Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 I understand that everyone has to keep their eyes and ears open for new opportunities. But, my gut tells me that this is not a good thing. I just think that allowing someone better service only when they can pay for it sets a bad precedent. Should a patient who is poor not be able to get a prescription refilled when one who has the means can? Should a patient who can't afford the premium be " bumped " because someone who has paid the premium wants to see the doctor that day? I understand that offering a concierge service doesn't mean that those that can't pay will get poor medical care. But, the truth is, once people start paying, it is inevitable that those that can't pay the extra will suffer. Those appointments will be rescheduled, those prescriptions will not refilled in a timely manner... even if it doesn't start out that way, the risk that it gets there is huge. As we all know, healthcare is not like other industries. I just believe in the premise that healthcare should be a right and not a privilege. I understand that there is so much that goes into this and it's not just as easy as that. I would assume that it wouldn't be long before the government steps in and puts the " cabash " on this type of arrangement. Well, there's my soapbox speech. I'm sure an argument can be made that might make me rethink this but right now, as I said earlier, my gut tells me that at first look, it's kind of icky. Thanks!! Tessa > > From: bribri3849@... > Date: 2005/06/27 Mon PM 05:31:16 EDT > To: PTManager > Subject: Concierge Services > > Dear Group, > > I was doing some reading over the weekend about " Concierge Healthcare " being > offered by some physician offices. For those unfamiliar with this, basically > it is a premier service offered by the physician office at a fee ($2000/year or > more plus submitting claims to insurance) which then entitles the person to > unlimited access to the physician. This may entail calling in a prescription > when the person is out of state, same day scheduling, and then above all > personalized care with more time to spend with the doctor. > > Wondering if any PT's in states with direct access to examination and > treatment, had ever considered this and/or are offering services like this and what > if any limitations anyone can think of. Obviously people would have to see the > value to a service like this and then want to part with that kind of money. I > would envision self pay clients would be the target market and especially > those prone to stress and possibly " weekend warrior " type injuries (Ex: busy > executives) that have disposable income and also don't want the hassle of waiting > to get an appointment. > > Interestingly enough, as a part owner of an outpatient clinic I feel we, in > many ways, offer this type of service with extended hours (8am - 7pm and even > that is flexible on weekdays and by appointment on the weekends both Saturday > and Sunday) and same day scheduling but it would in many cases make those long > hours and weekends a little more, at least monetarily, worth while instead of > just collecting the miserable fees that some private insurances love to pay > out. > > Anyone have thoughts about this especially legal ramifications I could be > missing (realizing that could vary by state)???? > > J. Boyle PT, MS, CSCS > Physical Therapist/ Co-owner > Gaston Rehab Associates, Inc. > 1361-B East Garrison Blvd. > Gastonia, NC 28054 > Phone: > Fax: > > www.gastonrehabassociates.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 --- snip I just believe in the premise that healthcare should be a right and not a privilege. --- snip Tessa, while I agree with you in principal that patients should not be denied acess to care, providers (including PTs) should not be denied the opportunity to pursue legit, legal, and innovative business proposals. Further, rhetorically speaking, the definition of health care is arbitrary anyhow. That is, not all patients will be able to afford 'health care' if things such as dental work and plastic surgery (or other cosmetic procedure) is included in the definition. - Simonetti, PT land Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 --- snip I just believe in the premise that healthcare should be a right and not a privilege. --- snip Tessa, while I agree with you in principal that patients should not be denied acess to care, providers (including PTs) should not be denied the opportunity to pursue legit, legal, and innovative business proposals. Further, rhetorically speaking, the definition of health care is arbitrary anyhow. That is, not all patients will be able to afford 'health care' if things such as dental work and plastic surgery (or other cosmetic procedure) is included in the definition. - Simonetti, PT land Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 --- snip I just believe in the premise that healthcare should be a right and not a privilege. --- snip Tessa, while I agree with you in principal that patients should not be denied acess to care, providers (including PTs) should not be denied the opportunity to pursue legit, legal, and innovative business proposals. Further, rhetorically speaking, the definition of health care is arbitrary anyhow. That is, not all patients will be able to afford 'health care' if things such as dental work and plastic surgery (or other cosmetic procedure) is included in the definition. - Simonetti, PT land Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 What is the purpose for having a " concierge " type of practice? Obviously to make a profit. Profit is a good thing. Perhaps that is not the way to achieve it. Let's face it to have this type of service you would need people that can afford it, i.e. the rich. It's not to say that this is a bad thing. Searching for creative ways to make profit is a good idea but misses the point. Shouldn't we as a profession push for higher reimbursement rates? If our services are of great value then we deserve great reimbursement, correct? How long are we going to put up with being the low man on the totem poll? On the flip side, if our rates were raised by ourselves and only the well off could afford it then maybe the ins. co's. would have to raise their rates to be able to provide rehab services for the insured. It would be intereesting to get an economist's point of view on this. Zerr, PT Tempe Date: 2005/06/30 Thu AM 11:39:03 EDT To: <PTManager >, <PTManager > Subject: Re: Concierge Services I understand that everyone has to keep their eyes and ears open for new opportunities. But, my gut tells me that this is not a good thing. I just think that allowing someone better service only when they can pay for it sets a bad precedent. Should a patient who is poor not be able to get a prescription refilled when one who has the means can? Should a patient who can't afford the premium be " bumped " because someone who has paid the premium wants to see the doctor that day? I understand that offering a concierge service doesn't mean that those that can't pay will get poor medical care. But, the truth is, once people start paying, it is inevitable that those that can't pay the extra will suffer. Those appointments will be rescheduled, those prescriptions will not refilled in a timely manner... even if it doesn't start out that way, the risk that it gets there is huge. As we all know, healthcare is not like other industries. I just believe in the premise that healthcare should be a right and not a privilege. I understand that there is so much that goes into this and it's not just as easy as that. I would assume that it wouldn't be long before the government steps in and puts the " cabash " on this type of arrangement. Well, there's my soapbox speech. I'm sure an argument can be made that might make me rethink this but right now, as I said earlier, my gut tells me that at first look, it's kind of icky. Thanks!! Tessa > > From: bribri3849@... > Date: 2005/06/27 Mon PM 05:31:16 EDT > To: PTManager > Subject: Concierge Services > > Dear Group, > > I was doing some reading over the weekend about " Concierge Healthcare " being > offered by some physician offices. For those unfamiliar with this, basically > it is a premier service offered by the physician office at a fee ($2000/year or > more plus submitting claims to insurance) which then entitles the person to > unlimited access to the physician. This may entail calling in a prescription > when the person is out of state, same day scheduling, and then above all > personalized care with more time to spend with the doctor. > > Wondering if any PT's in states with direct access to examination and > treatment, had ever considered this and/or are offering services like this and what > if any limitations anyone can think of. Obviously people would have to see the > value to a service like this and then want to part with that kind of money. I > would envision self pay clients would be the target market and especially > those prone to stress and possibly " weekend warrior " type injuries (Ex: busy > executives) that have disposable income and also don't want the hassle of waiting > to get an appointment. > > Interestingly enough, as a part owner of an outpatient clinic I feel we, in > many ways, offer this type of service with extended hours (8am - 7pm and even > that is flexible on weekdays and by appointment on the weekends both Saturday > and Sunday) and same day scheduling but it would in many cases make those long > hours and weekends a little more, at least monetarily, worth while instead of > just collecting the miserable fees that some private insurances love to pay > out. > > Anyone have thoughts about this especially legal ramifications I could be > missing (realizing that could vary by state)???? > > J. Boyle PT, MS, CSCS > Physical Therapist/ Co-owner > Gaston Rehab Associates, Inc. > 1361-B East Garrison Blvd. > Gastonia, NC 28054 > Phone: > Fax: > > www.gastonrehabassociates.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 What is the purpose for having a " concierge " type of practice? Obviously to make a profit. Profit is a good thing. Perhaps that is not the way to achieve it. Let's face it to have this type of service you would need people that can afford it, i.e. the rich. It's not to say that this is a bad thing. Searching for creative ways to make profit is a good idea but misses the point. Shouldn't we as a profession push for higher reimbursement rates? If our services are of great value then we deserve great reimbursement, correct? How long are we going to put up with being the low man on the totem poll? On the flip side, if our rates were raised by ourselves and only the well off could afford it then maybe the ins. co's. would have to raise their rates to be able to provide rehab services for the insured. It would be intereesting to get an economist's point of view on this. Zerr, PT Tempe Date: 2005/06/30 Thu AM 11:39:03 EDT To: <PTManager >, <PTManager > Subject: Re: Concierge Services I understand that everyone has to keep their eyes and ears open for new opportunities. But, my gut tells me that this is not a good thing. I just think that allowing someone better service only when they can pay for it sets a bad precedent. Should a patient who is poor not be able to get a prescription refilled when one who has the means can? Should a patient who can't afford the premium be " bumped " because someone who has paid the premium wants to see the doctor that day? I understand that offering a concierge service doesn't mean that those that can't pay will get poor medical care. But, the truth is, once people start paying, it is inevitable that those that can't pay the extra will suffer. Those appointments will be rescheduled, those prescriptions will not refilled in a timely manner... even if it doesn't start out that way, the risk that it gets there is huge. As we all know, healthcare is not like other industries. I just believe in the premise that healthcare should be a right and not a privilege. I understand that there is so much that goes into this and it's not just as easy as that. I would assume that it wouldn't be long before the government steps in and puts the " cabash " on this type of arrangement. Well, there's my soapbox speech. I'm sure an argument can be made that might make me rethink this but right now, as I said earlier, my gut tells me that at first look, it's kind of icky. Thanks!! Tessa > > From: bribri3849@... > Date: 2005/06/27 Mon PM 05:31:16 EDT > To: PTManager > Subject: Concierge Services > > Dear Group, > > I was doing some reading over the weekend about " Concierge Healthcare " being > offered by some physician offices. For those unfamiliar with this, basically > it is a premier service offered by the physician office at a fee ($2000/year or > more plus submitting claims to insurance) which then entitles the person to > unlimited access to the physician. This may entail calling in a prescription > when the person is out of state, same day scheduling, and then above all > personalized care with more time to spend with the doctor. > > Wondering if any PT's in states with direct access to examination and > treatment, had ever considered this and/or are offering services like this and what > if any limitations anyone can think of. Obviously people would have to see the > value to a service like this and then want to part with that kind of money. I > would envision self pay clients would be the target market and especially > those prone to stress and possibly " weekend warrior " type injuries (Ex: busy > executives) that have disposable income and also don't want the hassle of waiting > to get an appointment. > > Interestingly enough, as a part owner of an outpatient clinic I feel we, in > many ways, offer this type of service with extended hours (8am - 7pm and even > that is flexible on weekdays and by appointment on the weekends both Saturday > and Sunday) and same day scheduling but it would in many cases make those long > hours and weekends a little more, at least monetarily, worth while instead of > just collecting the miserable fees that some private insurances love to pay > out. > > Anyone have thoughts about this especially legal ramifications I could be > missing (realizing that could vary by state)???? > > J. Boyle PT, MS, CSCS > Physical Therapist/ Co-owner > Gaston Rehab Associates, Inc. > 1361-B East Garrison Blvd. > Gastonia, NC 28054 > Phone: > Fax: > > www.gastonrehabassociates.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 What is the purpose for having a " concierge " type of practice? Obviously to make a profit. Profit is a good thing. Perhaps that is not the way to achieve it. Let's face it to have this type of service you would need people that can afford it, i.e. the rich. It's not to say that this is a bad thing. Searching for creative ways to make profit is a good idea but misses the point. Shouldn't we as a profession push for higher reimbursement rates? If our services are of great value then we deserve great reimbursement, correct? How long are we going to put up with being the low man on the totem poll? On the flip side, if our rates were raised by ourselves and only the well off could afford it then maybe the ins. co's. would have to raise their rates to be able to provide rehab services for the insured. It would be intereesting to get an economist's point of view on this. Zerr, PT Tempe Date: 2005/06/30 Thu AM 11:39:03 EDT To: <PTManager >, <PTManager > Subject: Re: Concierge Services I understand that everyone has to keep their eyes and ears open for new opportunities. But, my gut tells me that this is not a good thing. I just think that allowing someone better service only when they can pay for it sets a bad precedent. Should a patient who is poor not be able to get a prescription refilled when one who has the means can? Should a patient who can't afford the premium be " bumped " because someone who has paid the premium wants to see the doctor that day? I understand that offering a concierge service doesn't mean that those that can't pay will get poor medical care. But, the truth is, once people start paying, it is inevitable that those that can't pay the extra will suffer. Those appointments will be rescheduled, those prescriptions will not refilled in a timely manner... even if it doesn't start out that way, the risk that it gets there is huge. As we all know, healthcare is not like other industries. I just believe in the premise that healthcare should be a right and not a privilege. I understand that there is so much that goes into this and it's not just as easy as that. I would assume that it wouldn't be long before the government steps in and puts the " cabash " on this type of arrangement. Well, there's my soapbox speech. I'm sure an argument can be made that might make me rethink this but right now, as I said earlier, my gut tells me that at first look, it's kind of icky. Thanks!! Tessa > > From: bribri3849@... > Date: 2005/06/27 Mon PM 05:31:16 EDT > To: PTManager > Subject: Concierge Services > > Dear Group, > > I was doing some reading over the weekend about " Concierge Healthcare " being > offered by some physician offices. For those unfamiliar with this, basically > it is a premier service offered by the physician office at a fee ($2000/year or > more plus submitting claims to insurance) which then entitles the person to > unlimited access to the physician. This may entail calling in a prescription > when the person is out of state, same day scheduling, and then above all > personalized care with more time to spend with the doctor. > > Wondering if any PT's in states with direct access to examination and > treatment, had ever considered this and/or are offering services like this and what > if any limitations anyone can think of. Obviously people would have to see the > value to a service like this and then want to part with that kind of money. I > would envision self pay clients would be the target market and especially > those prone to stress and possibly " weekend warrior " type injuries (Ex: busy > executives) that have disposable income and also don't want the hassle of waiting > to get an appointment. > > Interestingly enough, as a part owner of an outpatient clinic I feel we, in > many ways, offer this type of service with extended hours (8am - 7pm and even > that is flexible on weekdays and by appointment on the weekends both Saturday > and Sunday) and same day scheduling but it would in many cases make those long > hours and weekends a little more, at least monetarily, worth while instead of > just collecting the miserable fees that some private insurances love to pay > out. > > Anyone have thoughts about this especially legal ramifications I could be > missing (realizing that could vary by state)???? > > J. Boyle PT, MS, CSCS > Physical Therapist/ Co-owner > Gaston Rehab Associates, Inc. > 1361-B East Garrison Blvd. > Gastonia, NC 28054 > Phone: > Fax: > > www.gastonrehabassociates.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 Well I may be poorly informed regarding what's going in other regions of the country, but here in southern CO those who are unable to pay are already not receiving the PT they need. With co-pays increasingly being $30-60 (yes $60, that's not a typo) the financially disadvantaged are unable to pay and therefore do not receive the PT they require. I do not see why the government should or would put and end to this concierge arrangement. It could be an answer to the above issue. If Medical savings accounts become more prevalent and better understood why should the individual healthcare consumer not have this choice? As far as Healthcare being a right not a privilege I agree that would be great BUT is it reality? It sounds like your talking about a national healthcare plan. If we go to national healthcare then those who can pay will continue to receive the high quality care they are used to. Do you really think everyone else will also receive high quality care? Do you think you could keep your doors open if national healthcare became a reality? Concierge Services > > Dear Group, > > I was doing some reading over the weekend about " Concierge Healthcare " > being offered by some physician offices. For those unfamiliar with > this, basically it is a premier service offered by the physician > office at a fee ($2000/year or more plus submitting claims to > insurance) which then entitles the person to unlimited access to the > physician. This may entail calling in a prescription when the person > is out of state, same day scheduling, and then above all personalized care with more time to spend with the doctor. > > Wondering if any PT's in states with direct access to examination and > treatment, had ever considered this and/or are offering services like > this and what if any limitations anyone can think of. Obviously people > would have to see the value to a service like this and then want to > part with that kind of money. I would envision self pay clients would > be the target market and especially those prone to stress and possibly > " weekend warrior " type injuries (Ex: busy > executives) that have disposable income and also don't want the hassle > of waiting to get an appointment. > > Interestingly enough, as a part owner of an outpatient clinic I feel > we, in many ways, offer this type of service with extended hours (8am > - 7pm and even that is flexible on weekdays and by appointment on the > weekends both Saturday and Sunday) and same day scheduling but it > would in many cases make those long hours and weekends a little more, > at least monetarily, worth while instead of just collecting the > miserable fees that some private insurances love to pay out. > > Anyone have thoughts about this especially legal ramifications I could > be missing (realizing that could vary by state)???? > > J. Boyle PT, MS, CSCS > Physical Therapist/ Co-owner > Gaston Rehab Associates, Inc. > 1361-B East Garrison Blvd. > Gastonia, NC 28054 > Phone: > Fax: > > www.gastonrehabassociates.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 Well I may be poorly informed regarding what's going in other regions of the country, but here in southern CO those who are unable to pay are already not receiving the PT they need. With co-pays increasingly being $30-60 (yes $60, that's not a typo) the financially disadvantaged are unable to pay and therefore do not receive the PT they require. I do not see why the government should or would put and end to this concierge arrangement. It could be an answer to the above issue. If Medical savings accounts become more prevalent and better understood why should the individual healthcare consumer not have this choice? As far as Healthcare being a right not a privilege I agree that would be great BUT is it reality? It sounds like your talking about a national healthcare plan. If we go to national healthcare then those who can pay will continue to receive the high quality care they are used to. Do you really think everyone else will also receive high quality care? Do you think you could keep your doors open if national healthcare became a reality? Concierge Services > > Dear Group, > > I was doing some reading over the weekend about " Concierge Healthcare " > being offered by some physician offices. For those unfamiliar with > this, basically it is a premier service offered by the physician > office at a fee ($2000/year or more plus submitting claims to > insurance) which then entitles the person to unlimited access to the > physician. This may entail calling in a prescription when the person > is out of state, same day scheduling, and then above all personalized care with more time to spend with the doctor. > > Wondering if any PT's in states with direct access to examination and > treatment, had ever considered this and/or are offering services like > this and what if any limitations anyone can think of. Obviously people > would have to see the value to a service like this and then want to > part with that kind of money. I would envision self pay clients would > be the target market and especially those prone to stress and possibly > " weekend warrior " type injuries (Ex: busy > executives) that have disposable income and also don't want the hassle > of waiting to get an appointment. > > Interestingly enough, as a part owner of an outpatient clinic I feel > we, in many ways, offer this type of service with extended hours (8am > - 7pm and even that is flexible on weekdays and by appointment on the > weekends both Saturday and Sunday) and same day scheduling but it > would in many cases make those long hours and weekends a little more, > at least monetarily, worth while instead of just collecting the > miserable fees that some private insurances love to pay out. > > Anyone have thoughts about this especially legal ramifications I could > be missing (realizing that could vary by state)???? > > J. Boyle PT, MS, CSCS > Physical Therapist/ Co-owner > Gaston Rehab Associates, Inc. > 1361-B East Garrison Blvd. > Gastonia, NC 28054 > Phone: > Fax: > > www.gastonrehabassociates.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 My only exposure to concierge practice is from a physician's perspective almost a decade ago. He was a small town GP/family doc who had an aging population of people he had been treating for 20+ years. It was a very stable population and they *loved* him. He did quite a bit of research (and I will mess up the numbers), something like 95% of individuals on medicare used less than $300 per year in MD services in any given year. Many of them paid more than that in supplemental insurance, never mind copays, etc. This MD figured out what his services cost and then found a price he could charge the clients for this service and they could all " win " , he didn't have to feel like he was hassling little old ladies for money on fixed incomes, it was a set price every month and didn't cost them any " more " , the MD didn't have to worry he would " lose " patients due to finances, etc. During the brief existence of the program the clients really liked it. Although there was some type of " waiver " involved, Medicare didn't much like it and the program shut down. I only had limited exposure to the program and I am sure it wasn't perfect, but made me think that with some creativity there are alternatives to the " standard quo " . Dee Daley, PT Southern Pines, NC > > What is the purpose for having a " concierge " type of practice? Obviously to > make a profit. > > Profit is a good thing. Perhaps that is not the way to achieve it. Let's > face it to have this type of service you would need people that can afford it, > i.e. the rich. It's not to say that this is a bad thing. > > Searching for creative ways to make profit is a good idea but misses the > point. Shouldn't we as a profession push for higher reimbursement rates? If > our services are of great value then we deserve great reimbursement, correct? > > How long are we going to put up with being the low man on the totem poll? > > On the flip side, if our rates were raised by ourselves and only the well > off could afford it then maybe the ins. co's. would have to raise their rates > to be able to provide rehab services for the insured. It would be > intereesting to get an economist's point of view on this. > > Zerr, PT > Tempe > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 My only exposure to concierge practice is from a physician's perspective almost a decade ago. He was a small town GP/family doc who had an aging population of people he had been treating for 20+ years. It was a very stable population and they *loved* him. He did quite a bit of research (and I will mess up the numbers), something like 95% of individuals on medicare used less than $300 per year in MD services in any given year. Many of them paid more than that in supplemental insurance, never mind copays, etc. This MD figured out what his services cost and then found a price he could charge the clients for this service and they could all " win " , he didn't have to feel like he was hassling little old ladies for money on fixed incomes, it was a set price every month and didn't cost them any " more " , the MD didn't have to worry he would " lose " patients due to finances, etc. During the brief existence of the program the clients really liked it. Although there was some type of " waiver " involved, Medicare didn't much like it and the program shut down. I only had limited exposure to the program and I am sure it wasn't perfect, but made me think that with some creativity there are alternatives to the " standard quo " . Dee Daley, PT Southern Pines, NC > > What is the purpose for having a " concierge " type of practice? Obviously to > make a profit. > > Profit is a good thing. Perhaps that is not the way to achieve it. Let's > face it to have this type of service you would need people that can afford it, > i.e. the rich. It's not to say that this is a bad thing. > > Searching for creative ways to make profit is a good idea but misses the > point. Shouldn't we as a profession push for higher reimbursement rates? If > our services are of great value then we deserve great reimbursement, correct? > > How long are we going to put up with being the low man on the totem poll? > > On the flip side, if our rates were raised by ourselves and only the well > off could afford it then maybe the ins. co's. would have to raise their rates > to be able to provide rehab services for the insured. It would be > intereesting to get an economist's point of view on this. > > Zerr, PT > Tempe > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 My only exposure to concierge practice is from a physician's perspective almost a decade ago. He was a small town GP/family doc who had an aging population of people he had been treating for 20+ years. It was a very stable population and they *loved* him. He did quite a bit of research (and I will mess up the numbers), something like 95% of individuals on medicare used less than $300 per year in MD services in any given year. Many of them paid more than that in supplemental insurance, never mind copays, etc. This MD figured out what his services cost and then found a price he could charge the clients for this service and they could all " win " , he didn't have to feel like he was hassling little old ladies for money on fixed incomes, it was a set price every month and didn't cost them any " more " , the MD didn't have to worry he would " lose " patients due to finances, etc. During the brief existence of the program the clients really liked it. Although there was some type of " waiver " involved, Medicare didn't much like it and the program shut down. I only had limited exposure to the program and I am sure it wasn't perfect, but made me think that with some creativity there are alternatives to the " standard quo " . Dee Daley, PT Southern Pines, NC > > What is the purpose for having a " concierge " type of practice? Obviously to > make a profit. > > Profit is a good thing. Perhaps that is not the way to achieve it. Let's > face it to have this type of service you would need people that can afford it, > i.e. the rich. It's not to say that this is a bad thing. > > Searching for creative ways to make profit is a good idea but misses the > point. Shouldn't we as a profession push for higher reimbursement rates? If > our services are of great value then we deserve great reimbursement, correct? > > How long are we going to put up with being the low man on the totem poll? > > On the flip side, if our rates were raised by ourselves and only the well > off could afford it then maybe the ins. co's. would have to raise their rates > to be able to provide rehab services for the insured. It would be > intereesting to get an economist's point of view on this. > > Zerr, PT > Tempe > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 I recently went to a conference where the speakers looked at where the Health Productivity Management Dollar went in 1998 Median costs/eligible employee 47% Group Health 37% Turnover 8% Unscheduled absence 5% non Occupational Disability 3% Workers comp source Medstat/HPM/APOC Benchmarking Study 12/3/04 While it helped me to see why companies are clamoring about group health, this was not what I expected. As we hear complaints about workers comp costs I thought that would be a bigger chunk of the dollar. One thing that came up in discussion was that if Group Health was mandated in some way like workers comp (with all the scrutiny and attention to costs, etc) would that drop the cost of healthcare dollar? Just something to make you go 'hmmmmmmm, Dee Daley, PT Southern Pines, NC > As far as Healthcare being a right not a privilege I agree that would be > great BUT is it reality? It sounds like your talking about a national > healthcare plan. If we go to national healthcare then those who can pay will > continue to receive the high quality care they are used to. Do you really > think everyone else will also receive high quality care? > Do you think you could keep your doors open if national healthcare became a > reality? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 I recently went to a conference where the speakers looked at where the Health Productivity Management Dollar went in 1998 Median costs/eligible employee 47% Group Health 37% Turnover 8% Unscheduled absence 5% non Occupational Disability 3% Workers comp source Medstat/HPM/APOC Benchmarking Study 12/3/04 While it helped me to see why companies are clamoring about group health, this was not what I expected. As we hear complaints about workers comp costs I thought that would be a bigger chunk of the dollar. One thing that came up in discussion was that if Group Health was mandated in some way like workers comp (with all the scrutiny and attention to costs, etc) would that drop the cost of healthcare dollar? Just something to make you go 'hmmmmmmm, Dee Daley, PT Southern Pines, NC > As far as Healthcare being a right not a privilege I agree that would be > great BUT is it reality? It sounds like your talking about a national > healthcare plan. If we go to national healthcare then those who can pay will > continue to receive the high quality care they are used to. Do you really > think everyone else will also receive high quality care? > Do you think you could keep your doors open if national healthcare became a > reality? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 I recently went to a conference where the speakers looked at where the Health Productivity Management Dollar went in 1998 Median costs/eligible employee 47% Group Health 37% Turnover 8% Unscheduled absence 5% non Occupational Disability 3% Workers comp source Medstat/HPM/APOC Benchmarking Study 12/3/04 While it helped me to see why companies are clamoring about group health, this was not what I expected. As we hear complaints about workers comp costs I thought that would be a bigger chunk of the dollar. One thing that came up in discussion was that if Group Health was mandated in some way like workers comp (with all the scrutiny and attention to costs, etc) would that drop the cost of healthcare dollar? Just something to make you go 'hmmmmmmm, Dee Daley, PT Southern Pines, NC > As far as Healthcare being a right not a privilege I agree that would be > great BUT is it reality? It sounds like your talking about a national > healthcare plan. If we go to national healthcare then those who can pay will > continue to receive the high quality care they are used to. Do you really > think everyone else will also receive high quality care? > Do you think you could keep your doors open if national healthcare became a > reality? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 To the group. As a profession we should push for higher reimburement rates. However, aren't all professions (MDs, DOs, Chiropractors, etc..) experiencing lower reimbursement rates. I don't know if their decreasing reimbursement rates are dropping at a different speed, but I hear they are dropping as well. Therefore, I believe as PTs we should come up with legal, ethical, and financially sound ways to profit without the help of the insurance companies. I would like to hear some creative ways other clinics are branching out to capture their fair share of the healthcare market. I would be interested in learning more about the concierge services and applying them legally and ethically in my clinic. I know that my clinic is a one person show, but collectively all small clinics can make an impact on the healthcare system. With time, persistence, and smart ways to provide our services even the larger insurance companies will have to take notice of the paradigm shift. One final point is the use of benchmarking for your fees is important. Hopefully, each clinic knows where they stand in comparison to Medicare Fee schedules, national, and regional benchmark data. Chad Sports Performance & Rehab Zerr wrote: What is the purpose for having a " concierge " type of practice? Obviously to make a profit. Profit is a good thing. Perhaps that is not the way to achieve it. Let's face it to have this type of service you would need people that can afford it, i.e. the rich. It's not to say that this is a bad thing. Searching for creative ways to make profit is a good idea but misses the point. Shouldn't we as a profession push for higher reimbursement rates? If our services are of great value then we deserve great reimbursement, correct? How long are we going to put up with being the low man on the totem poll? On the flip side, if our rates were raised by ourselves and only the well off could afford it then maybe the ins. co's. would have to raise their rates to be able to provide rehab services for the insured. It would be intereesting to get an economist's point of view on this. Zerr, PT Tempe From: Date: 2005/06/30 Thu AM 11:39:03 EDT To: , Subject: Re: Concierge Services I understand that everyone has to keep their eyes and ears open for new opportunities. But, my gut tells me that this is not a good thing. I just think that allowing someone better service only when they can pay for it sets a bad precedent. Should a patient who is poor not be able to get a prescription refilled when one who has the means can? Should a patient who can't afford the premium be " bumped " because someone who has paid the premium wants to see the doctor that day? I understand that offering a concierge service doesn't mean that those that can't pay will get poor medical care. But, the truth is, once people start paying, it is inevitable that those that can't pay the extra will suffer. Those appointments will be rescheduled, those prescriptions will not refilled in a timely manner... even if it doesn't start out that way, the risk that it gets there is huge. As we all know, healthcare is not like other industries. I just believe in the premise that healthcare should be a right and not a privilege. I understand that there is so much that goes into this and it's not just as easy as that. I would assume that it wouldn't be long before the government steps in and puts the " cabash " on this type of arrangement. Well, there's my soapbox speech. I'm sure an argument can be made that might make me rethink this but right now, as I said earlier, my gut tells me that at first look, it's kind of icky. Thanks!! Tessa > > From: bribri3849@... > Date: 2005/06/27 Mon PM 05:31:16 EDT > To: PTManager > Subject: Concierge Services > > Dear Group, > > I was doing some reading over the weekend about " Concierge Healthcare " being > offered by some physician offices. For those unfamiliar with this, basically > it is a premier service offered by the physician office at a fee ($2000/year or > more plus submitting claims to insurance) which then entitles the person to > unlimited access to the physician. This may entail calling in a prescription > when the person is out of state, same day scheduling, and then above all > personalized care with more time to spend with the doctor. > > Wondering if any PT's in states with direct access to examination and > treatment, had ever considered this and/or are offering services like this and what > if any limitations anyone can think of. Obviously people would have to see the > value to a service like this and then want to part with that kind of money. I > would envision self pay clients would be the target market and especially > those prone to stress and possibly " weekend warrior " type injuries (Ex: busy > executives) that have disposable income and also don't want the hassle of waiting > to get an appointment. > > Interestingly enough, as a part owner of an outpatient clinic I feel we, in > many ways, offer this type of service with extended hours (8am - 7pm and even > that is flexible on weekdays and by appointment on the weekends both Saturday > and Sunday) and same day scheduling but it would in many cases make those long > hours and weekends a little more, at least monetarily, worth while instead of > just collecting the miserable fees that some private insurances love to pay > out. > > Anyone have thoughts about this especially legal ramifications I could be > missing (realizing that could vary by state)???? > > J. Boyle PT, MS, CSCS > Physical Therapist/ Co-owner > Gaston Rehab Associates, Inc. > 1361-B East Garrison Blvd. > Gastonia, NC 28054 > Phone: > Fax: > > www.gastonrehabassociates.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 To the group. As a profession we should push for higher reimburement rates. However, aren't all professions (MDs, DOs, Chiropractors, etc..) experiencing lower reimbursement rates. I don't know if their decreasing reimbursement rates are dropping at a different speed, but I hear they are dropping as well. Therefore, I believe as PTs we should come up with legal, ethical, and financially sound ways to profit without the help of the insurance companies. I would like to hear some creative ways other clinics are branching out to capture their fair share of the healthcare market. I would be interested in learning more about the concierge services and applying them legally and ethically in my clinic. I know that my clinic is a one person show, but collectively all small clinics can make an impact on the healthcare system. With time, persistence, and smart ways to provide our services even the larger insurance companies will have to take notice of the paradigm shift. One final point is the use of benchmarking for your fees is important. Hopefully, each clinic knows where they stand in comparison to Medicare Fee schedules, national, and regional benchmark data. Chad Sports Performance & Rehab Zerr wrote: What is the purpose for having a " concierge " type of practice? Obviously to make a profit. Profit is a good thing. Perhaps that is not the way to achieve it. Let's face it to have this type of service you would need people that can afford it, i.e. the rich. It's not to say that this is a bad thing. Searching for creative ways to make profit is a good idea but misses the point. Shouldn't we as a profession push for higher reimbursement rates? If our services are of great value then we deserve great reimbursement, correct? How long are we going to put up with being the low man on the totem poll? On the flip side, if our rates were raised by ourselves and only the well off could afford it then maybe the ins. co's. would have to raise their rates to be able to provide rehab services for the insured. It would be intereesting to get an economist's point of view on this. Zerr, PT Tempe From: Date: 2005/06/30 Thu AM 11:39:03 EDT To: , Subject: Re: Concierge Services I understand that everyone has to keep their eyes and ears open for new opportunities. But, my gut tells me that this is not a good thing. I just think that allowing someone better service only when they can pay for it sets a bad precedent. Should a patient who is poor not be able to get a prescription refilled when one who has the means can? Should a patient who can't afford the premium be " bumped " because someone who has paid the premium wants to see the doctor that day? I understand that offering a concierge service doesn't mean that those that can't pay will get poor medical care. But, the truth is, once people start paying, it is inevitable that those that can't pay the extra will suffer. Those appointments will be rescheduled, those prescriptions will not refilled in a timely manner... even if it doesn't start out that way, the risk that it gets there is huge. As we all know, healthcare is not like other industries. I just believe in the premise that healthcare should be a right and not a privilege. I understand that there is so much that goes into this and it's not just as easy as that. I would assume that it wouldn't be long before the government steps in and puts the " cabash " on this type of arrangement. Well, there's my soapbox speech. I'm sure an argument can be made that might make me rethink this but right now, as I said earlier, my gut tells me that at first look, it's kind of icky. Thanks!! Tessa > > From: bribri3849@... > Date: 2005/06/27 Mon PM 05:31:16 EDT > To: PTManager > Subject: Concierge Services > > Dear Group, > > I was doing some reading over the weekend about " Concierge Healthcare " being > offered by some physician offices. For those unfamiliar with this, basically > it is a premier service offered by the physician office at a fee ($2000/year or > more plus submitting claims to insurance) which then entitles the person to > unlimited access to the physician. This may entail calling in a prescription > when the person is out of state, same day scheduling, and then above all > personalized care with more time to spend with the doctor. > > Wondering if any PT's in states with direct access to examination and > treatment, had ever considered this and/or are offering services like this and what > if any limitations anyone can think of. Obviously people would have to see the > value to a service like this and then want to part with that kind of money. I > would envision self pay clients would be the target market and especially > those prone to stress and possibly " weekend warrior " type injuries (Ex: busy > executives) that have disposable income and also don't want the hassle of waiting > to get an appointment. > > Interestingly enough, as a part owner of an outpatient clinic I feel we, in > many ways, offer this type of service with extended hours (8am - 7pm and even > that is flexible on weekdays and by appointment on the weekends both Saturday > and Sunday) and same day scheduling but it would in many cases make those long > hours and weekends a little more, at least monetarily, worth while instead of > just collecting the miserable fees that some private insurances love to pay > out. > > Anyone have thoughts about this especially legal ramifications I could be > missing (realizing that could vary by state)???? > > J. Boyle PT, MS, CSCS > Physical Therapist/ Co-owner > Gaston Rehab Associates, Inc. > 1361-B East Garrison Blvd. > Gastonia, NC 28054 > Phone: > Fax: > > www.gastonrehabassociates.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 To the group. As a profession we should push for higher reimburement rates. However, aren't all professions (MDs, DOs, Chiropractors, etc..) experiencing lower reimbursement rates. I don't know if their decreasing reimbursement rates are dropping at a different speed, but I hear they are dropping as well. Therefore, I believe as PTs we should come up with legal, ethical, and financially sound ways to profit without the help of the insurance companies. I would like to hear some creative ways other clinics are branching out to capture their fair share of the healthcare market. I would be interested in learning more about the concierge services and applying them legally and ethically in my clinic. I know that my clinic is a one person show, but collectively all small clinics can make an impact on the healthcare system. With time, persistence, and smart ways to provide our services even the larger insurance companies will have to take notice of the paradigm shift. One final point is the use of benchmarking for your fees is important. Hopefully, each clinic knows where they stand in comparison to Medicare Fee schedules, national, and regional benchmark data. Chad Sports Performance & Rehab Zerr wrote: What is the purpose for having a " concierge " type of practice? Obviously to make a profit. Profit is a good thing. Perhaps that is not the way to achieve it. Let's face it to have this type of service you would need people that can afford it, i.e. the rich. It's not to say that this is a bad thing. Searching for creative ways to make profit is a good idea but misses the point. Shouldn't we as a profession push for higher reimbursement rates? If our services are of great value then we deserve great reimbursement, correct? How long are we going to put up with being the low man on the totem poll? On the flip side, if our rates were raised by ourselves and only the well off could afford it then maybe the ins. co's. would have to raise their rates to be able to provide rehab services for the insured. It would be intereesting to get an economist's point of view on this. Zerr, PT Tempe From: Date: 2005/06/30 Thu AM 11:39:03 EDT To: , Subject: Re: Concierge Services I understand that everyone has to keep their eyes and ears open for new opportunities. But, my gut tells me that this is not a good thing. I just think that allowing someone better service only when they can pay for it sets a bad precedent. Should a patient who is poor not be able to get a prescription refilled when one who has the means can? Should a patient who can't afford the premium be " bumped " because someone who has paid the premium wants to see the doctor that day? I understand that offering a concierge service doesn't mean that those that can't pay will get poor medical care. But, the truth is, once people start paying, it is inevitable that those that can't pay the extra will suffer. Those appointments will be rescheduled, those prescriptions will not refilled in a timely manner... even if it doesn't start out that way, the risk that it gets there is huge. As we all know, healthcare is not like other industries. I just believe in the premise that healthcare should be a right and not a privilege. I understand that there is so much that goes into this and it's not just as easy as that. I would assume that it wouldn't be long before the government steps in and puts the " cabash " on this type of arrangement. Well, there's my soapbox speech. I'm sure an argument can be made that might make me rethink this but right now, as I said earlier, my gut tells me that at first look, it's kind of icky. Thanks!! Tessa > > From: bribri3849@... > Date: 2005/06/27 Mon PM 05:31:16 EDT > To: PTManager > Subject: Concierge Services > > Dear Group, > > I was doing some reading over the weekend about " Concierge Healthcare " being > offered by some physician offices. For those unfamiliar with this, basically > it is a premier service offered by the physician office at a fee ($2000/year or > more plus submitting claims to insurance) which then entitles the person to > unlimited access to the physician. This may entail calling in a prescription > when the person is out of state, same day scheduling, and then above all > personalized care with more time to spend with the doctor. > > Wondering if any PT's in states with direct access to examination and > treatment, had ever considered this and/or are offering services like this and what > if any limitations anyone can think of. Obviously people would have to see the > value to a service like this and then want to part with that kind of money. I > would envision self pay clients would be the target market and especially > those prone to stress and possibly " weekend warrior " type injuries (Ex: busy > executives) that have disposable income and also don't want the hassle of waiting > to get an appointment. > > Interestingly enough, as a part owner of an outpatient clinic I feel we, in > many ways, offer this type of service with extended hours (8am - 7pm and even > that is flexible on weekdays and by appointment on the weekends both Saturday > and Sunday) and same day scheduling but it would in many cases make those long > hours and weekends a little more, at least monetarily, worth while instead of > just collecting the miserable fees that some private insurances love to pay > out. > > Anyone have thoughts about this especially legal ramifications I could be > missing (realizing that could vary by state)???? > > J. Boyle PT, MS, CSCS > Physical Therapist/ Co-owner > Gaston Rehab Associates, Inc. > 1361-B East Garrison Blvd. > Gastonia, NC 28054 > Phone: > Fax: > > www.gastonrehabassociates.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 In a message dated 6/30/2005 12:29:13 PM Central Standard Time, summitpt@... writes: It would be intereesting to get an economist's point of view on this. An economist would probably go through the old Supply and Demand model. When demand is high and supply is low or stable, prices generally go up (i.e., Oil & Gas). I think I might be able to offer up a couple of things of interest to this conversation. 1. The original post came out of Pennsylvania. Pennsylvania is a New England state and reimbursement basically SUCKs in that area of the country. When I billed for a client in PA, the Medicare fee schedule was one of the highlights in their reimbursement landscape. Worker's compensation auto liability patients paid a 13% premium over the medicare fee schedule. Highmark (BCBS of PA) was approximately 40% less in reimbursement than Medicare. I told my client that he should shut his practice down and move it to a different state where he could actually treat a patient and not lose money. This man is still in business (last time I spoke with him) but is constantly struggling to meet his financial obligations. 2. Because of the triangular relationship that exists between healthcare provider, patient and insurance companies, it will be very difficult to work out a reimbursement model that all three parties can agree to. If I had a practice in PA, I would offer Concierge services for sure. Based upon the 2+ years of experience with a client in that market, it is about the only way to carve out a profit. Because they sure cannot make ends meet with the reimbursement rates mandated by the state legislature and 50% of their payer mix (50% being represented by the covered lives under Medicare and the Blues). Jim Hall, CPA <///>< General Manager Rehab Management Services, LLC Cedar Rapids, IA 319/447-5625 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 In a message dated 6/30/2005 12:29:13 PM Central Standard Time, summitpt@... writes: It would be intereesting to get an economist's point of view on this. An economist would probably go through the old Supply and Demand model. When demand is high and supply is low or stable, prices generally go up (i.e., Oil & Gas). I think I might be able to offer up a couple of things of interest to this conversation. 1. The original post came out of Pennsylvania. Pennsylvania is a New England state and reimbursement basically SUCKs in that area of the country. When I billed for a client in PA, the Medicare fee schedule was one of the highlights in their reimbursement landscape. Worker's compensation auto liability patients paid a 13% premium over the medicare fee schedule. Highmark (BCBS of PA) was approximately 40% less in reimbursement than Medicare. I told my client that he should shut his practice down and move it to a different state where he could actually treat a patient and not lose money. This man is still in business (last time I spoke with him) but is constantly struggling to meet his financial obligations. 2. Because of the triangular relationship that exists between healthcare provider, patient and insurance companies, it will be very difficult to work out a reimbursement model that all three parties can agree to. If I had a practice in PA, I would offer Concierge services for sure. Based upon the 2+ years of experience with a client in that market, it is about the only way to carve out a profit. Because they sure cannot make ends meet with the reimbursement rates mandated by the state legislature and 50% of their payer mix (50% being represented by the covered lives under Medicare and the Blues). Jim Hall, CPA <///>< General Manager Rehab Management Services, LLC Cedar Rapids, IA 319/447-5625 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 In a message dated 6/30/2005 12:29:13 PM Central Standard Time, summitpt@... writes: It would be intereesting to get an economist's point of view on this. An economist would probably go through the old Supply and Demand model. When demand is high and supply is low or stable, prices generally go up (i.e., Oil & Gas). I think I might be able to offer up a couple of things of interest to this conversation. 1. The original post came out of Pennsylvania. Pennsylvania is a New England state and reimbursement basically SUCKs in that area of the country. When I billed for a client in PA, the Medicare fee schedule was one of the highlights in their reimbursement landscape. Worker's compensation auto liability patients paid a 13% premium over the medicare fee schedule. Highmark (BCBS of PA) was approximately 40% less in reimbursement than Medicare. I told my client that he should shut his practice down and move it to a different state where he could actually treat a patient and not lose money. This man is still in business (last time I spoke with him) but is constantly struggling to meet his financial obligations. 2. Because of the triangular relationship that exists between healthcare provider, patient and insurance companies, it will be very difficult to work out a reimbursement model that all three parties can agree to. If I had a practice in PA, I would offer Concierge services for sure. Based upon the 2+ years of experience with a client in that market, it is about the only way to carve out a profit. Because they sure cannot make ends meet with the reimbursement rates mandated by the state legislature and 50% of their payer mix (50% being represented by the covered lives under Medicare and the Blues). Jim Hall, CPA <///>< General Manager Rehab Management Services, LLC Cedar Rapids, IA 319/447-5625 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 Jim Hall, CPA What would you charge for this Concierge Service? How would you arrive at that fee? What market would be your target? Much is hypothesized about this that it would be rich people and so forth, but it has been my experience that even the rich people in this area are very frugal and complain heavily about copay's. This observation is especially true with the Medicare set. Well, I would be interested in learning your view on this. The concept is interesting. I just have a hard time seeing how to implement the concept. Thanks, Don Drum, PT Michigan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 Jim Hall, CPA What would you charge for this Concierge Service? How would you arrive at that fee? What market would be your target? Much is hypothesized about this that it would be rich people and so forth, but it has been my experience that even the rich people in this area are very frugal and complain heavily about copay's. This observation is especially true with the Medicare set. Well, I would be interested in learning your view on this. The concept is interesting. I just have a hard time seeing how to implement the concept. Thanks, Don Drum, PT Michigan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 Jim Hall, CPA What would you charge for this Concierge Service? How would you arrive at that fee? What market would be your target? Much is hypothesized about this that it would be rich people and so forth, but it has been my experience that even the rich people in this area are very frugal and complain heavily about copay's. This observation is especially true with the Medicare set. Well, I would be interested in learning your view on this. The concept is interesting. I just have a hard time seeing how to implement the concept. Thanks, Don Drum, PT Michigan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 Hidy, Dee -- " ...if Group Health was mandated in some way like workers comp (with all the scrutiny and attention to costs, etc) would that drop the cost of healthcare dollar? " You've stumbled on one of the crucial issues in our industry: Is healthcare a public good or a private good? Is it like lighthouses, something that just ought to be provided in the communal interest? Or... is it something that should be allocated according to many varying levels according to who has the better insurance coverage? should there be a basic level of care for everyone, and then consumers could purchase premium services if they wished? That might be a Concierge Service. No, mandated coverage would not reduce prices. It would increase the utilization of healthcare services. Sort of like saying that if every kid in America was entitled to $1.00 per day in candy at the employer's expense, it might drive down the price of candy. Nope, it'd lead to candy outlets opening on every street corner. (Medicare's been around since 1965, and is perpetually increasing in cost, outstripping the rest of the economy.) Demand would increase, supply would become available only at higher prices, and there would be no market forces restraining, or " holding it down. " There would be no consumer saying, " Your price is too high. I'll shop elsewhere. " There would be consumers claiming that they are entitled to ever-increasingly more costly services at someone else's expense, to attempt to get more out of the system than their employer had paid into it. Now, THIS might be a controversial idea, but... I once heard a provocative speaker suggest that the simplest way to drive down health care costs would be to eliminate government-paid and employer-paid health insurance altogether(!) -- The assertion was that we'd then all become tough shoppers. The counter argument was that there'd be a lot of uninsured persons presenting at the ER after their accident or illness, and society would expect some level of humane care, regardless of the economics, in which case the owners of hospitals and medical practices would be insuring the entire population anyway... People get Ph. D's in this stuff... It's complex. Happy Birthday, America! Dick Hillyer, PT, MBA, MSM Cape Coral, FL Re: Concierge Services I recently went to a conference where the speakers looked at where the Health Productivity Management Dollar went in 1998 Median costs/eligible employee 47% Group Health 37% Turnover 8% Unscheduled absence 5% non Occupational Disability 3% Workers comp source Medstat/HPM/APOC Benchmarking Study 12/3/04 While it helped me to see why companies are clamoring about group health, this was not what I expected. As we hear complaints about workers comp costs I thought that would be a bigger chunk of the dollar. One thing that came up in discussion was that if Group Health was mandated in some way like workers comp (with all the scrutiny and attention to costs, etc) would that drop the cost of healthcare dollar? Just something to make you go 'hmmmmmmm, Dee Daley, PT Southern Pines, NC > As far as Healthcare being a right not a privilege I agree that would be > great BUT is it reality? It sounds like your talking about a national > healthcare plan. If we go to national healthcare then those who can pay will > continue to receive the high quality care they are used to. Do you really > think everyone else will also receive high quality care? > Do you think you could keep your doors open if national healthcare became a > reality? > Quote Link to comment Share on other sites More sharing options...
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