Dutch Rojas
@DutchRojas
Founder of ReKlaim Health | Write on US Healthcare | GP at PhyCapFund | Pro price transparency, physician-owned hospitals and independent practice.
The Doctor's Lounge: The ACIP Purge and the AMA Meltdown RFK Jr. fired the entire vaccine advisory board. The AMA responded by calling for a Senate investigation. Meanwhile, most doctors didn’t even know what ACIP was until now. So we asked: Who really controls medicine?…
I can get a joint MRI for $235. So yep, $400 is real! #dpc #healthcare oh, and @DutchRojas doesn’t lie!
Welcome to the greatest healthcare sideshow on Earth! PRIOR AUTHORIZATION! Step up and witness the absurd: A licensed physician must beg Todd from Toledo for permission to practice medicine. Who’s Todd? A guy who once skimmed a community college syllabus and thinks…
Ladies and gentlemen… Let me introduce you to one of America's rarest, most fascinating healthcare species. No, not the independent doctor, they’re practically unicorns now. I’m talking about: The Nonprofit Health Insurance CEO. Specifically, one Maurice Smith, head honcho…
Ah, yes, the federal moratorium on physician-owned hospitals. Because nothing says “healthcare reform” like telling physicians not to build hospitals. Imagine this pitch: “Okay, folks, here’s the plan: We’re gonna take the people who treat patients, who know how hospitals should…
Have you ever tried getting a straight price for surgery in this country? It’s like asking a magician to explain their trick. How much is this going to cost? Well… that depends. Do you have insurance? What kind? Is it in-network? What’s your deductible? Has Mercury…
Raise your health policy IQ , listen to the Doctor’s Lounge!
Prior auth is the scam that keeps on paying. In this week’s Doctor’s Lounge, we talk surgical emergencies delayed by bureaucracy, Ai algorithms denying care, and why 66% of employers could kill prior auth, but don’t. We also ask the uncomfortable question: Did the previous…
True. That's because independent practice get reimbursed 2-10x lower than hospitals. I think today is perfect timing to change the system back to independent
Consider what happened in telecommunications in the 1970s. AT&T was the most efficient telephone company in the world by every traditional measure. It had achieved perfect economies of scale. It could manufacture equipment, lay cables, and provide service more efficiently…
I have always believed that markets, properly structured, are a moral force. They create incentives for people to serve others, to innovate, and to create value. Markets can also be structured in ways that reward rent-seeking, consolidation of power, and extraction of value…
Half of today is still left. Make it great. Do one thing that will make you proud.
As healthcare has consolidated, it has not become more efficient. It has become more expensive. It has not become more innovative. It has become more bureaucratic. This is our anomaly. And I believe it reveals something fundamental about the difference between true…
Why is it that in healthcare, an industry built on the principle of "first, do no harm", we have created a system that systematically harms the very people who dedicate their lives to healing others? This is not a rhetorical question. It is, I believe, a puzzle that reveals…
Young doctors you have a choice to practice medicine with integrity. Speak up if you are not comfortable with patient care protocols at your facility.
Give young doctors opportunities to start their own independent practices and this problem goes away Most older docs worked in private practice where physician autonomy was king Younger docs are now mainly employed and shackled by corporate medicine & admin
The False Choice: Independence or Relevance Physicians are told they must choose: Stay independent, and get buried under prior authorizations, staffing shortages, and declining reimbursement. Or join a system, and trade autonomy for perceived stability. This is a false…
In the 1990s, we witnessed something very similar in financial services. Do you remember what happened? Thousands of local banks were quietly absorbed into a handful of dominant institutions. Not because they innovated, but because the regulatory environment made size a…
Great segment- loved The AI arms race
Prior auth is the scam that keeps on paying. In this week’s Doctor’s Lounge, we talk surgical emergencies delayed by bureaucracy, Ai algorithms denying care, and why 66% of employers could kill prior auth, but don’t. We also ask the uncomfortable question: Did the previous…
Prior auth is the scam that keeps on paying. In this week’s Doctor’s Lounge, we talk surgical emergencies delayed by bureaucracy, Ai algorithms denying care, and why 66% of employers could kill prior auth, but don’t. We also ask the uncomfortable question: Did the previous…
$2.5 Billion. For a building. The Federal Reserve just greenlit a renovation of its DC headquarters that will cost more than the GDP of some nations. Not to build hospitals. Not to support physicians. Not to help patients. But to upgrade the marble and glass of its command…
I, of course, want independent physicians to predominate again. Just predicting that we have some buffer against hospitals slashing our salaries.