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October 28, 2014
3 Major Lessons Learned and The Bright Future of Direct Primary Care with Dr. Erika Bliss
In today’s episode, Taylor talks with Dr. Erika Bliss of Qliance based out of Seattle, Washington. Qliance was created by Erika and her cousin, Garrison Bliss, in 2007 to see if direct primary care was a viable model at scale.

October 12, 2014
Direct Pay Primary Care Model Gains Importance In The Post-ACA Environment- With Erika Bliss
On this episode of ShiftShapers, we welcome Dr. Erika Bliss, President and CEO of Qliance, a Seattle-based pioneer in the Direct Pay Primary Care (DPPC) practice model.

January 13, 2014
Rock Health Honors “Top 50″ Digital Health Entrepreneurs
Who are the entrepreneurs pushing hardest for technology advances that will connect patients with better healthcare?

January 6, 2014
Trending Story … From ACO News: “Qliance amasses 20,000 patients”
New business growth under the Health Insurance Marketplace and growth within existing business segments has led Qliance, a concierge primary care model for the masses, to care for 20,000 people in the Puget Sound area.

October 18, 2012
QLIANCE EXPANDS DIRECT PRIMARY CARE NETWORK WITH ONSITE CLINIC FOR BELLEVUE-BASED EXPEDIA, INC. EMPLOYEES, AND LOCAL RESIDENTS
Innovative flat-fee model enables employers to offer a new option for affordable, accessible, high-quality medical care.

June 6, 2012
QLIANCE NAMES JOHN GEBHART CHIEF OPERATING OFFICER
Skilled Executive Brings More Than 35 Years of Business and Operations Management Experience to Support Qliance Expansion.

May 21, 2012
QLIANCE PRIMARY CARE PHYSICIAN ELECTED VICE PRESIDENT OF WASHINGTON ACADEMY OF FAMILY PHYSICIANS
Chris Gaynor, MD, MA, FAAFP, Brings Leadership and Excellence to Family Medicine, and a Commitment to Helping Washington State’s Health Care Community.

December 6, 2011
QLIANCE APPLAUDS BI-PARTISAN “DIRECT MEDICARE AND DUAL-ELIGIBLE CARE ACT
New legislation would create a demonstration program providing flat-fee primary and preventive care for people enrolled in Medicare and Medicaid.

Media coverage

November 29, 2012
Is Concierge Medicine the Future of Health Care?

November 29, 2012
Healthcare’s Age of Agility Will Shuffle Market Leadership

November 10, 2012
How e-prescribing Can Prevent Errors

October 23, 2012
Qliance, MedLion, Travel Surgery USA Among New Providers to Join PokitDok Practitioner Network

October 22, 2012
Expedia Gets Clinic for its 2000 Employees from Qliance in Bellevue, Washington

October 18, 2012
Qliance Expands Direct Primary Care Network With Onsite Clinic for Bellevue-Based Expedia, Inc. Employees and Local Residents
Qliance Medical Management Inc., pioneering a transformative approach to healthcare with Qliance® flat-fee primary care clinics in Washington State, is expanding its network with a new facility in Bellevue, Wash., at the headquarters building of Expedia, Inc., the world’s largest online travel company.

October 17, 2012
Expedia to open onsite health clinic in partnership with Qliance
The Bellevue online travel giant announced today that it plans to open a new health clinic early next year in partnership with Qliance, providing easy access to medical care on the corporate campus. Expedia employs about 2,000 people in the Seattle area. This marks the first time that Qliance has set up a clinic on a corporate campus.

September 25, 2012
Wall Street Journal: Finding the Best Doctor for You
A growing number of primary-care physicians, who traditionally provided basic checkups and treatment for everyday medical problems, are aiming to take on a more ambitious role overseeing all aspects of their patients’ health. Many are giving up self-employment and are going to work for big hospital systems, which might push up certain costs for patients. Other doctors are opting out of insurance-payment systems and asking patients to pay them directly, sometimes through monthly fees. And primary-care practices can increasingly be found in some nontraditional settings, including clinics in the workplace set up by employers.

September 24, 2012
Workforce Management: It’s Not All Coffee and Computers as Health Care Innovation Thrives in Washington State
Qliance, the country’s first direct primary care practice, and Group Health Cooperative, the first consumer-governed health care system, were founded in Washington. Qliance opened its first clinic in 2007 and Group Health was formed in 1947 by tradesmen as a community health coalition.

September 24, 2012
Workforce Management: Employers Developing Reliance on Direct Primary Care Providers Like Qliance
As states gear up to establish health insurance exchanges by 2014, one provision in the federal health care reform law has gone largely unnoticed. Yet experts say it could open the door to a new medical practice model called direct primary care…The concept has proven to be popular among small and midsize employers, many of which pay for part of their employees’ membership fee.

September 11, 2012
Fierce Practice Management: Direct Pay, An Ounce of Prevention, or a Pound of Trouble?
While less controversial than its concierge cousin, direct-pay primary care–in which members forego most insurance and instead pay a modest monthly access fee for primary care services–is gaining its share of discussion.

September 11, 2012
Forbes: How Direct Primary Care Could Save 20% on Healthcare Costs
Thus far, DPC has had success in the private (individuals, unions and employers) market. To demonstrate how it could be a broad-based solution, I put the question of why not use DPC for the Medicaid population to DPC practitioners. The response below is a summary of their perspective. It is estimated that if DPC was scaled city/state-wide or nationally it could save 20-30% off of overall healthcare costs. That would be the difference between cities and states defaulting and sustained balanced budgets.

September 6, 2012
California Healthline: Primary Care Direct Model: Neither Insurance Nor Health Plan
A new model of health care delivery — direct primary care — could be déjà vu for some Californians, a retreat to the past when insurance wasn’t a part of the health care equation. Direct primary care emphasizes prevention and a reduction in the use of “downstream services” — treating symptoms rather than the problems themselves. *(Also ran in Kaiser Health News, HealthLeaders Media, SmartBrief, and America’s Agenda)

August 31, 2012
BenefitsPro: Concierge Care for the Masses
Under a traditional health care benefit plan, a patient tells the doctor what’s wrong. Then the patient, insurance company, or self-funded employer pays the doctor for each of the things she does in trying to fix it. For the past three years, that’s not how things have worked at Seattle-based Becker Trucking. For Becker, funding employee health care is a little like paying for gym memberships.
The company pays Seattle-based Qliance, a defined primary care business, $54 a month for every covered adult and $39 a month for every covered child. Employees and their families see participating Qliance doctors as many times as necessary, from none to twice a week for a worker that Becker CEO and president Frank Riordan calls “the biggest hypochondriac in Washington.”

August 30, 2012
Workforce Management: Healthcare: A Real Fixer-Upper
Employers are helping to rebuild the health care system with a do-it-yourself approach that takes picking the right tool. The new options include value-based design, workplace clinics and direct primary care.

August 16, 2012
Workforce Management: Direct Primary Care: Medicine for the Masses, or an Unused Gym Membership?
For less than $100 a month, direct primary care provides patients with unlimited doctor’s visits for routine services. Critics question the plan’s economic viability for healthy patients paying a monthly fee for services they don’t always use.

August 16, 2012
Seattle Times: On the Move
Health care: John Gebhart was named chief operating officer at Qliance Medical Management, Seattle.

July 16, 2012
Fast Company: How Disruptive Business Models Can Transform Healthcare
Given all that’s standing in the way of enabling new business models, we must take note when promising ones appear ready to take off. Qliance Medical Management is one organization leading business model innovation on the care delivery front. The Seattle startup is disrupting the insurance and primary care market by simply not accepting traditional policies. Patients enroll directly at primary care facilities, paying a $60 to $120 monthly membership fee (depending on their age) for unlimited services.

July 1, 2012
Hospitals & Health Networks: New Twists on Old Primary Care Models
Under the banner of What’s Old is New Again, some employers and physician practices are reaching back in time and revitalizing two old — very old — primary care delivery models with modern missions and some new money. This direct primary care movement is an inverted model of concierge medicine for the wealthy, but its taproot extends to the time before traditional health insurance. The most frequently cited practice is Qliance Medical Management based in Seattle. It typically charges a patient between $49 and $129 a month, depending on their age and service preferences, less for children. Doctor appointments last up to an hour; clinics are open evenings and weekends. Patients are not pre-screened for health problems. Small businesses, unions and the uninsured are typical clients.

June 12, 2012
Puget Sound Business Journal: People on the Move
John Gebhart joins Qliance as Chief Operating Officer

June 11, 2012
Forbes: Oregon’s Health Reform: Eliminating the Insurance Middleman
Kitzhaber has borrowed a model that was pioneered in the state of Washington and then has received support in the “other Washington” on the East Coast. It’s an approach that has bipartisan support and has shown to reduce healthcare costs by 40-80% (e.g., Seattle-based Qliance). It can be described as two parts Marcus Welby and one part Steve Jobs. The federal health reform bill included a little-noticed clause allowing for Direct Primary Care (DPC) models to be a part of the state health insurance exchanges. That little-noticed clause (Section 1301 (a)(3) of the Affordable Care Act and proposed HR3315 to expand DPC to Medicare recipients) should have the effect of massively spreading the DPC model throughout the country.

June 10, 2012
Seattle Times: On the Move: Health Care
Dr. Chris Gaynor of Qliance, Seattle, was elected vice president of the Washington Academy of Family Physicians.

June 6, 2012
Geekwire: Qliance Names COO
John Gebhart has joined Qliance as chief operating officer with a goal of helping the Seattle health care company expand its model in the Puget Sound region and into new markets outside the area. Qliance, with about 100 local businesses as customers, is backed by Amazon.com founder Jeff Bezos, venture capitalist Nick Hanauer and others. Gebhart is the former chief financial officer of Ventripoint Inc. and Remote Medical International. He’s also the former CEO of DoctorQuality, At Health and CareWise “Qliance offers a transformational business model with tremendous growth potential that is already changing the face of health care, and I’m excited to join the team,” said Gebhart.

May 29, 2012
KPLU-FM: Want to pay less for medical care? Find a better deal online
There’s also a growing movement of medical practices that bypass insurance, or supplement it, by charging a flat, monthly subscription fee to cover all of your primary care and tests. One of the pioneers, Qliance of Seattle, has been expanding rapidly.

May 22, 2012
Forbes.com: The Rare Bipartisan Health Idea: Affordable Concierge Medicine
A rare bipartisan health care idea that brings an affordable price to concierge medical care is gaining some attention in Washington. It’s called direct primary care whereby doctors contract directly with patients to provide all of their primary care needs free of insurance interference at a price generally between $50 and $60 a month per patient, according to a New York Times story this week that called the approach “concierge medicine for the masses.”

May 22, 2012
Kaiser Health News: The Details of Direct Primary Care
Direct primary care derives from an unlikely source: the so-called concierge practices that began appearing a decade ago, catering primarily to the affluent. Concierge practices generally do not accept insurance, either; instead, members are charged thousands of dollars annually for unlimited access to their doctors (Japsen, 5/21).

May 22, 2012
Becker’s Hospital Review: Seattle Primary Care Group Offers Services Directly to Employers
Seattle-based Primary care provider Qliance is offering direct care to companies looking to cut healthcare costs for employees at a rate between $50 and $60 per month per patient, according to a New York Times report. Under a typical Qliance plan, patients get unlimited physician visits, 24-hour e-mail access to medical staff and same-day or next-day appointments. No insurance is involved. As an example, Seattle-based trucking company Becker Trucking is using the plan to help curb healthcare costs for its employees, one of a growing number of companies taking advantage of direct primary care services. The trucking company pays Qliance $54 per month per employee for direct primary care.

May 21, 2012
New York Times: More Care Upfront for $54 a Month
Call it concierge medicine for the masses. The idea is that routine, mundane primary care should not require expensive insurance and can be cheaper without it. Direct primary care practices charge $50 to $60 a month for adults, with lower fees for children. Depending on the practice, the monthly fee also may cover certain lab tests, basic X-rays and stitches for cuts.

March 11, 2012
Tacoma News Tribune: Health Care Without Bureaucrats’ Assistance
Contributing Writer Bill Virgin comments on the behind-the-scenes restructuring of the health care industry from a local perspective.

February 10, 2012
Puget Sound Business Journal: Lower Cost Urgent Care Companies Pile Into Market
“The health care system is crying out for innovation of all types,” observed Dr. Erika Bliss, CEO of Seattle-based Qliance, which markets direct primary care, another innovative health care model.

November 23, 2011
QLIANCE OFFERED TO MEMBERS OF WASHINGTON STATE’S LARGEST EMPLOYEE UNION
Qliance Medical Management Inc. today announced it has been added as an option for Sound Health and Wellness Trust’s SoundPlus PPO Plan which is currently in open enrollment for 2012.

October 10, 2011
QLIANCE NAMES DR. ERIKA BLISS PRESIDENT AND CEO
Qliance Medical Management Inc. today announced it has appointed Erika Bliss, MD as President and CEO. Co-founder Norm Wu, who has served as the company’s CEO since it was founded in 2006, will remain actively involved with the company as Strategic Advisor concentrating on strategic partnerships and other growth initiatives.

September 19, 2011
QLIANCE SUBMISSIONI TO U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPOSED RULE ON IMPLEMENTATION OF INSURANCE EXCHANGES
The U.S. Department of Health and Human Services is drafting regulations that will affect the way direct primary care medical homes like Qliance can participate in the health insurance exchanges as defined in the Federal health reform bill. The payment mechanism for direct primary care is one of the items being considered, and this could affect your right to choose our practice for your health care.

August 29, 2011
QLIANCE EXPANDS ‘DIRECT PRIMARY CARE’ NETWORK IN PUGET SOUND REGION, OFFERING INDIVIDUALS AND EMPLOYERS QUALITY FLAT-FEE HEALTH CARE OPTION
Qliance is preparing to open a new clinic in Tacoma in early October, and Guardian Family Care, a direct primary care practice in Mill Creek, Wash., is now a Qliance affiliate.

August 26, 2011
QLIANCE AWARDED ‘MOST INNOVATIVE’ BY HEALTH INDUSTRY LEADERS
‘Health care executives from across the industry voted for companies that are solving real problems in health care,’ said David J. Brailer, MD, PhD, Chairman of Health Evolution Partners. ‘Qliance is a great example of a company that sees opportunity in reinventing primary care, a true foundational component, and thus driving change from the ground up.’

June 1, 2011
Qliance Supports Hatch-Paulsen Legislation
The bill would designate flat monthly fees for direct primary care practices as “qualified medical expenses” under Section 213(d) of the Internal Revenue Code. It would enable patients and employers to use their health reimbursement arrangements (HRAs) health savings accounts (HSAs) and flexible spending accounts (FSAs) to pay for flat-fee primary care such as Qliance.

January 4, 2011
QLIANCE PARTNERS WITH SEATTLE CENTRAL COMMUNITY COLLEGE
“Twenty students in need at Seattle Central Community College will receive full access to Qliance benefits via free one-year memberships.”

September 20, 2010
QLIANCE TO SHARE RESEARCH SHOWING IMPACT OF ‘DIRECT PRIMARY CARE MEDICAL HOME’ MODEL
Qliance will present proprietary utilization impact data from its patient base in Washington State, illustrating the significant downstream cost reductions that result when the direct primary care model is implemented and quality of care improved.

May 25, 2010
QLIANCE MEDICAL MANAGEMENT NAMES ROBERT NAKAHARA CHIEF FINANCIAL OFFICER
Qliance Medical Management Inc., which operates insurance-free direct primary care clinics — also known as “direct primary care medical homes” — in Washington State, today announced it has appointed Robert Nakahara chief financial officer. Nakahara was most recently a partner at financial consulting firm Tatum LLC, responsible for the technology and health care industry practices in their Seattle office.

April 28, 2010
BEZOS, OTHERS BACK QLIANCE MEDICAL
Funding Continues for Seattle Direct Primary Care Clinic “Qliance Medical Management Inc., an operator of insurance-free direct primary care clinics in Washington State, has raised $6 million in Series B funding. Bezos Expedition led the round, and was joined by MSD Capital, Drew Carey and return backers Second Avenue Partners, New Atlantic Ventures and Clear Fir Partners. The company had previously raised $7.5 million.

April 5, 2010
QLIANCE TEAMS WITH MUSICARES TO OFFER CARE IN SEATTLE AREA
Qliance Medical Group has generously offered MusiCares a number of free one-year memberships in its Seattle-area direct primary care practice to distribute to deserving individuals and/or families. MusiCares clients participating in this program may choose from Qliance clinics in Kent, Mercer Island or Seattle.

March 23, 2010
HEALTH CARE LEGISLATION PAVES WAY TO COMPETE IN INSURANCE EXCHANGES
A relatively little-known provision in H.R. 3590, the Patient Protection and Affordable Care Act, signed into law by the President today, creates an affordable new choice for individuals and businesses by allowing flat-fee direct primary care practices, commonly referred to as ‘medical homes,’ to compete within the state-based insurance exchanges where many Americans and small businesses will be able to shop for health coverage beginning in 2014.

January 11, 2010
FURTHER EXPANSION OF QLIANCE’S DIRECT PRIMARY CARE MEDICAL HOME MODEL IS ANTICPATED WITH PASSAGE OF HISTORIC HEALTH REFORM BILL
Qliance Medical Management Inc., which operates insurance-free direct primary care clinics – also known as ‘direct primary care medical homes’ – in Washington state, today announced it has opened a new clinic on Mercer Island, illustrating the growing demand for flat-fee direct primary care.

November 24, 2009
QLIANCE MEDICAL MANAGEMENT NAMES ONA KARASA CHIEF OPERATING OFFICER
Qliance Medical Management Inc., which operates insurance-free direct primary care clinics — also known as “direct medical homes” — in Washington State, today announced it has named Ona Karasa, 49, to the new position of chief operating officer. Karasa was formerly president of the Atlas Division of aQuantive, a digital media technology company acquired by Microsoft in 2007.

November 12, 2009
WASHINGTON STATE’S LARGEST EMPLOYEE UNION PARTICIPATES IN PILOT PROGRAM TO OFFER MEMBERS QUALITY HEALTH CARE AT LOWER COSTS WITH QLIANCE
Qliance Medical Management Inc., which operates insurance-free direct primary care clinics – also known as ‘direct primary care medical homes’ – in Washington state, today announced it has been selected by the Sound Health & Wellness Trust to pilot a health care program for its members, including the United Food and Commercial Workers (UFCW) Local 21, Washington state’s largest employee union.

November 9, 2009
STATEMENT OF DR. GARRISON BLISS ON BEHALF OF THE DIRECT PRIMARY CARE COALITION PASSAGE BY THE U.S. HOUSE OF REPRESENTATIVES OF H.R. 3962, THE AFFORDABLE HEALTHCARE FOR AMERICA ACT
Passage of the H.R. 3962, the Affordable Healthcare for America Act by the U.S. House of Representatives this weekend means that the approximately 45,000 Americans who have elected to receive their medical care through a direct primary care medical home will continue to have that option – for now.

July 7, 2009
EMERGING WASHINGTON STATE HEALTH CARE MODEL SECURES $7.5 MILLION IN VENTURE CAPITAL
Qliance Medical Management Inc., today announced it has closed a $4 million funding round from three institutional venture capital firms, led by Second Avenue Partners with participation by New Atlantic Ventures and Clear Fir Partners, bringing its total capital raised to approximately $7.5 million.

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