Dave Chase

Dave Chase is creator, Health Rosetta and author of the CEO's Guide to Restoring the American Dream: How to deliver world class healthcare to your employees at half the cost.

Health care stole the American dream. But it’s absolutely possible to take it back.

Dave Chase

Health Policy

September 1, 2017

An excerpt from the CEO’s Guide to Restoring the American Dream: How to deliver world class healthcare to your employees at half the cost.

I often think about a question that should make us all step back a bit. Why are millennials—the largest American generation in history—the first generation to think life won’t be better for them than their …

Patient engagement is the blockbuster drug of the century

Dave Chase

Health Policy

October 16, 2013

Historically, the “do more, bill more” fee-for-service model of healthcare measured success by increased billings. In the fee-for-value era, we need a new framework for assessing healthcare results. Quality indicators are logical but they are mostly geared towards measuring actions taken. We can borrow a concept from the energy sector for an additional metric. We need a concept for removing waste and unnecessary care that could be inspired by a concept …

How secure messaging and email benefit patients and improve outcomes

Dave Chase

Health Technology

January 15, 2013

”Email is the killer app of patient portals.”

I heard a variation of that quote when interviewing people for the patient-provider communication chapter of the book I’ve been co-editing and writing for HIMSS with Jan Oldenburg, Brad Tritle and Kate Christensen. For the organizations who’ve pushed patient portals the furthest into their patient base, email is always the place where things started. In other words, email is the gateway drug for …

Make creative use of existing technologies to thrive in the future

Dave Chase

Physician

November 6, 2012

As both the private and public sector aggressively shift healthcare incentives from a “do more, bill more” to a value and outcome based model, healthcare providers ignore patients role in driving outcomes at their own peril. It is generally understood that patients forget 80-90% of what they are told at the doctor’s office. As incentives no longer reward outcome over activity, this is a disaster financially for health professionals. This …

Rethinking care delivery and payment models with nimble medicine

Dave Chase

Health Policy

March 12, 2012

The New Yorker’s Dr. Atul Gawande outlined how, at the turn of the 20th century, more than forty per cent of household income went to paying for food and food production consumed nearly half the workforce. Beginning in Texas, a wide array of new methods of food production were piloted. Today, food accounts for 8% of household budgets and 2% of the workforce. As a wide array of small innovations …

How to avoid HMO gatekeeper problems in medical homes

Dave Chase

Health Policy

February 4, 2012

There’s a great deal of planning and testing of new models of care and delivery to respond to healthcare’s ever increasing costs. We’ve all heard about Accountable Care Organizations (ACO) and medical homes. The common concern is that they become a repeat of HMOs with the accompanying misaligned incentives undermining their effectiveness. An exciting new medical home model is rapidly expanding that avoids the dreaded “gatekeeper” that was the undoing of …

Designing a friendly patient portal for consumers

Dave Chase

Health Technology

January 5, 2012

More and more providers see the value of providing patient portals. In an attempt to be responsive, EMR vendors are providing patient portals that have some limited capabilities (get lab results, email your doctor and possibly fill out a form requesting an appointment). However, just as the ability to design an airplane cockpit is radically different from a car dashboard, so to is designing an EMR geared towards medical professionals …

The primary care doc fix is in

Dave Chase

Health Policy

December 20, 2011

Matthew Mintz, MD recently shared how primary care doctors are set to lose more than half of their salary. It’s well documented how primary care has faced a number of challenges with half of primary care physicians saying they’d leave medicine if they could as was mentioned in an earlier piece. There’s talk of a “doc fix” as physicians believe the debt ceiling deal is …

Read more…

The primary care doc fix is in

Overcoming barriers to building a direct primary care practice

Dave Chase

Physician

September 2, 2011

The federal health reform bill included a little-noticed clause allowing for Direct Primary Care (DPC) models to be a part of the state health exchanges. I believe this will fundamentally alter the health insurance market and is leading to what I call a “Do it Yourself Health Reform” movement. That little-noticed clause (item #3 in 1301(a) of HR 3590) should have the effect of massively …

Why primary care is due for a renaissance

Dave Chase

Physician

July 28, 2011

At a time when half of primary care doctors say they’d leave medicine if they had an alternative and the NY Times reports on a family physician who can’t give away his practice this hardly seems like the obvious time to claim that primary care is positioned for a renaissance. However, if there’s one thing savvy investors have demonstrated, when everyone says to invest in something that is usually the time to …

Domestic medical tourism saving employers money and improving outcomes

Dave Chase

Patient

July 19, 2011

Over 1.5 million Americans travel abroad each year for medical procedures.

Services typically sought by travelers include elective procedures as well as complex specialized surgeries such as cardiac surgery, dental surgery, joint replacement, and cosmetic surgeries. However, virtually every type of health care, including alternative treatments, psychiatry, convalescent care and even burial services are available.

U.S. based healthcare providers have taken notice as have self-funded employers and health plans. The …

How direct primary care reduces primary care costs

Dave Chase

Physician

July 1, 2011

In an age of family physicians literally not being able to give away their practices, Brian Forrest has built a successful model that is similar to the age of Marcus Welby where there was a direct relationship between a patient and their doctor. Practices such as Forrest’s Access Healthcare in North Carolina run unencumbered by insurance hassles.

As word of Dr. Forrest’s Read more…

How direct primary care reduces primary care costs

Direct primary care and the Marcus Welby vision of primary care

Dave Chase

Health Policy

May 18, 2011

The insurance middleman has taken a toll on the family doctor. New practice models plan to change that. Physicians in Seattle, Silicon Valley and Boston are proving what the rest of the world already knows. When you have a high function primary care system, there’s less money spent and better health outcomes.

Before House, M.D., …

Direct primary care and a do it yourself health plan

Dave Chase

Health Policy

May 4, 2011

Now that I’m well out of my reckless youth phase of my life, I try to preserve the efficacy of my brain. With my lifestyle, there’s three actions I take to ensure the integrity of my brain.

Always wear a bike helmet when I bike
Avoid over-consumption of alcohol
Avoid looking at doctor bills and insurance “statement of benefits”

The first two …

Direct primary care and medical loss ratio will impact health insurers

Dave Chase

Health Policy

April 5, 2011

With my extensive health care background, many people have asked for my opinion during the health reform debate. My response has been that the only way to really “reform” the system is to blow it up and start over, which isn’t politically feasible.

After delving deeper into the current legislation, I believe that we are going to see something …

Dave Chase

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