcare for Everyone. We get more people healthcare, not just more employees, but more of their loved ones too.
  11. Healthcare is not Healthcare which is not “Meaningful Access to Healthcare”
  12. Healthcare (and DPC) is important. Do you want to be more than a doctor. More than a healthcare solution… DPC can also lower costs so employers can buy it for more workers, and then they will start using it differently
  13. How would they buy more of it, and how would they do different things with it?