In Episode 46, ‘Q&A;: The Elephant and Rider Analogy,’ Dr Roussel elaborates on the popular analogy that has been used to describe the psychology of institutional change. In particular, he discusses how the analogy has been applied to healthcare and why such an analogy may not be the best metaphor for the DPC movement.

Episode 46: Q&A: The Elephant Rider Analogy: Does it Work for DPC?

The Direct Primary Care (DPC) Podcast is a podcast about a a new and innovative model of healthcare. Once thought to be a practice only for the wealthy, DPC is now spreading across the country and becoming available to all as a more feasible, more sustainable and happier model of care delivery. By charging a low cost monthly fee to patients, doctors are able to take back the freedom that was taken from them decades ago, and patients are able to reap the rewards of a doctor they know and who has time for them. This podcast hopes to empower those who are on the fringe of the DPC movement, or who don't quite know what its about, to embrace DPC as the answer to our nation's failing healthcare system. While the show is geared towards providers, those in insurance industry, hospital administration, public policy and even patients will find the show's content interesting and informative. In each episode, Dr Roussel, a direct primary care physician, radio show host and author, interviews a new guest about a different topic related to direct primary care, from insurance plans that pair with membership to legal issues when dealing with patient contracts and Medicare. So tune in to learn more about the model of healthcare that is rebuilding our system from the ground up, one doctor, one patient at a time.

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Health & Fitness

In Episode 87, Dr Roussel discussed staffing in a DPC practice. In the episode, Dr Roussel reviews what kind of employees a direct primary care practice needs to provide high quality patient care. In particular, he compares DPC practices to traditional fee-for-service practices and reviews some of the key differences as well as particular pointers for hiring/staffing when it comes to a doctor who is looking to convert/start a DPC practice.

Episode 87: What staffing do I need for DPC practice?

In Episode 85, Dr Roussel interviews Dr Garrison Bliss, founder of Qliance Medical and regarded by many as the founder of Direct Primary Care. In the interview, recounts his experience working for Qliance Medical while the company participated in a Medicaid initiative to provide comprehensive primary care to Medicaid beneficiaries, an initiative which failed in terms of fiscal sustainability. Dr Bliss further discusses his perspective on the similarities and differences between that initiative and the Primary Care First initiative proposed by CMS.

Episode 85: The Primary Care First Initiative:  Another Qliance? With Dr Garrison Bliss

In Episode 84, Dr Roussel interviews Jay Keese of the Direct Primary Care Coalition about the new Primary Care First Initiative announced by CMS earlier this year. In the interview they discuss the background of the initiative in terms of Medicare’s goal to engage primary care doctors as well as the aims of the program based on his extensive discussions with the agency throughout the course of the initiative’s development.

Episode 84: Primary Care First: What It's Trying to Accomplish? With Mr Jay Keese

In Episode 83, Dr Roussel discusses the CMS Primary Care First Initiative and how it could or could not work with his own primary care practice. In particular, he further elaborates on some potential challenges of incorporating a value based initiative into an existing DPC practice.

Episode 83 The CMS Primary Care First Initiative and My Own Clinic

In Episode 82, Dr Roussel discusses the Primary Care First Initiative, a new alternative payment model introduced by Medicare to promote value and reduce cost in healthcare. In the episode, Dr Roussel gives an overview of the PCF Initiative before delving into the nuts and bolts of what this model is about, how it is similar and different to Medicare fee-for-service and how it may affect DPC practices.

Episode 46: Q&A: The Elephant Rider Analogy: Does it Work for DPC?

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