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Huge fan of your content! It’s helped me deeply understand the healthcare industry in all aspects. The hospitals, insurance carriers, PBMs, reimbursement models, etc. The writing on the white board was intimidating at first, but your explanations simplify it all so well! As a consultant who just started working with health insurance carriers, I take with me and apply all that I have learned from your videos!

Ozempic enters chart.

That is great🫡

Appreciated for your enthusiastic explanation.

Could you tell me if this would help with an emergency air helicopter bill of 62k. Our insurance denied coverage saying it is not covered under our plan. 62k is an insane amount that is well over the national average. This was not elected either.

Thank you for your videos doctor. They have taught me a lot about value-based care. If PCPs were to be compensated based on the health outcomes of the populations they serve, and economics drives people to go where the money is, how; other then relying on altruism, can systems attract and retain providers in areas which have a history of being statistically unhealthier than others? Surely such populations exist and are a function of poverty or factor X or whatever. And if so, they will always exist no? How does one economically motivate providers to care for these populations if the populations cannot be influenced towards measurable improvements in population health outcomes? Perhaps you disagree and believe that no such population exists?

Conflict riddled consultants like AON, Willis Towers Watson, Mercer/MMA are major problems. They are massive firms that use sophomoric evaluation techniques to grade PBMs and have their own drug coalitions which only the Big 3 are allowed to participate. After the J&J lawsuit for a breach of fiduciary duty, Aon should have been listed as a defendant right there with them.

There's nothing wrong with making a profit but I just can't understand how these senior managers are so unnecessarily nasty, cruel and greedy. Don't they have blood in their veins? Don't they have family members that they worry this might happen to?

@4:20 I love how Dr Bricker already knows that getting the data will have some pushback. 😂 I imagine it’s because the provider knows what you’re doing and doesn’t want you digging too deep.

this isn't fair to primary care physicians. the things you are stating don't help us who actually create all the value outside of a dpc practice which knocks out about 95% of the population. creating value for a hospital system or a PE backed venture like chenmed is great for those at the top but doesn't help us in the trenches

I came to US as an International student and was so confused with how health insurance and billing system works. I work in healthcare after my graduation and find it important to understand the financing and RCM. Thank you for simple and informative video!

I want the flow chart of insurance steps how to approach reimbursement procesd

Who will submit the EOB documents

Excellent presentation. You made a complex topic very simple.

Of course some practitioners can afford to buy their own equipment (eg a LASIK machine) and be somewhat ‘affordable’- however more complex areas - eg neurosurgery, transplant surgery, dialysis- require more equipment, theatres, ICU beds, nurses, therapists - which individual specialists could not provide or bill for…

Great video, surprised you didn't talk about the reduced doctor headcount due to residency funding

Great video. You have great presence. I am very fascinated on your thoughts on how the university system could have some impact on the situation.

Because CVS only uses McKesson as its wholesaler and it's one of its biggest customers, do you think that McKesson cuts them good deals? If so, does this mean that it can be cheaper to get drugs at CVS?

Frankly, it’s just a more extreme form of having to deal with insurance companies.

They should open more med school spots

Health economics, I did not expect to see you so soon since that one class. This cannot be helped. 🤣 And I meant the topic, not shortages. Thank you US. 😒

From Artificial Pricing to Artificial Care => Robo-doc in-a-box here we come. Would be great to hear you speak about the various business venture opportunities being forged as a result of the shortages.

Have you thought about writing a book? I have found your videos so helpful!

Will you discuss Singapore model of care provision? Hybrid of government-subsidized catastrophic care and self-pay using tax-advantaged HSAs.

Couple this with "implicit bias" such as antisemitism encouraged at University level, you have half the country facing severely restricted supply of licensed medical professionals who are able to render objective care. Solution? Deregulation. Take monopoly healthcare provision control out of corrupt government hands, let free market provide solutions.

Apply the same laws to dentistry--there is no shortage of dentistry, why? they're all cash pay and you can get a tooth issue basically whenever you want. Dental insurance is extremely limited and costly and a business for the insurance company to lure the patient by covering some basics but not the complex. If primary care stopped accepting third party payment en masse, we'd see a stabilization of pay and supply, more doctors would choose this field because it would be an attractive lifestyle. Right now it is atrocious pay, abuse from employers and patients, and very limited concierge practices. So noboy is rushing into family practice or internal med, sadly. They want dermatology and ophthalmology.

That's a great video, thank you, I observed you only depict facts, but why not solutions on them?

Same thing is happening with public school teachers

Let me know your address and I'll ship you a microphone. Do you need 3.5mm input? On what device are you recording? I bounced after the first 3 seconds.

Limited spaces in med school by ama. Limited salary of nurses by hospitals

So to have enough nurses and primary care physicians should their wages be increased? Why do you think it never be solved?

I just started watching your videos and honestly impressed! You deliver information in a simple way and with a high quality! It's very rare today to find a person with this unique ability. Appreciate your work a lot!

Thank you for creating these videos. You breakdown the information so its easy to understand!

I know I’m late to the party, but I am wondering how direct primary care doctors buy their medications. Are there wholesale companies that will do this? Wonderful as always, Dr. Bricker.

If everyone went with whole food low plant based 90% nutrition we would reduce health care costs by 70%.

I have seen first hand the way doctors have changed the way they practice everytime a private practice sold to a hospital or equity corporation i stopped going to them.

… ok but what about medication coverage? I’m all for staying in my health care system for providers, but who is going to advocate to cover expensive meds?

This is new format is awesome!

Hello Dr Bricker, Thanks for the info.🙉 It sounds like your lapel microphone is not working and all the audio is what's being recorded via your on camera mic. Once you fix that your audio will be as good as the info! 🤓

Basically they have more money so they pay themselves more money. So they are incentivized to expand into wealthy areas and takeover other hospitals more than anything else. The rest is bonus as they say.

Its still siloed...within the hospital or doc practice...

Its technically called a metric shit ton

Americas Bitter Pill is a great book on the ACA and the back room deals that lead to it

Thank you for the insightful video. What is your opinion on General Catalyst taking over Summa Health? Will the cost of health care increase?

What is care management?

Simple solution, dont refill prescription unless the patient comes in for a visit.

This sounds great, but unfortunate that only 0.04% of U.S. Companies employ over 5,000 employees.

so which plan is better for members? MA plans seem like scams where the health insurance companies profit off you

Can you make a video series about optum.

One medical seemed to have figured it out a while ago, correct? I believe they both charge a subscription fee plus file claims to insurance.