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Re: Concierge medicine

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I just met an md and her husband whose whole practice is based on this. They like it as do their patients. I know a number of mds really enjoy being 'insurance free' and do not feel abused by retainer as much as they did insurance companies. If you do it keep us posted please! Tufenkian ndPortland Oregon Sent from my iPhone

Anybody doing this?

Concierge medicine, also known as direct care, or boutique medicine, retainer-based medicine, or innovative medical practice design.

Basically the pt pays you an annual or monthly fee and then has full access to you (with in reason). This "membership" can give the pt access to your email, or reduced rate to talks or classes, all sorts of things. It is all determined by the limits I build into the membership/contract with the pt. Sounds interesting.

I'm considering this here in my practice in western MA. The risk is that your are inundated with questions, etc, but the positive is also great. There will be pts who abuse it, but also this might access folks who otherwise wouldn't come in, or feel sheepish about asking a genuine, appropriate question.

Any thoughts?

Cheers

Willette RN ND

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I talked to a few MD's who have this type of practice. They spend between 30- 60 minutes with each patient and have a limited panel of patients, 400-500, but they do take insurance. Patients pay an annual fee which varies ( 60- 100S per member, with some family discounts ). They do have hospital privileges but do not admit there.

They are pretty happy and told me that, in generally pts do not abuse them

German MD

To: Sent: Saturday, October 15, 2011 11:52 AMSubject: Concierge medicine

Anybody doing this?Concierge medicine, also known as direct care, or boutique medicine, retainer-based medicine, or innovative medical practice design. Basically the pt pays you an annual or monthly fee and then has full access to you (with in reason). This "membership" can give the pt access to your email, or reduced rate to talks or classes, all sorts of things. It is all determined by the limits I build into the membership/contract with the pt. Sounds interesting. I'm considering this here in my practice in western MA. The risk is that your are inundated with questions, etc, but the positive is also great. There will be pts who abuse it, but also this might access folks who otherwise wouldn't come in, or feel sheepish about asking a genuine, appropriate question.Any thoughts?Cheers Willette RN ND

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If you have hospital privileges, you are probably not doing integrative medicineIs the purpose of this to make more money and not to have to work as hard?Why are we all in this field?There is something fundamentally flawed in health care, but the question is, is this the answer, vs something that can get people more actively involved on local community levels, with creative forms of financing health care, so that everyone's needs are met? Zieve MD

I talked to a few MD's who have this type of practice. They spend between 30- 60 minutes with each patient and have a limited panel of patients, 400-500, but they do take insurance. Patients pay an annual fee which varies ( 60- 100S per member, with some family discounts ). They do have hospital privileges but do not admit there.

They are pretty happy and told me that, in generally pts do not abuse them

German MD

To: Sent: Saturday, October 15, 2011 11:52 AMSubject: Concierge medicine

Anybody doing this?Concierge medicine, also known as direct care, or boutique medicine, retainer-based medicine, or innovative medical practice design. Basically the pt pays you an annual or monthly fee and then has full access to you (with in reason). This "membership" can give the pt access to your email, or reduced rate to talks or classes, all sorts of things. It is all determined by the limits I build into the membership/contract with the pt. Sounds interesting. I'm considering this here in my practice in western MA. The risk is that your are inundated with questions, etc, but the positive is also great. There will be pts who abuse it, but also this might access folks who otherwise wouldn't come in, or feel sheepish about asking a genuine, appropriate question.Any thoughts?Cheers Willette RN ND

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Please see some articles for this topic:

http://www.portlandtribune.com/news/story.php?story_id=117279372931651300

http://www.usatoday.com/news/health/2010-08-16-1Aprimarycare16_CV_N.htm?csp=obinsite

http://www.bnet.com/blog/healthcare-business/dont-look-to-8220concierge-medicine-8221-to-save-the-healthcare-system/2493

http://www.nytimes.com/2011/02/01/health/01medical.html?pagewanted=all

Jieyi Zhang, ND, LAc

Anybody doing this?Concierge medicine, also known as direct care, or boutique medicine, retainer-based medicine, or innovative medical practice design. Basically the pt pays you an annual or monthly fee and then has full access to you (with in reason). This "membership" can give the pt access to your email, or reduced rate to talks or classes, all sorts of things. It is all determined by the limits I build into the membership/contract with the pt. Sounds interesting. I'm considering this here in my practice in western MA. The risk is that your are inundated with questions, etc, but the positive is also great. There will be pts who abuse it, but also this might access folks who otherwise wouldn't come in, or feel sheepish about asking a genuine, appropriate question.Any thoughts?Cheers Willette RN ND

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