Dell and Bezos invest in healthcare

charrison

Lifer
Oct 13, 1999
17,033
1
81
http://www.techflash.com/seattle/20..._and_others_back_health_care_startup.html?dbk

Dell and Bezos are investing in qliance, a retail health clinic in Seattle. They offer gym membership type healthcare with no insurance or copays for as little as $50 a month.



he company's approach is simplistic, a word not often associated with health care. It works like this: Patients pay a monthly fee -- ranging from $44 for kids to $84 for seniors. As part of that fee, members of Qliance receive unlimited primary care visits (including weekends) for check ups, x-rays, vaccinations, women's health exams and other services.

No insurance. No co-pays. No messy health care statements.

"We've decoupled what we do, which is primary care, from insurance," explains Wu. "And that for the patients makes a huge difference because we can take what is currently being spent on insurance, claims processing, and throw that all into the care itself."

Anyone think government healthcare would be this affordable or convenient?

And yes you would still need an inexpensive catastrophic insurance plan to go along with this.
 

Slew Foot

Lifer
Sep 22, 2005
12,379
96
86
Are medications included? If not, than this plan is garbage. The most expensive part of healthcare isnt the office, or the staff, its the medications and equipment.
 

charrison

Lifer
Oct 13, 1999
17,033
1
81

Apple Of Sodom

Golden Member
Oct 7, 2007
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Are medications included? If not, than this plan is garbage. The most expensive part of healthcare isnt the office, or the staff, its the medications and equipment.

Bullshit. I work in this industry.

A standard visit to a family practice doctor will be around $150 just to see the doctor. An X-ray will run you about $200 or so.

Most otherwise healthy people do not need expensive medications. Every once in a while someone needs something that is still patented and very expensive, but your average pain killers and antibiotics are very inexpensive.

I am a healthy adult. I did have a somewhat elective surgery recently to fix a joint so I wouldn't get arthritis...but the truth is I could've lived a healthy life without it. But my insurance covered it so why not?

Other than that my major expenses are eye checkups, dental visits... I can't even remember the last time I had to see an actual doctor for something other than my surgery. Same with my kids and wife. Very routine stuff, like vaccinations and checkups.

I think I represent about 80% of America...pretty healthy altogether with very few overall health problems and very infrequent visits to the doctor's office.
 

Infohawk

Lifer
Jan 12, 2002
17,844
1
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I think I represent about 80% of America...pretty healthy altogether with very few overall health problems and very infrequent visits to the doctor's office.

I don't think so. Obesity-related diseases like diabetes are common. Other people have chronic issues like allergies.

But I like this. Anything that makes people pay for their health care directly is good by me.
 

Apple Of Sodom

Golden Member
Oct 7, 2007
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These guys are charging $17 for an xray.

That is a damn good rate and would just barely cover operating costs, especially if they are still film based.

I think this sounds like someone who has found a balance between doing something good and becoming filthy stinking rich. Just think...you could have about 350 patients with year long contracts at $600/year and make about $200,000/year. Add in operating costs and double your patients to cover it all. 700 patients per year? Cake. I know one physician who schedules about 120 patients per week...
 

charrison

Lifer
Oct 13, 1999
17,033
1
81
I don't think so. Obesity-related diseases like diabetes are common. Other people have chronic issues like allergies.

But I like this. Anything that makes people pay for their health care directly is good by me.

Allergies are for the most easy and inexpensive to treat. Lots of good inexpensive OTC stuff for allergies. IF you need shots, that is more but it is not going to break you either.
 

Apple Of Sodom

Golden Member
Oct 7, 2007
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I don't think so. Obesity-related diseases like diabetes are common. Other people have chronic issues like allergies.

But I like this. Anything that makes people pay for their health care directly is good by me.

Who the fuck goes to the doctor for allergies? Take some Zyrtec and calm down.

It is all a bunch of shit because people use the doctor for stupid stuff, and at the same time the doctor wants to get paid so he forces people to come in for stupid stuff.

Example of bad doc: My wife uses a special face cream that needs to be prescribed by a dermatologist. When she is out of it do you think the dermatologist just writes a new script? Nope...no money in that. Come in for a checkup before I prescribe it again...

Example of a good doc: After my surgery my leg really hurt. It was red and inflamed. I texted my doctor the symptoms, told him it looked like cellulitis, and he texted me back that he prescribed me an antibiotic at such-and-such pharmacy. Take it for a few days and if it doesn't get better then come in. He didn't require an "office visit" at $200 because he knew what the problem was and doesn't nickle and dime his patients.
 
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HumblePie

Lifer
Oct 30, 2000
14,665
440
126
Allergy meds have gone down in price finally, but not too long ago they were not cheap and not OTC. Clariton used to be about $30 a pill or more for example. The company also did everything in it's power to retain it's patent and keep out any competition through very dubious "legal" means to do so. Such as "reformulating" to a "daytime" Clariton which they did nothing to the actual formula. They just stated they did to lock out the generics from selling for a longer time.

Also, the major drug costs aren't for allergy medication either. It's mental health medications. You have no idea how much that crap costs and people that need to take them for various conditions have to take them for LIFE every day. It's not a seasonal thing. That and most people are on a "cocktail" of meds for mental health. Mainly because 99% of the mental health issues in this country are pure guesses. You go to one doc he thinks you are just bi-polar 2. Another thinks you have borderline tendancies. Another thinks you have schizophrenia. The list goes on and on.

That does not even get into the costs of ancillary treatments beyond meds such as psychiatry or treatments such as electric shock therapy. And yes, while most people don't believe it, electric shock therapy to the brain is still in use today.

Regular visits to a medical practitioner should be cheap. However, most hospitals and doctors do whatever they can to rack up the bill so they get more money. That and the overhead for dealing with insurance does add greatly to the costs. Read this for some of the higher margin procedures they typically push for.

http://www.x-raytechnicianschools.o...ur-doctor-makes-a-killing-on-prescribing-you/

Many things you do not need. For example I had to have surgery recently on my shoulder. I knew something was wrong and had been for years. I went through several X-rays, MRI's, and CAT scans which all showed nothing wrong but inflammation. Finally I had one surgeon do a simple mechanical motion test of having me stick my arm behind my back and try to push his hand away. I couldn't do it with my right arm at all. He concluded from a simple test that my labrum was torn. Sure as shit, when they did the surgery, they realized it was not only torn, but completely sheared off which is why they weren't noticing anything wrong in the MRI's and CAT scans because it wasn't they fact they were seeing something damaged that was there to see. They were completely missing the fact that there was NOTHING to see because it was gone. The point is, they had no problem constantly giving me more image scans and shooting me full of cortozone shots because it treated the symptoms and not the problem. It made them more money in the long run. Yah, my story is an anecdote but it is not an outlier or a one time case. This crap happens more often than not and is endemic of the situations as a whole.

I do applaud these people for trying to do something that is more cost effective instead of doing whatever they can to make a buck. However, excuse me for being skeptical as hell because I have a feeling somewhere, someone is going to try to make up some cash on the backend.
 

HumblePie

Lifer
Oct 30, 2000
14,665
440
126
Also, I don't even want to get into the whole Ulcer situation that happened a few years ago. Companies KNEW bacteria was the cause of most Ulcers but the business of treating the symptoms with acid reducers instead of curing people permanently was big business. We are talking about 9 billion a year from what I last read on the subject. I mean, what's a little indigestion over a lifetime? It is not like it won't kill you right? That was their exact reasoning and why they had no problem giving people acid pills.

Even today, people with acid reflux have no idea that 99% of their problems are caused by alcohol and caffeine. However, doctors have no problem just diagnosing someone with "Acid reflux disease" and setting them up to take an expensive acid reduction medication for life.

For a long time now, the healthcare field has been about making money and not helping people.
 

CycloWizard

Lifer
Sep 10, 2001
12,348
1
81
Who the fuck goes to the doctor for allergies? Take some Zyrtec and calm down.

It is all a bunch of shit because people use the doctor for stupid stuff, and at the same time the doctor wants to get paid so he forces people to come in for stupid stuff.

Example of bad doc: My wife uses a special face cream that needs to be prescribed by a dermatologist. When she is out of it do you think the dermatologist just writes a new script? Nope...no money in that. Come in for a checkup before I prescribe it again...
As with most stupid things, there's a simple reason for this: it's the law.
 

Thump553

Lifer
Jun 2, 2000
12,837
2,622
136
I just glanced at it (since I don't live near Seattle) but it looks like something that would be a real good fit with a catestrophic coverage policy. It definately is NOT a substitute for insurance nor is it meant to be. For example hospitalization is not covered.

Excellent idea, I hope it works and the business model spreads.
 

EagleKeeper

Discussion Club Moderator<br>Elite Member
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Oct 30, 2000
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A couple of years ago, the local Medical clinic was charging $80/month and $10 meds.
XRays were around $25. Much more cost effective than getting insurance on your own for preventive type care
 

ElFenix

Elite Member
Super Moderator
Mar 20, 2000
102,398
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I do applaud these people for trying to do something that is more cost effective instead of doing whatever they can to make a buck. However, excuse me for being skeptical as hell because I have a feeling somewhere, someone is going to try to make up some cash on the backend.

if it's the gym membership model the way they make money is by counting on the fact that you don't go that often and when you do go half the equipment is broken and there's some fat dude in the bathroom lounging in a towel all the time, but you've never seen a fat guy enter or leave while doing your 45 minutes of cardio
 

Slew Foot

Lifer
Sep 22, 2005
12,379
96
86
Bullshit. I work in this industry.

A standard visit to a family practice doctor will be around $150 just to see the doctor. An X-ray will run you about $200 or so.

Most otherwise healthy people do not need expensive medications. Every once in a while someone needs something that is still patented and very expensive, but your average pain killers and antibiotics are very inexpensive.

I am a healthy adult. I did have a somewhat elective surgery recently to fix a joint so I wouldn't get arthritis...but the truth is I could've lived a healthy life without it. But my insurance covered it so why not?

Other than that my major expenses are eye checkups, dental visits... I can't even remember the last time I had to see an actual doctor for something other than my surgery. Same with my kids and wife. Very routine stuff, like vaccinations and checkups.

I think I represent about 80% of America...pretty healthy altogether with very few overall health problems and very infrequent visits to the doctor's office.

I take it you dont kow my wife and I are both doctors? The couple thousand she pays our billing staff gets dwarfed by the 25K she pays for a single infusion of Humira.

The thousand bucks I charge someone for the anesthesia for their hip replacement gets dwarfed by the 10K J&J charges for the hip implant.
 

Slew Foot

Lifer
Sep 22, 2005
12,379
96
86
Even today, people with acid reflux have no idea that 99% of their problems are caused by alcohol and caffeine. However, doctors have no problem just diagnosing someone with "Acid reflux disease" and setting them up to take an expensive acid reduction medication for life.


Do you know how hard it is to change someones behavior? Most people would rather take the acid pills for life than cut out alcohol and caffeine.
 

nonlnear

Platinum Member
Jan 31, 2008
2,497
0
76
Do you know how hard it is to change someones behavior? Most people would rather take the acid pills for life than cut out alcohol and caffeine.
About as hard as it is to change people's emotional attachment to the current highly dysfunctional system of omnibus insurance coverage.
Slew Foot said:
Are medications included? If not, than this plan is garbage. The most expensive part of healthcare isnt the office, or the staff, its the medications and equipment.
The most expensive part of health care is lack of price transparency, coupled with (and largely due to) price discrimination.
 

DukeN

Golden Member
Dec 12, 1999
1,422
0
76
If accurate that's pretty retarded.

Here in socialist/communist Ontario, Canada you pay $40 to see a doctor (also close to the amount of compensation they get from the govt per patient visit IIRC)


Bullshit. I work in this industry.

A standard visit to a family practice doctor will be around $150 just to see the doctor. An X-ray will run you about $200 or so.

Most otherwise healthy people do not need expensive medications. Every once in a while someone needs something that is still patented and very expensive, but your average pain killers and antibiotics are very inexpensive.

I am a healthy adult. I did have a somewhat elective surgery recently to fix a joint so I wouldn't get arthritis...but the truth is I could've lived a healthy life without it. But my insurance covered it so why not?

Other than that my major expenses are eye checkups, dental visits... I can't even remember the last time I had to see an actual doctor for something other than my surgery. Same with my kids and wife. Very routine stuff, like vaccinations and checkups.

I think I represent about 80% of America...pretty healthy altogether with very few overall health problems and very infrequent visits to the doctor's office.
 

rudder

Lifer
Nov 9, 2000
19,441
86
91
Are medications included? If not, than this plan is garbage. The most expensive part of healthcare isnt the office, or the staff, its the medications and equipment.

Walmart and many other stores offer generics for $4.

Now an MRI that can scan you in 30 seconds... thats big bucks.
 

Slew Foot

Lifer
Sep 22, 2005
12,379
96
86
Walmart and many other stores offer generics for $4.

Now an MRI that can scan you in 30 seconds... thats big bucks.

Not every medication has a generic form.

MRI scans take 30 minutes to multiple hours depending on the location. Your typical scanner costs 3-10 million for the scanner itself, and then thousand+ per day for upkeep/staffing/etc...