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Old 07-12-2013, 12:31 PM   #16
Mkrop
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Originally Posted by Southernmiss View Post
There is a dr. in our area who did this a while ago. I believe he's been very successful. However, his charges were 1/10th of what you quote. For $360, I think the idea is intriguing and could be worthwhile.

Something drastic has to be done about healthcare in the United States and if Obamacare is the impetus for that then that would be wonderful.

I have long thought that healthcare reform needs to start with investigation of major insurance companies and hospital systems, but of course, what do I know.
It makes me crazy to think about how much my family spends in insurance, yet, we don't go to the dr because of the costs. Outside of our 1 well visit a year (that I use every other year), for us, insurance is basically for something catastrophic.

I was looking at what wellcare services are covered by our plan just the other day and the items on there make me such as HIV screening for ages 2 to 17 really? I so wish I could pick and chose services that my family will use and leave the others behind.
why? Medicare determines all of it. All pricing done at hospital are based on Medicare reimbursement, and then the other insurance companies follow suit. Look to the legal system if you want to investigate
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Old 07-12-2013, 12:36 PM   #17
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Originally Posted by teacup princess View Post
I was at an office visit yesterday and was surprised to be informed by our family physician of 15 years that in October he will be joining a VIP doctor group and will only be seeing the first 600 patients to sign a contract for the privilege to be his VIP patient. This "priveledge" costs $1800 per person per year. And for this you get same day or next day appointments, his cell number, longer office visits and a more comprehensive yearly physical. Is this a scam or the new slap in the face reality of Obamacare?

Mind you I have no intention of signing up for this ($3600 per year for DH and I- no thanks. I liked him as a doc but really?). I've now got to call around to find a new doc, try to develop a trust while knowing in the back of my mind that they could drop us like a hot potato at anytime if they go VIP or just use critical care clinics for all our healthcare needs. Is anybody else experiencing this?
WOW!

Let's say you and Dh are 30 years old and will live until you are 90. That is going to be a total of $216,000 that you are going to pay to this Doctor, just for the privilege of going to see him/her. You will still pay the Dr. for services, testing, hospitalizations and whatever else needs to be done. You will also pay your insurance premiums and deductibles.

Now, that is just for you and Dh. Suppose you have 2 children and you pay for them for the first 21 years. Add $75,600 for them for a grand total of $291,600

You could go to medical school yourself and save a lot of money!
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Old 07-12-2013, 12:45 PM   #18
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Yes, a couple of them and others are retiring early. It's not a scam, but it is a reaction to Obamacare as well as being able to give patients more individual attention without losing more money than they already have. We aren't participating so we've moved Dr's. All I will say , is there are much better ways to fix our healthcare system and insurance than Obamacare.
Concierge practices have been a 'thing' since long before Obama even ran for president, it's not a reaction to Obamacare. I remember hearing about it...oh, geez, maybe 10 years ago. And I don't think it was new then.

PCPs and family practice physicians have been having a tough go of it financially for a long time now. Think of it as a services package that they're selling to boost their income.

If it's a reaction to anything, it's the overhead that the reimbursement system adds to practices, and the high cost of malpractice insurance. My own doctor is thinking about not accepting insurance anymore. His practice consists mostly of office visits, he doesn't have any high cost procedures that he does. He could keep the cost reasonable for the patients, and not be drowning in the costs and restrictions that the current reimbursement system imposes.
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Old 07-12-2013, 12:51 PM   #19
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Originally Posted by Lynne M View Post
Concierge practices have been a 'thing' since long before Obama even ran for president, it's not a reaction to Obamacare. I remember hearing about it...oh, geez, maybe 10 years ago. And I don't think it was new then.

PCPs and family practice physicians have been having a tough go of it financially for a long time now. Think of it as a services package that they're selling to boost their income.

If it's a reaction to anything, it's the overhead that the reimbursement system adds to practices, and the high cost of malpractice insurance. My own doctor is thinking about not accepting insurance anymore. His practice consists mostly of office visits, he doesn't have any high cost procedures that he does. He could keep the cost reasonable for the patients, and not be drowning in the costs and restrictions that the current reimbursement system imposes.

This. There were doctors doing that around here a long time ago. They aren't around anymore. I don't know what happened. Maybe the area wasn't working and they moved someplace else. But it's not a new idea.
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Old 07-12-2013, 01:02 PM   #20
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I'd actually consider this, but that's not what my dr is participating in.
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Old 07-12-2013, 01:06 PM   #21
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Spring 2008 when we still lived in NY my primary care physician located eastern Long Island handed me the sheet and explained the VIP costs so not a new idea...I thought they were nuts...still think the idea is crazy
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Old 07-12-2013, 01:11 PM   #22
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Originally Posted by Lynne M View Post
Concierge practices have been a 'thing' since long before Obama even ran for president, it's not a reaction to Obamacare. I remember hearing about it...oh, geez, maybe 10 years ago. And I don't think it was new then.
Concierge has been around for a while, but ultimately, was not worth it for most practices because of the interference with the ability to take government payors. Now, with "Obamacare" (Which, by the way, is a terrible title. Those in the legal profession call it PPACA, and those who are not would be better to call it "Healthcare Reform"), the system by which physicians receive benefits from governmental payors is changing. Basically, we are cutting out all the excess, and moving towards a more person-centered system that will reward preventative care and penalize those practices which traditionally ordered a lot of tests and treatments which were not necessary. Although there will be more people on governmental programs because of PPACA, there will also be changes to commercial payor requirements and to requirements for traditional Medicare recipients' care which are intended to lower the costs spent on healthcare in general. Since Medicare billing rates are going down and/or providers are being audited on a greater basis for potential fraud/mistakes in billing, this results in a double whammy of 1) governmental payors being slightly less profitable and 2) more concerns about potential violations and paperwork. These issue are encouraging physicians to change their practices. Some - not many - are considering concierge. Many others are selling their practices to hospital systems and taking direct employment from the hospitals (it's a pay reduction, but they don't have to worry about paperwork). And some (most who weren't already making a ton of money through questionable means) are waiting to see what happens and if it really will impact their practice so substantially that they can no longer viably perform as a solo practice. Yes, rates are going down, but soon everyone will have health care coverage (either through the government or through commercial payors), so more people will, in fact, be looking to obtain primary care that they were otherwise just skipping.
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Old 07-12-2013, 02:09 PM   #23
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Wow! This is the first I've heard of this. And you say that in some parts of the country "concierge medicine" has been around for several years? Interesting what we can learn here on the DIS.
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Old 07-12-2013, 02:27 PM   #24
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Originally Posted by Lynne M View Post
Concierge practices have been a 'thing' since long before Obama even ran for president, it's not a reaction to Obamacare. I remember hearing about it...oh, geez, maybe 10 years ago. And I don't think it was new then.
You fool! Facts have no place in this debate!
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Old 07-12-2013, 02:33 PM   #25
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None of the doctors that I know of are going to this.

But then, I rarely see my PCP. I only have her listed on my insurance because we are supposed to have one. My insurance does not require referrals, so if I have something more than a sore throat or cold, I just go to a specialist.

My insurance also has a PA that will coordinate your healthcare much like a PCP. And no, they don't make medical decisions, just give suggestions.
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Old 07-12-2013, 02:37 PM   #26
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I live in the DC metro area and we have areas of wealth, average incomes, and poverty. I have heard of concierge medicine for quite sometime; however, I noticed that it tends to be practiced by physicians who patients feed in from affluent areas. For instance, I live in a solidly middle class suburb of DC and none of the doctors in my city do this. Yet 15-30 miles away, closer to the city, there are several concierge practices.
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Old 07-12-2013, 03:09 PM   #27
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Good luck to your doctor finding people willing to go for this. No, none of our doctors have gone VIP, nor have any of the medical professionals in my own family.
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Old 07-12-2013, 03:16 PM   #28
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Although I have not received anything along these lines from my Internist of over 25 years, I have received postcards in the mail soliciting this service from other doctors. In the past months I have 3 postcards. Never before that did I get anything like it.
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Old 07-12-2013, 03:21 PM   #29
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I live in the DC metro area and we have areas of wealth, average incomes, and poverty. I have heard of concierge medicine for quite sometime; however, I noticed that it tends to be practiced by physicians who patients feed in from affluent areas. For instance, I live in a solidly middle class suburb of DC and none of the doctors in my city do this. Yet 15-30 miles away, closer to the city, there are several concierge practices.
That explains why I haven't heard of it then. No affluent areas here. Where I live, in the Rio Grande Valley of Texas has by far the highest poverty rate in the US.
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Old 07-12-2013, 03:29 PM   #30
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A practice back home has gone to straight pricing.

If our PCP went to true concierge (everything office included), we'd consider it.. and we aren't made of money.

I think the model is intriguing.
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