Turntable Health

File:Turntable Health logo.jpg

Turntable Health was a direct primary care clinic in Downtown Las Vegas, Nevada. It began as part of Zappos CEO Tony Hsieh’s $350 million economic revitalization project in Downtown Las Vegas. The clinic was founded by Zubin Damania, known by his YouTube screen name as ZDoggMD, who Hsieh recruited from the Bay Area in 2012.{{cite web|last=Fernandopulle |first=Rushika |url=http://www.xconomy.com/boston/2014/01/14/welcome-to-zappos-style-health-innovation/ |title=Welcome to Zappos-Style Health Innovation |publisher=Xconomy |date=2014-01-14 |accessdate=2014-03-25}} The clinic was made in partnership with and in substantial part modeled on Iora Health, an innovative primary care chain led by Rushika Fernandopulle.{{cite web|last=Pogorelc |first=Deanna |url=http://medcitynews.com/2013/12/can-rapping-doctor-remodel-primary-care-las-vegas/ |title=YouTube's rapping doctor and Zappos's CEO bring a new model of primary care to Las Vegas |publisher=Medcity News |date=2013-12-17 |accessdate=2014-03-25}}

The clinic used a population health and disease prevention approach to improve patient health and lower costs over the long term. The clinic did not use the fee-for-service model and instead charged per patient per month capitation to sponsors, or $80 monthly membership fees to members. Because they were not paid on a piecemeal basis for individual services provided, physicians were able to spend 45 minutes or more in patient consultation (vs. 13-16 minutes in a more typical primary care setting).{{cite news |last1=Pearl |first1=Robert |title=How One U.S. Clinic Disrupted Prim/ary Care, Made Patients Healthier And Still Failed |url=https://www.forbes.com/sites/robertpearl/2017/10/24/primary-care/#65bfc3a52c0f |accessdate=7 August 2020 |work=Forbes |date=October 24, 2017}} Individuals could gain access to Turntable as a benefit offered by an employer, through insurance,{{cite web|last=Rake |first=Launce |url=http://lasvegascitylife.com/blog/town/downtown-clinic-promises-new-model-health-care.html |title=Downtown Clinic Promises "New Model" Of Health Care |publisher=Las Vegas CityLife |date=2013-12-17 |accessdate=2014-03-25}} and directly as a subscription.{{cite web|last=Spillmanlas |first=Benjamin |url=http://www.reviewjournal.com/business/economic-development/downtown-project-lands-provider-downtown-medical-clinic |title=Downtown Project lands a provider for downtown medical clinic |publisher=Las Vegas Review-Journal |date=2013-07-21 |accessdate=2014-03-25}} Members were granted same-day visits with providers, 24/7 access to their doctor (by email, phone, or video), and a personal health coach. Using a similar model, Iora had experienced 35-40% lower hospitalization rates and 12-15% lower total healthcare costs than their community peers.

Turntable Health had been featured on TheNextWeb as one of "eight startups changing the healthcare industry," and there were plans to expand and build new locations as the clinic approached a capacity of 5,000 patients.{{cite web|last=Gerber |first=Scott |url=https://thenextweb.com/entrepreneur/2014/01/26/8-ways-startups-revolutionizing-health-care/#!xgeYK |title=8 Ways Startups Are Changing the Healthcare Industry |publisher=Thenextweb.com |date=2014-01-26 |accessdate=2014-03-25}} However, Insurers were reluctant to adopt the clinic's capitation model, and were also unwilling to front near-term expenditures in hopes of reaping cost reductions that were anticipated over the 5-10 year timeframe, during which time insured patients could switch insurers, taking the long-term health and cost dividends to a competitor. Turntable Health shut down on January 31, 2017.{{cite web|url=https://zdoggmd.com/turntablehealth/|title=Turntable Health: Only The Beginning of Health 3.0|date=2 February 2017|website=ZDoggMD}}