Video Details: Now we ‘ ve talked about concierge medicine and direct primary care. Tell me about about businesses in particular. Say if you’re, a small business owner, how does direct primary care help you? What do you offer people that’s such a win-win situation? Why are people so excited about this? Dr. Smith: So employers have to do something in the benefit realm, which comes with a lot of legal structure, so it has to be done correctly. It’s hard, but it has to be followed. Now if employers are looking at health insurance, they need to understand what they’re buying insurance for: catastrophic things. It doesn’t apply to day-to-day. So it’s, not preventative. It’s, not putting gas in the car. Changing wiper, blades brake pads. Getting the alignment done. No, it’s for my tailgate just got ripped off my truck and that cost six thousand dollars to repair. I’m glad. I have insurance for that, but insurance companies are trying to grow into that day-to-day thing and micromanage. Even the filling up of the tank right going to your primary care doctor should not be on the list of things that insurances pay for, but the perception is, and these companies offer these full solution packages, but they’re loaded with fat. They’re too expensive and they’re, crushing companies next to payroll and primary care. Doctors i mean i don’t think people if you tried to find a primary care doctor these days. I mean you need to realize it’s really hard to find a doctor. Now you can find a doctor with five or six nurse practitioners, but to have that classic relationship with your doctor is something that’s, pretty much almost gone with the win, and that’s. What jeremy’s, trying to bring back for sure and in insurance, is not where you find that right, so employers have been kind of buying this. What they think is this full solution, but it’s. Not it’s too expensive. It’s, causing businesses to go out uh, just because of the cost of paying for insurance. They can’t compete, so direct primary care is a solution for patients and doctors. The question can businesses purchase this for you, so businesses can buy anything they want for their employees, but they can’t write it off as a business expense unless the irs says that’s, a legitimate business expense. When I started out, I’d, have business to say this is great Jeremy. Can you do this? For my five employees, I’m like yeah. This is how much it cost. I’ll, give you a discount. Then they call and say, “My accountant says I can’t write this off because it’s, not part of a qualified expense under obamacare.” So fast forward. In order for a business to pay for this, which it’s, welcome to do anytime right, but write it off as a business expense. It has to sit inside of a n entity . It can be a major medical plan which we can design right. That thing can be a minimal, essential coverage plan, a skinny plan that just barely qualifies for insurance or it can sit inside a health reimbursement account. So you found the loophole in order to do this, I found the the legal structures that you can put in. Okay, the legal structure, if you want to write it off, so the tax breaks for me expensing my hra, my direct primary care doctor all this. For my employees, inside of an hra, it costs less to put it in the hra legally. Compared to what now I can write off right and more than pays for itself right. So, yes, employers can do this. In a reimbursement – or we can put it in any health plan – that’s out there wow, so let’s. Dr. Page: So this is a win-win situation. Businesses save money. They have more control over the the kind of care that their that their that their employees are getting and uh the employees are happy because they have a one-on-one relationship with a primary care doctor who is actually proactive instead of reactive. So how is this going? Well, it’s out of the box. It’s been a labor of love. It’s, been fun, it’s taking off and it’s going to change health care. Some of that is taxing me. I’m getting great, because I have a practice to run and right. I’ve, got a team working on this that right, so it’s hard and you know if it wasn’t hard. Everyone would have already figured this out right. I am not special right without a reward there’s, no risk there’s, no reward without a risk, so Jeremy, what motivated you? I had to do things to people to get paid right, that’s, counterintuitive to what i went to medical school for right. So when the the breaking point was when i was working as hard as i could doing the best, i could I made less and less money right and I plotted it here’s, my cost and here’s, the the plot. It’s, going like this right here’s, my income and in the plots coming like this, and i looked at it in seven years, and these lines were gonna intersect, and this is a hobby. We’ve, always joked that you know we. It’s really true. The system is broken and the physicians are the ones that are suffering, but it’s, not just the physicians. It’s the patients that are suffering it’s, the businesses that are suffering. So what – and so this is a triple wind kind of scenario that you’re setting up right. It is viable, it works. Unfortunately, the money’s got to come from somewhere, and it was the folks in the equation that didn ‘t need to be there.–the fat in the swamp. Maybe finding out more about this. How can people contact you, Jeremy? email@example.com. They take ownership. The doctors are happy because they’re able to spend more time with people. I don’t think you realize the stress that most physicians are under. I mean most of we go into medicine because we like patients, we like to talk to people, patients get to know patients, but the way the system is now i mean i mean it’s, sucking the joy out of practicing medicine.