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muffin
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The future of medicine?
03/19/17 at 15:44:03
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.....this is a good option for those who are faced with high monthly premiums and deductibles .. a lower monthly fee, then you can still afford a 'catastrophic' plan for major issues.
http://www.businessinsider.com/direct-primary-care-a-no-insurance-healthcare-mod...
  

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Lily003
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Re: The future of medicine?
Reply #1 - 03/19/17 at 15:59:46
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I think it's a great concept.  I don't see it working for specialists, though.  Your sicker, more complex patients, etc. don't fit this model.

However, for routine, not very sick people, it could be really good.  People without complex, preexisting conditions, could benefit from it.  Even conditions like hypertension, not complicated diabetes, etc. could still be handled.  In the past, family practice doctors took care of pediatrics also.  There would have to be a system of referral to specialists.

I think it's workable for many people.

Lily003    Huh
  
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Re: The future of medicine?
Reply #2 - 03/19/17 at 18:09:27
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How about this, Lily:

How to run a cash-only practice and thrive

How this family physician runs a cash-only practice, sees 16 patients a day, goes home at 5, and takes home more than $250,000 a year

Quote:
Forrest's practice, which he named Access Healthcare, is cash-only. He does not accept insurance or Medicare and won't file reimbursement paperwork for patients. He sees, at most, 16 patients a day and goes home by 5 p.m.

His minimum annual income nearly doubles that of a typical family physician in his region, according to Medical Economics 2009 compensation survey. His estimated net pre-tax income is between $270,000 and $495,000 a year and he doesn't require patients to pay a "concierge" or membership fee to establish at his practice. The estimate is based on his monthly revenue and expenses (see "By the numbers"; Forrest declined to reveal his exact net income).

With 2,500 active patients, Forrest's schedule is full. He recently hired a part-time family physician who works nights and Saturdays and still accepts new patients.

How does Forrest do it? He keeps his expenses low with no insurance administration duties (except for preauthorizing medications and tests for his insured patients) and negotiates low fees for lab work. But low overhead alone will not make a successful practice. The time and attention Forrest gives his patients, and lower prices, created a community buzz and profitable practice in less than a year.

"Patients get five minutes of wait and 50 minutes with me," Forrest says. "In most offices, they get 50 minutes of gobbledygook and five minutes with the doctor."
  

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Re: The future of medicine?
Reply #3 - 03/19/17 at 18:32:44
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muffin wrote on 03/19/17 at 15:44:03:
.....this is a good option for those who are faced with high monthly premiums and deductibles .. a lower monthly fee, then you can still afford a 'catastrophic' plan for major issues.
http://www.businessinsider.com/direct-primary-care-a-no-insurance-healthcare-mod...

Couldn't read the entire article because I use an add-blocker.
But before I moved out of NJ my cardiologist decided he would accept no insurance. I stuck with him. His charges for a visit were what he was getting from medicare. When I moved to NC I found a cardiologist I liked and he turned me onto low cost places for X-Rays, electrocardiograms and EKG's and so on. He retired and I moved onto another cardiologist and HIS OFFICE REFUSED TO GIVE ME A PRESCRIPTION for any test outside his office. His prices were nearly three times as much as I could of gotten the test for up the road. That was 10 yrs ago the low cost place was bought out by a conglomerate and closed down. Yes I left his practice to.
  

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Re: The future of medicine?
Reply #4 - 03/20/17 at 00:00:12
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I've been looking for a cash DR. Will check out this later.

  
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SurroundedByLiberals
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Re: The future of medicine?
Reply #5 - 03/20/17 at 00:21:30
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    I'm shocked! 
    To think that someone on CF would post such a site.
    We obviously don't need any of that!!
    We've got OBAMACARE!!
    Just kidding.
  
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The Stranger
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Re: The future of medicine?
Reply #6 - 03/20/17 at 06:42:40
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DEW wrote on 03/20/17 at 00:00:12:
I've been looking for a cash DR. Will check out this later.


Most dr's will cut you a huge break for cash. It's the testing that you can't find anymore. It's ashame these big companies are buying them up and just closing them.
In Buncombe County,NC there was an ordinance that a company(medical) could only have a percentage of the business. BUT Mission Health bought off the county and the LAW was CHANGED just for them. $MONEY$
  

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Re: The future of medicine?
Reply #7 - 03/20/17 at 06:48:11
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The Stranger wrote on 03/20/17 at 06:42:40:
Most dr's will cut you a huge break for cash. It's the testing that you can't find anymore. It's ashame these big companies are buying them up and just closing them.
In Buncombe County,NC there was an ordinance that a company(medical) could only have a percentage of the business. BUT Mission Health bought off the county and the LAW was CHANGED just for them. $MONEY$


I didn't have insurance from 2007 to 2011.  There are some labs for blood tests around that are pretty fair cash prices.  They are not advertised much.  They are much cheaper than the "Brand Name" labs.  Just do some searching, ask your doctor and they can be found.
  
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The Stranger
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Re: The future of medicine?
Reply #8 - 03/20/17 at 07:03:09
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bigmck wrote on 03/20/17 at 06:48:11:
I didn't have insurance from 2007 to 2011.  There are some labs for blood tests around that are pretty fair cash prices.  They are not advertised much.  They are much cheaper than the "Brand Name" labs.  Just do some searching, ask your doctor and they can be found.

Blood test and ordinary X-Rays I have a place. It's the other test like electrocardiograms and heart test and my myelogram every yr..
As I said the one dr would not give me a prescription unless I had the test done at HIS office which was MUCH more than across the street. Can't see this being legal but he did it. The nurse just said NO!
  

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bigmck
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Re: The future of medicine?
Reply #9 - 03/20/17 at 07:10:17
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The Stranger wrote on 03/20/17 at 07:03:09:
Blood test and ordinary X-Rays I have a place. It's the other test like electrocardiograms and heart test and my myelogram every yr..
As I said the one dr would not give me a prescription unless I had the test done at HIS office which was MUCH more than across the street. Can't see this being legal but he did it. The nurse just said NO!


The tests other than blood are going to be expensive no matter where you go.  I don't see how it would be legal to not allow a patient to get a test other than the doctor.  That would be the time I switch doctors.
  
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