In 2014, Dr. Brian Hill, Dr. Hal Scherz, Dr. Jeff English, and Davis Butler, an attorney specializing in healthcare, came together to form HIPnation. HIP stands for Healthcare Impact Partners—coming from the idea that we want to directly partner with our members in order to make a positive impact on their healthcare. Nation was added because it is our hope that this new way of healthcare will have an impact on our entire nation.
The problem: Healthcare has become more about the insurance industry than the patient-physician relationship. Physician interaction with this system has become exorbitantly expensive and becomes more so every year. These costs are passed along to patients through higher prices that do nothing to help make anyone healthier. The system has become a distraction, an added burden without corresponding value.
Physicians and insurers hire a multitude of people to manage the current system. This is reflected in high healthcare costs that then make health insurance expensive. This same interaction also distracts physicians, making them focus on meeting the regulations of the insurers as opposed to the needs of their patients.
Our assessment: Insurance should be used only for the high-cost health events—not things like physicals, the management of ongoing medical conditions, or the common cold.
Our treatment: Redesign the healthcare ecosystem to place the patient back in its center and put insurance in its proper place.
Our design: We developed an innovative delivery solution based upon a membership model that removes insurance and its valueless distractions from the primary care office. Patients now have 24/7 access to their Primary Care Physician who is focused exclusively on helping them maximize their overall wellness.
Studies show that patients with access to a personal 24/7 primary care physician experience:
- 35% fewer hospitalizations
- 65% fewer emergency department visits
- 66% fewer specialist visits
- 82% fewer surgeries
We expanded the model to include significantly reduced True Cost prices for payment at the point of service for outpatient healthcare services including labs, imaging, specialty consultations, procedures and ambulatory surgeries. This further decreases the healthcare costs within our ecosystem.
We then take our high-quality, low-cost, patient-centered healthcare ecosystem and pair it with insurance products to offset the cost of care and protect against those rare, high-cost health events. Since most of healthcare can be managed in primary care and is no longer under the constraints of insurance, the cost of these insurance products decreases significantly as well.
The effect of this approach: Individuals can reduce total healthcare costs by as much as 50% and employers can reduce total healthcare costs by as much as 30%, while accessing concierge-level primary care.
It’s time for change. We invite you to “join the nation.”
To read more about our story, see the featured article in the Fall 2018 Southern Seasons magazine. The article begins on page 24.