156 Lessons learned from the retail failure of Primary Care:

Examining the Collapse of Traditional Healthcare Models and the Rise of Direct Primary Care

In this episode, Dr. Michelle Cook discusses her journey from a traditional insurance-based family medicine practice to adopting the Direct Primary Care (DPC) model. She explains how the collapse of her healthcare system in Atlanta, Georgia, led her to pursue DPC for better patient relationships and autonomy. The conversation covers the inefficiencies and challenges of the traditional fee-for-service model, the unsustainable business practices in retail and insurance-based primary care, and the benefits of DPC in providing longitudinal, quality care. Highlighting the Medicaid low payment issue, the discussion delves into how it denies access to maternity wards and primary care for those in need.

00:00 Introduction and Guest Introduction
00:25 Journey into Family Medicine and DPC
01:08 Challenges in Traditional Healthcare Systems
01:27 Healthcare System Collapse in Atlanta
01:42 Transition to Direct Primary Care
02:24 Impact of Healthcare System Collapse
04:37 Medicaid and Financial Challenges
07:38 Retail-Based Healthcare Clinics
18:11 Comparing Healthcare Models
19:01 Direct Primary Care Explained
26:35 Efficiency and Documentation in Healthcare
28:48 EHR System Challenges and Physician Efficiency
30:12 Impact of Appointment Scheduling on Workflow
31:13 Pediatric Care and Efficiency Issues
32:39 Administrative Burdens in Modern Healthcare
39:15 Retail Clinics and Medicare Advantage
44:25 Direct Primary Care Model Benefits
50:14 Healthcare Costs and Insurance Issues
58:21 Conclusion and Final Thoughts