PatientsFirst Growing direct care and direct insurance to fix healthcare. atlas.md/ and atlas.direct/ and atlas.md/map/

Joined February 2008
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Direct Primary Care means Evidence Based Medicine
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All healthcare solutions are either impossible or trivial. It’s impossible until you understand it, then it’s trivial. #DirectCare
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AtlasMD retweeted
You’re worried about the debt. Fine. Name the line item. It’s healthcare. It has always been healthcare. The federal government does not buy healthcare like a market. It buys healthcare like a Soviet planning committee with lobbyists. CMS sets prices. Congress creates carveouts. HHS writes rules nobody understands. Then every trade association in Washington shows up to turn one sentence into a billion-dollar reimbursement advantage. Friends on Ways and Means? Congratulations. You found margin. Protected category? Congratulations. You found a moat. Special payment model? Congratulations. You found a taxpayer-funded annuity. Everyone wants to argue about Medicaid fraud in California or Minneapolis because it makes for a clean villain. The real villain is bigger. It is the entire healthcare bureaucracy pretending central planning becomes moral because the acronym is federal. Medicare and Medicaid keep growing faster than the economy. Healthcare already consumes roughly a third of federal spending. Zero out foreign aid. Zero out culture-war nonsense. Zero out half the things cable news screams about. The debt still wins because the machine keeps writing healthcare checks nobody priced in a real market. This is why every serious debt conversation eventually ends in healthcare. Not tanks. Not Iran. Not some DEI grant your uncle found on Facebook. Healthcare. The deficit is a hospital bill with a flag on it.
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#DirectCare is @Costco for healthcare. Thats the whole model.
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May 29
What if going to the doctor felt as simple as it should be? No billing codes. No insurance maze. Just your doctor, your time, and real care. That's direct primary care — and Dr. Josh breaks down how the economics actually work with @MedEconomics bit.ly/4dWi74V
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May 29
Even the little things reflect the philosophy: "We spend more on coffee in the waiting room than we do on EKGs." Dr. Umbehr calls it "putting hospitality back into health care."
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May 29
DPC has been quietly proving itself since 2010. It's closer to mainstream than most people realize. Curious what care could feel like without the insurance middleman? Read the full interview in @MedEconomics, featuring work by Austin Littrell
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AtlasMD retweeted
May 26
Direct Primary Care Physicians: We want to hear from you! Take our survey by June 1 to let us know your: ☑️ Attitude toward direct primary care ☑️ DPC practice characteristics ☑️How direct primary care affects physician well-being and career satisfaction Take the survey today: bit.ly/4nUmYZ0
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May 27
Agreed, this is why it’s essential that health care and ins prices are as transparent as possible, ie 100% transparent
Prices are critical information without an economy cannot function
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May 26
The annual cost of health care for a family of four covered through a typical employer plan is an eye-watering $37,824 in 2026, according to a Milliman estimate out this week. You don't beat the system, you let the system beat itself. Standard health ins is a bubble and when it bursts, #DirectCare adoption will be historic. axios.com/newsletters/axios-…
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May 26
This is a must watch on the problems with pharmacy benefit managers.

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May 26
New @axios Vitals: Health insurers are running ads blaming hospital monopolies & drugmakers for rising costs. They're not wrong — but they're not the solution either. #DirectCare offers a real alternative: transparent pricing, unlimited visits, free telemedicine, no copays and plenty of time with your physician for a flat monthly fee. Plus medications and labs wholesale for pennies a pill. While DC points fingers, DPC delivers care. axios.com/newsletters/axios-…
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May 26
Imagine if this ability was targeted at fixing healthcare? Will that be @elonmusk’s next great challenge? #DirectCare
The team is gathering speed
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May 25
These deductibles are higher than what people used to pay for their entire premiums.
This is a Priority Health Narrow Network insurance. They are "covered" at 1 health system & it isn't ours. Someone w a family of 5 pays for this from the marketplace. Look at those deductibles & oop.
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AtlasMD retweeted
I pay $500 a month for health insurance. My deductible is $6,000. That means I pay $6,000 a year just to have insurance. Then $6,000 more before it actually kicks in. That’s $12,000 out of pocket before insurance saves me a single dollar. I am not insured. I am pre-bankrupted.
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