Amazon and Uber set the bar that primary care is judged against

A car shows up when you click a button and groceries arrive by tonight, but a doctor's appointment takes weeks. Payam Zamani started MY DR NOW while he was still a resident, in a clinic of twelve hundred square feet, and now runs more than eighty of them as founder and chief executive officer. This episode is based on his article "Primary care access is the real problem, not the system," published on KevinMD. You will hear why he says the eight to five scheduled visit exists for the clinic's predictability, not the patient's life, and what changed when his clinics began taking walk-ins every day. He explains how prior authorizations, refills and paperwork were pulled out of the exam room and centralized, and why that made recruiting easier once providers moved to three longer days. He also says the systems copying his extended hours still fail, because the culture was never behind it. You will hear who he counts as his real competition, and why he says the answer is not always more technology.

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