Anybody's dr dealing with Obamacare by going VIP?

Discussion in 'Community Board' started by teacup princess, Jul 12, 2013.

  1. sam_gordon

    sam_gordon DIS Veteran

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    And there are folks who say anyone who would pay to go to Disney year after year is a complete nut case. I can see value in what they're offering... quick access to the doctor, some home visits, more personalized service, and longer time with the doc. To me, it's not an $1800/year value, but I can see an increased cost with it. I'm not going to judge someone who decides to spend their money on this.
     
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  3. leebee

    leebee DIS Veteran

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    My PCP has closed her private practice, citing the high cost of malpractice insurance and the incredible amount of paperwork associated with both Medicare AND private insurance companies as the basic reason. We were considering changing doctors anyhow, because it'd take days to be seen when we were ill, so we aren't too shaken by this. However, she is considering a concierge practice with an annual fee that will guarantee same-day appointments as she will be limiting the number of patients she sees and she won't take insurance AT ALL. It will be strictly fee-based service, and it seems very reasonable. When I think of what we pay for health insurance, plus co-pays and deductibles, it's not such a bad thought. (based on last year's tax return, we paid about $12K for deductible medical expenses... hard to believe on our income, it's about 1/6 of our gross income). It's a gamble, that you'll "use" that much health care in one year, but people accept this all the time with health savings accounts.
     
  4. briandunne

    briandunne Earning My Ears

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    What does this have to do with Disney Resorts?
     
  5. navywifetill2002

    navywifetill2002 Mouseketeer

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    It's in the Community Boards. We talk about anything and everything here!
     
  6. manning

    manning <font color=blue>Just for that I have requested it

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    Quote:
    Originally Posted by Lynne M
    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.




    It's been known to interfere with rationalizing
     
  7. momto2girls

    momto2girls DIS Veteran

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    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.
     
  8. Charade

    Charade <font color=royalblue>I'm the one on the LEFT side

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    People gladly pay Universal for "Front of the line" privileges but squawk at this? :confused3
     
  9. Anjelica

    Anjelica Self-Declared Queen of WebSphere

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    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....:(
     
  10. Disney  Doll

    Disney Doll DIS Security Matron

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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.
     
  11. rwdavis2

    rwdavis2 DIS Veteran

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    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.
     
  12. kydisneyfans

    kydisneyfans <font color=blue>It may be because they are too em

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    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.
     
  13. tar heel

    tar heel <font color=royalblue>Where will we get our news i

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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.
     
  14. usd2bmd

    usd2bmd DIS Veteran

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    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...
     
  15. mtemm

    mtemm <font color=teal>Doubly blessed<br><font color=dar

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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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