The current healthcare crisis is a uniquely American challenge and ultimately will be solved with a uniquely American solution. The most simple of solutions has yet to be attempted.
Having built the largest physician community in the world, we’ve seen first-hand what is happening to our profession and understand what it is doing to our colleagues, and most importantly, our patients.
We believe healthcare is best managed by direct collaboration between patients and the physicians providing their care.
The time to act is now.
Reinvent the process of referrals to
Recapture our collective strength as physicians; and in doing so,
Work directly with our patients to improve healthcare ourselves.
Daniel Palestrant, MD Adam Sharp, MD
Founder, SERMO Founder, SERMO
Founder, par8o Founder, par8o
www.par8o.com
www.twitter.com/par8o
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Something desperately needs to be done about the direction healthcare is going. More and more Looter intervention and interference between the doctor & patient is causing terrible consequences, from overworked physicians, nonsensical “guidelines” that often conflict and unrealistic patient expectations. Our major physician advocacy groups (AMA, etc) have abandoned the physician for the nebulous “great good”. I hope something truly great comes out of this. If I can help in any way, let me know.
John Galt is so 1984 pre HMO, pre SGR, pre internet….Who is John Galt compared to HHS, CMS and Obamacare ? John lived in a free era compared to today.
I look forward to seeing what can be accomplished here, as the insurance-government-hospital complex seems to be swallowing patients and physicians whole. Anything that can limit third party involvement, and strengthen the physician-patient relationship would be welcome.
Alieta Eck, MD
President, AAPS
That addresses several of my concerns acutlaly.
Bravo! Since the relationship IS between you and your physician, who wants or needs a middleman? He/She provides care for me, I pay them for said care. Everyone is happy. I’m in!!
And let me know how I can help as well…best of luck – this is a great endeavor!!
In awe of that aenwsr! Really cool!
Congratulations! I have long felt if we could lose the middleman, we’d be much better off…..
Well, Daniel, you’ve been uninterruptedly brilliant since I knew you as a medical student. Could you have found a problem worthy of your efforts?
I love your New Year’s Resolution 2012: Fix Healthcare. I have been a strong supporter of Sermo and look forward to more information on your latest venture, par8o!
Good luck gentlemen! Many of us are praying for you. Attempting to reinstall a sense of responsibility into the American populace after they have been spoon fed for generations that they can have it all, have it their way, and abdicate all responsibility to the government is an imposing task. My fear is it is too late. That the only ones who want to fix it is/are us docs. Government, insurers, EMR companies, noctors especially, and employers don’t want to see us fairly paid, that costs them money. And they don’t really care about their people’s health. Even our patients don’t care enough. Sure theyl’ld like to see it fixed, as long as they don’t have to pay for it or do anything to make it happen.
I am rooting for you. But this is quite the task. Every doc should support your efforts to try and fix our collective circumstances.
Don’t pray – DO
Hey Daniel, Have been keenly observing American Healthcare from far shores. Definitely there is much scope to improve. Making patient physician relationship as direct as possible cutting through the intermediary would do much good to American healthcare. But that task is gigantic.
And what bothers me is that some countries like India are being lobbied to follow the American approach which again is being confronted by strong activist groups from non-profit healthcare sector, civil society and most practically by private sector innovators working on affordable healthcare to a billion population.
Pl let me know if I can help in anyway. Wishing you the very best in your endeavor.
Congratulations guys! What a great product! I could use Par8o today to organize/facilitate my referral process in my office. Not to mention, lowering my medical legal risk by “proving” to others my referral streams. Let me know how I can help!
I can’t belivee I’ve been going for years without knowing that.
that’s beautiful, all the best
While I know there are dozens of startups in this space, there are still a lot of paths to the same goal. This model is far more revenue smart and given the experience you guys have, I am sure it will be fruitful.
Good luck!
I have an incomplete list of startups in this area on my website.
Just let me know what I can do to help. As a surgeon I’ve been “out of network” for 9 years and I’m still alive and seeing patients everyday. At least the ones who are will to brave the slings and arrows of their insurance companies AND in many cases their primary care docs.
Congratulations on your intiative. You know the issues, you started to do something, but the problem is and will remain:
The insurance-government-hospital complex is gigantic, extremely powerful and growing every day in strength. Younger physicians, unaware of a better solution, and more and more unwilling to risk anyting, join the IGH more readily than ever, trading temporary comfort (oh, the “lifestyle”….) for a complete loss of independence, learning of leadership (which happens in independent practice). In the near future they will realize that their salaries where not as stable and always growing as they hoped, they will realize that you cannot escape the simple realities of life by becoming an employee and then it will be too late.
The growing strength and power of the IGH complex and the increasing passivity or young physicians are formidable challenges and sadly, I doubt you will overcome them. Pretty much everywhere in the world physicians have turned into “employed sheep”, little dependent wheels in the gigantic corporations of healthcare, happy to work for a modest salary.
America may fall too, soon.
Dan, you are not a practicing physician, Adam, you may still practice, but I assume that your main livelihood are the corporations you created, not patient care.
You are well-meaning, but are you the leaders we need?
I wish you success but I see the dam has broken and will be very difficult to repair. I quit Medicare two years ago and get a yearly retainer fee for their care. As I see the insurers get more and more greedy, our reimbursements plunge. Just look at the nearly $400,000,000 retirement package of one of the BIG insurers Ceo’s this past year and you may begin to see the problem. I am seriously thinking of dropping all insurance companies in the next 6 months. At 58 I see too few doctors in private practice who care at all which makes the future look gloomy for patients and doctors… I have to run..must get prior auth for my patients meds and convince a non-physician why they should allow me to do an MRI on my patient…..
Haha, shouldn’t you be charging for that kind of knolewdge?!
Only when physicians drop insurances and Medicare / Medicaid in larger numbers, will we be able to effect change and the more physicians are employed, the more alternative “health care providers” are there to serve “The Man”. It is almost 50% employed physicians by now….what will 3 or 4% that leave the third party payer system do? If, yes, if it really turns out to be 3-4%. Too many physicians just have obligations, mortgages, wives that insist on “the good life”, car payments, etc etc. All those things we think are great, but in the end help enslave us
I have been complaining for over two years about the disgraceful treatment of doctors in general and internists in particular. I have written a blog since April, 2009, posted at http://www.ghthomas.blogspot.com.
Robin O. Motz, M.D., Ph.D.
Nice to read your blog
I found myself nodding my noggin all the way trohguh.
Up to now there has been no realistic input from any organized medicine group to provide universal coverage for all Americans while devoting less resources to overall medical care. Fortunately Docs4PatientCare, a fast growing physician group has presented its prescription for health care available @ Docs4PatientCare.org
I like this web site very much so much wonderful info.
Suggestion; Create peace of mind.
Start your own health insurance Company. Deal direct with patients on all levels.
Be clear about your purpose. Be guided by your values and ensure that the people who work with you that’s every body from chief surgeons to the janitor. Understand the values and are working toward the same purpose. Value success on the principal that it means you have delivered on your purpose.
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