Dear Friends and Patients,

As another year closes I want to offer you and your family a Very Merry Christmas and Happy Holiday’s from myself and the FMG family.

It has been a strange and difficult year for many with a lot of changes and even more changes coming. But, one thing that will never change, is my dedication to you and my desire to help you with some small part of your lives.

What Bugs Americans Most About Their Doctors?

In national surveys here are some of the top gripes:

  • Unclear explanations of problems…
  • Difficult to get short-notice appointments…
  • Feeling rushed during office visits…
  • Long wait times in the exam room or waiting room…
  • Inconvenient office hours…
  • Doctors discouraging the use of alternative treatments…

Over the years, physicians have been forced to see more-and-more patients and complete more-and-more paperwork.  The insurance companies and the government squeeze everything they can out of doctors and their staff.

In the last few years ALL physicians have seen:

  • The transition to ICD-10 – an increase from some 15,000 diagnosis codes to nearly 70,000.
  • New HIPAA and “meaningful use” demands.
  • ACA or Obamacare – this has strained our healthcare delivery system.
  • Maintenance of certification (MOC) – these demands detract from time and resources.
  • Increased claim and referral denials.
  • Paperwork demands – 868.4 million hours of physician time spent on prior authorizations alone.
  • Cost increases – while time demands have increased, so has the cost of satisfying insurance demands.
  • Medicare – Medicare has transitioned to a system of penalties to enforce its time demands from PQRS and meaningful use.

In an effort to offset these challenges and enable us to offer you the best possible experience, we’ve launched a campaign to counteract these hurdles.

First – I added a Nurse Practitioner, Pat, to our staff.  She is not meant to replace me and I am not leaving. Having Pat on our team means there are more man hours available to carry the load and that means more time to explain your health issues.  She will also assist with providing female oriented care.

Second – adding too many patients would lead to 3-4 week waiting times to get an appointment, and that’s just not acceptable.  What’s the point of having insurance if you can’t be seen when you are sick?

Third – I am expanding our hours of operation.  With Pat on our team, you’ll be able to get in earlier in the day, even during lunch hours, and you’ll have access later in the day as well.

Fourth – shorter office and exam room waiting periods.  With Pat and I both seeing patients, you’ll be able to get in much more quickly – and your time is valuable.

Finally – increased attention to alternative care. I have always been interested in preventing disease rather than waiting for an illness to rear its ugly head and require treatment. In keeping with that spirit, we will be spending more time exploring alternative treatment options with you.

How is all this possible?

  • Monitored Growth – while most California physicians feel pressured to go beyond capacity, I’m limiting my practice by only replacing lost members with new ones each year.
  • Adding a nurse practitioner (Pat) to get you in quicker and give you more individual attention.
  • Learning more of what’s important with you by increasing course work with The American College of Preventive Medicine and The American Academy of Anti-Aging Medicine.
  • Becoming proactive in helping you understand and navigate your insurance needs.
  • Providing helpful health tips on my new website www.FormulaMedical.com and Facebook page, Formulamedical.

Two years ago, when ACA loomed over all of our heads, I undertook the study of insurance and became a licensed health and life insurance agent.  Yes, I can assist you with your insurance and provide life insurance.  After all, who best understands the demands and benefits of different policies than the physician treating you?

You’ll be happy to learn I also studied and passed financial classes allowing me to become a financial advisor. Why? Because we are all aging and, let’s face it, the economy is not very good.

As a financial planner I can help you, my patient, better organize and plan your retirement and financial needs. Do you want to trust your future to an employee of a local bank or someone managing thousands of company retirees?  Of course not!

I hope that my staff and I can provide a wonderful and pleasant experience for you and your family in the years to come.


Live Healthy America,


James Krider, MD