Fulcrum Family Health

10/09/2025

Insurances are flagging and blocking payment to physicians that spend more time with patients. This is why we don't participate with most insurances. We refuse to give ineffective care and waste the time of the physician and patient.

Most of our visits are higher level care defined by time or amount of body systems discussed. Can you imagine participating in a system where we force people to take time out of their day to come in (because Telehealth isn't always allowed) to talk to them about one problem for 15 minutes? This is ineffective and wasteful.

Prior authorizations were once a narrow tool to contain costs. Downcoding could be next.

09/23/2025

🔷 September Setpoint: Health Insights 🔷 - https://mailchi.mp/fulcrumfamilyhealth/setpoint-august24-17464574
Perimenopause Awareness Month. Metabolic Reset Program.

09/22/2025

Independent, sound science shows no credible link between acetaminophen and autism.

09/22/2025

Join us in October for 1 month of Whole30. We are kicking off our twice yearly Metabolic Health Reset program with 1 month without artificial sweeteners, alcohol and other potential inflammatory foods. Research shows 30 days without artificial sweeteners can help kick a sugar addiction and jumpstart your health journey.

Are you looking for more guidance in your health journey? Join our 6 month Metabolic Reset by Friday, 9/26/25.
https://www.fulcrumhealthandwellness.com/metabolic-health

The Original Whole30 Program Rules are laid out in two phases: 30 days of elimination, and 10 days of reintroduction.

09/19/2025

6 Month Metabolic Reset Program Starting October 1

Discounted to Fulcrum Members. Open to all.

1 on 1 with Obesity Medicine Specialist and Health Coach as well as group support to help you reverse Metabolic Syndrome and lose fat through nutrition and movement.

Weight loss medications considered but not required.

Real, sustainable change that lasts.

Improved metabolic health leads to improved body composition and fat loss.  When patients say they want to "lose weight," what they really mean is they want to lose fat tissue.  We help you lose weight in a healthy way while maintaining and then building muscle to sustain the fat loss and keep you...

09/17/2025

Vaccines worked too well.
Parents aren’t afraid. Doctors aren’t prepared. This is very dangerous. This video gives some examples of complications that you should be afraid of.

9/11/25 - Its happening. California school-aged child died from rare measles complication after surviving measles as an infant.

https://www.latimes.com/science/story/2025-09-11/l-a-child-died-from-complication-of-measles-contracted-in-infancysee

09/12/2025

When the CDC doesn't recommend a vaccine, physicians have to send a prescription to the pharmacy. We spent approximately 3-5 hours sending scripts to the pharmacy this week for boosters that were previously routinely available for patients WITHOUT A PRESCRIPTION. Governor Janet Mills saved us with a standing order so that all Mainers can get the COVID booster if they wish and we can get back to caring for patients.

We should have COVID boosters for children in the coming weeks but we must wait for the upcoming ACIP meeting on September 18th.

https://www.maine.gov/governor/mills/news/governor-mills-direction-maine-cdc-issues-standing-order-expanding-access-covid-19-vaccine?utm_medium=email&utm_source=govdelivery

08/30/2025

🔷 August Setpoint: Health Insights 🔷 - https://mailchi.mp/fulcrumfamilyhealth/setpoint-august24-17463252
2026 Price Changes. Chemical vs. Mineral Sunscreen.

07/30/2025

Focus on chronic disease while still valuing the importance of vaccines. She is not a physician but she is a strong, evidence-based scientist. This is promising.

Susan Monarez is the first director of the Centers for Disease Control and Prevention to require Senate confirmation. She's also the first director without a medical degree in more than 70 years.

07/20/2025

You are pointing the finger at the wrong person.

This is just false. The leaders in our government are not just misinformed. They are literally lying to you to create a divide between patient and physician.

Find yourself an independent physician. We’ll tell you the truth. Good medical care costs us money. Big Wellness is where “providers” make real money.

Experts said the health secretary’s remarks send a dangerous message: Don’t trust your physician.

07/05/2025

Starting January 1, 2026, patients can safely use their HSA to pay for Direct Primary Care (DPC).

The IRS clarified that DPC is not an insurance plan and therefore, can be funded with pretax HSA dollars. This means patients can spend less money on a high deductible health plan (HDHP) for the unexpected expenses and instead pay for a relationship with a physician that is personal and accessible.

There is more work to be done. We need to work on the cost of care in addition to the access. Businesses across the country recognize DPC as a foundational step to keep healthcare costs consistently low and avoid their employees having to use emergency rooms as primary care. Next, we need to help the millions of patients that will lose their Medicaid or insurance subsidies. Healthcare doesn't need to be this costly. Physicians need to step up and fight corporate medicine and improve access to care.

We no longer accept patients with typical HMO plans. These are designed for corporate insurance based care and we are not that.
Consider this when you are planning for your healthcare costs during open enrollment.

Thank you to Jay Keese for the summary below.

So what does this this mean for Americans?

1.) Starting next January, you can use your own Health Savings Account (HSA) to fund an affordable monthly agreement of $150 per month or less with your primary care doctor without worrying about the IRS knocking at your door because you are considered ineligible to fund an .

2.) Your employer may cover a agreement as a part of your health benefits plan, with even if that plan is a high deductible health plan (HDHP) with an HSA.

3.) Spending on that DPC agreement would count toward the deductible in your high deductible plan.

4.)Employers may offer these DPC plans with zero cost sharing and no out of pocket costs for primary care.

5.) Employers, led by the Purchaser Business Group on Health (PBGH), The ERISA Industry Committee Boeing Amazon and other businesses who have paved the way will now be able to offer a DPC benefit to ALL their employees.

6.) The federal government, for the purposes of both the tax code and the U.S. health code has acknowledged that DPC is an advanced primary care payment and delivery model, and that DPC IS NOT INSURANCE OR A HEALTH PLAN.

06/19/2025

Telemedicine is wonderful when a physician has a long term relationship with their patient. Otherwise, online medicine is simply a dangerous vending machine for medicine/testing.

“This physician assistant signed fraudulent prescriptions for medically unnecessary genetic testing, specifically cancer genomic and pharmacogenetic testing, for over 600 Medicare beneficiaries residing in North Carolina. Joyner had never met, seen, or treated the beneficiaries, and only had brief telephone conversations with them or no interactions at all.”

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