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Old 07-17-2013, 04:27 PM   #46
momto2girls
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Nothing here in central Ohio. People wouldn't go for it. I did hear a story on the TODAY show many years ago about some doctors in NYC doing it. That was at least 10 years ago though. Those doctors were asking 100K, one time then most routine services were free. For that fee, the docs agreed to be available on a daily basis because they limited their clientelle.

I live in central Ohio too. In my part of town, people would definitely go for it. I have been wishing that my doctor would start a concierge practice. I would love it!! I really like my doctor, but if I run across a doctor that offers a concierge practice, I am very likely to switch.
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Old 07-17-2013, 05:39 PM   #47
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Old 07-17-2013, 06:09 PM   #48
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Originally Posted by momto2girls View Post
I live in central Ohio too. In my part of town, people would definitely go for it. I have been wishing that my doctor would start a concierge practice. I would love it!! I really like my doctor, but if I run across a doctor that offers a concierge practice, I am very likely to switch.
I agree - I love our doctor. Its sad the way things have gone the last couple of years in terms of downsizing the practice, cutting hours, etc. all because they are no longer being reimbursed the same. Add to that we live in one of the biggest "judicial hell holes" in the country where doctors have abandoned the area because medical malpractice insurance is through the roof.

Our doctor said the days of the family physician are going away and he LOVES family practice....
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Old 07-17-2013, 07:26 PM   #49
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as long as the $1800 meant that there'd be no other charges from the doctor ( ie-copays, extra charges for a longer visit, extra charges for house calls), I'd go for it. Yes, one would still need health insurance for labs, xrays and hospitalization/major medical type stuff, but to be at an MD visit where the MD wasn't awlays either runninng late or watching the clock would be heaven.
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Old 07-17-2013, 07:48 PM   #50
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I don't know what you mean by this. You still have to pay all of your office visit fees, copays, lab fees, ect... On top of the $3600.
No you do not. Co-pays are when you have insurance and MDs that do this no longer take any insurance. The fee usually covers lab fees as well. Our MD tried to do this until the state of Maryland came down on this group calling what the tried to do insurance. Before they had to abandon the concept they had already collect enough fees to equal the past year's total income.

They were going to offer house calls, email and phone access, and more time for office visits. They have a 15,000 person practice for four doctors. The hours are long and I am willing to bet my wife, A nurse anesthetist make more than he does.

Anyone thinking that the new health care law will cover everyone, bring down prices does not know anything about the practice of medicine or how it works.
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Old 07-17-2013, 09:30 PM   #51
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Originally Posted by rwdavis2 View Post
No you do not. Co-pays are when you have insurance and MDs that do this no longer take any insurance. The fee usually covers lab fees as well. Our MD tried to do this until the state of Maryland came down on this group calling what the tried to do insurance. Before they had to abandon the concept they had already collect enough fees to equal the past year's total income.

They were going to offer house calls, email and phone access, and more time for office visits. They have a 15,000 person practice for four doctors. The hours are long and I am willing to bet my wife, A nurse anesthetist make more than he does.

Anyone thinking that the new health care law will cover everyone, bring down prices does not know anything about the practice of medicine or how it works.
Thank you.
As a practice manager there are many misconceptions on this thread.
-Concierge services have been around since the 1990s, but are becoming more popular with PPACA here.

-At $1800 a person, for 600 folks, that million dollars seems like a lot, but the doctor gets about 1/20 of that. The largest cut is malpractice insurance, likely in the $200-300,000 range. Add rent and utilities, supplies, staff costs, etc the money leaves quickly. PCP doctors have been struggling for years, that's why so many are going to concierge plans, closing practices, or merging into larger groups. Specialty doctors are making the higher incomes.

-Shop around for rates, call around for test costs. A CT scan where we refer patients costs around $2500. One of our associates was out of town and had a concussion, her bill was over $14000 for the same test and an ER visit of less than 2 hours.

-From my standpoint, to drive healthcare costs down you need to manage the most expensive cost to the doctors, which is malpractice. Tort reform is a must. Insurance companies are making money, as well as the pharmaceuticals. Hospitals and doctors are getting pinched by lower reimbursements, I've heard of 3 large hospital groups doing significant layoffs in the past 2 weeks as a result of lower reimbursements.

There is no perfect solution, the system is a mess, but passing a bill without understanding what is in the bill beforehand is detrimental to the ultimate goal of affordable health care to all.
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Old 07-17-2013, 09:59 PM   #52
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What a wonderful opportunity for people, including doctors, who dislike the president to blame something that's been going on for years on his health plan! I would bet money that your doctor was considering this long before the healthcare act passed.
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Old 07-17-2013, 10:22 PM   #53
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What a wonderful opportunity for people, including doctors, who dislike the president to blame something that's been going on for years on his health plan! I would bet money that your doctor was considering this long before the healthcare act passed.
I agree... The system itself is broken and needs fixing but the medical lobby is a big dog that us hard to control. Is the healthcare reform bill as it stands now the perfect solution? No, probably not but it is a start. One that in my opinion should have come many many years ago...
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Old 07-18-2013, 04:01 PM   #54
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Dh just got a letter that his dr is going to this. Looking at the mdvip website FAQ, the $1800 is just for a wellness program and access, any illness related visits and all that goes with them are billed as normally, they do accept insurance. Definitely not in our budget right now, so he will be dr shopping. I'm sure it's lovely if you can afford it
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