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What is Healthcare's future?
Posted on 8/5/16 at 11:50 am
Posted on 8/5/16 at 11:50 am
Put it here because I'm not trying to get political only or discuss money only. Just health care in general.
My doc recently went to MDVip. Which is a modified concierge service. You pay $1600 to enroll and STILL file under insurance? So he still gets to bill and collect co pays.
Where is this all going?
Basically now Medicare/Medicaid is charity or less, insurance is second class, and cash plus insurance are needed to get healthcare.
My doc is reducing his practice from 3,000 to 600 patients. All while making the same or more cash. Can't begrudge him. While googling for GP or Internal Medicine docs you find the pickings are slim. And I'm here in Katy. Each doc appears young and reviews are poor.
I'm not even pretending to know an answer anymore.
Is there legislation in place that prohibits a doctor from not taking insurance and only taking cash? Why are all of these guys charging an enrollment fee? Why not just charge a real world fee for an office visit? What is that number? It is not what insurance says it is on your statement, it is not what a doc says it is when you currently ask a cash price of a doctor who takes insurance.
My doc recently went to MDVip. Which is a modified concierge service. You pay $1600 to enroll and STILL file under insurance? So he still gets to bill and collect co pays.
Where is this all going?
Basically now Medicare/Medicaid is charity or less, insurance is second class, and cash plus insurance are needed to get healthcare.
My doc is reducing his practice from 3,000 to 600 patients. All while making the same or more cash. Can't begrudge him. While googling for GP or Internal Medicine docs you find the pickings are slim. And I'm here in Katy. Each doc appears young and reviews are poor.
I'm not even pretending to know an answer anymore.
Is there legislation in place that prohibits a doctor from not taking insurance and only taking cash? Why are all of these guys charging an enrollment fee? Why not just charge a real world fee for an office visit? What is that number? It is not what insurance says it is on your statement, it is not what a doc says it is when you currently ask a cash price of a doctor who takes insurance.
This post was edited on 8/5/16 at 11:54 am
22
Posted on 8/5/16 at 11:58 am to LSU alum wannabe
Sounds like you would be paying a premium for increased focus and attention and greater availability.
Unless your heath makes that very important to you (something like diabetes, maybe, or another high maintenance condition), I would find a new doctor.
Unless your heath makes that very important to you (something like diabetes, maybe, or another high maintenance condition), I would find a new doctor.
Posted on 8/5/16 at 12:05 pm to LSU alum wannabe
quote:
Is there legislation in place that prohibits a doctor from not taking insurance and only taking cash? Why are all of these guys charging an enrollment fee? Why not just charge a real world fee for an office visit? What is that number? It is not what insurance says it is on your statement, it is not what a doc says it is when you currently ask a cash price of a doctor who takes insurance.
Docs are having to see more and more patients if they want to make the same amount of money they are used to. It is getting harder and harder for a single doc office to survive. You'll notice that a lot of these guys are selling out to the hospitals or joining large group practices. I applaud the MDVip guys. It's a great business decision IMO. Make the same or more than you're used to while keeping the workload under insane levels.
Posted on 8/5/16 at 12:09 pm to NewIberiaHaircut
Socialize it or Capitalize it.
Abolish all insurance for claims under $5k.
Or have the government pay them.
The 1/2 and 1/2 shite is an abomination.
Abolish all insurance for claims under $5k.
Or have the government pay them.
The 1/2 and 1/2 shite is an abomination.
Posted on 8/5/16 at 12:11 pm to NewIberiaHaircut
I understand and agree. I just wonder where this ends?
Now we are all being good Americans and paying our insurance premiums to be one notch above M&M patients.
Will a flood of docs going MD VIP drive the price down
Now we are all being good Americans and paying our insurance premiums to be one notch above M&M patients.
Will a flood of docs going MD VIP drive the price down
Posted on 8/5/16 at 12:12 pm to Halftrack
We have a bunch of people that have the mentality that the government will take care of them. They get knocked up and then buy shite with their foodstamps and then pass that on to their kids. Then because they are fat and have health issues related to that, then we pay again for their problems. Don't you love this country. 
Posted on 8/5/16 at 12:16 pm to LSU alum wannabe
My diabetes doc went to straight concierge service a few years ago. No insurance. He said that it was getting to the point that he was having to see people one after another all day long and had no time to actually go over their charts, research, and personalize treatment. It's a bit expensive, but as a t1 diabetic, it's well worth it to me. I pay my annual fee, and I can see him as much as I want. I have his (and his wife's) cell numbers, in case I need something out of business hours. When I needed an insulin pump, his office coordinated everything between the company and me, and they did all of the education in their office. Also, I work out of state, and it's nice to be able to handle most of my stuff through email. It's like anything else, you have to decide for yourself how much good service is worth to you.
Posted on 8/5/16 at 12:17 pm to LSU alum wannabe
Healthcare's future is probably vending machines, junior college grad "doctors," and bureaucracy that would make the Department of Education blush.
Posted on 8/5/16 at 12:18 pm to Weaver
People need to start accepting death and we need to let people go. The end of life care is just too expensive and drawn out. Manage the pain and give them the best quality of life possible. I read somewhere that if everyone signed a DNR, that would cut medical costs by a third. Its not an easy desicison, but its necessary..
Posted on 8/5/16 at 12:19 pm to Weaver
I eventually can see legislation that prohibits double dipping?
I just see a world where the old and the poor are ALL mixed together seeing the worst medicine has to offer and the insured are only barely better off.
I just see a world where the old and the poor are ALL mixed together seeing the worst medicine has to offer and the insured are only barely better off.
Posted on 8/5/16 at 12:22 pm to brmark70816
quote:
People need to start accepting death and we need to let people go. The end of life care is just too expensive and drawn out. Manage the pain and give them the best quality of life possible.
I made the mistake of bringing this up with my family. The family member that was slowly and painfully dying wanted to go. They thought I was Dr. Kevorkian.
Posted on 8/5/16 at 12:22 pm to LSU alum wannabe
Robo Docs. Watson can already outperform nearly all human doctors in diagnosis. Pretty soon the only healthcare professionals will be nurses and surgeons and we'll all be healthier for it. Also it will be a great deal cheaper.
Posted on 8/5/16 at 12:23 pm to PairofDucks
In my opinion, healthcare in the future will be like the education system is now. Everyone will have a public option. Those that can of afford more will have the option to pay for private healthcare. This is just like public and private schools.
Posted on 8/5/16 at 12:26 pm to Halftrack
quote:
Halftrack
quote:
1/2 and 1/2 shite is an abomination.
Hmmmmm.......
Posted on 8/5/16 at 12:28 pm to NewIberiaHaircut
quote:
made the mistake of bringing this up with my family. The family member that was slowly and painfully dying wanted to go. They thought I was Dr. Kevorkian.
Always gonna have that hurdle. Also, if the patient is still lucid they back out. Not often but it does happen. Can't fault them at all. Saying you're ready to go, and actually sticking to it are two different things. Cared for many DNRs who backed down and wanted to be put on the vent. How can you tell that person "no"? When you are being told you won't make the night, some people do get scared.
Posted on 8/5/16 at 12:30 pm to brmark70816
quote:
People need to start accepting death and we need to let people go. The end of life care is just too expensive and drawn out. Manage the pain and give them the best quality of life possible. I read somewhere that if everyone signed a DNR, that would cut medical costs by a third. Its not an easy desicison, but its necessary..
My grandpa worked till three weeks before death. He fell, went to icu, and flat lined. He had a dnr, but because the hospital was to busy to look at his chart they revived him. Spent a couple weeks on life support at an insane cost.
Dont have a point. Just wanted to share.
Posted on 8/5/16 at 12:32 pm to LSU alum wannabe
In no way can any piece of legislation fix healthcare. There are already too many regulations for the system to survive. You posting this thread is evidence of it. Once your almighty and "benevolent" govt overseers get out, and insurance takes on the practice of car or home insurance (instead of paying for every damn little thing), will the problem ever be fix.
Posted on 8/5/16 at 12:34 pm to NewIberiaHaircut
show them the math on loss inheritance and they'll sign the kill him papers with the quickness.
Posted on 8/5/16 at 12:35 pm to white perch
quote:
n my opinion, healthcare in the future will be like the education system is now. Everyone will have a public option. Those that can of afford more will have the option to pay for private healthcare. This is just like public and private schools.
This.
But needs to come with transparency of what a "real" fee for service is. I had a lithotripsy a while back. The "bill" was $28,000!!
NOBODY got 28000! The portion you wind up paying out of pocket in a standard 80/20 policy is closer to what the procedure should cost. IN FULL. there has not been a real world fee for services in years. I don't think even physicians know what they are worth anymore. How much should a surgeon get for an appendectomy? A veterinarian can quote a price for a bowel resection on a dog in a heartbeat. And the standard of care is about the same sadly.
Posted on 8/5/16 at 12:39 pm to ksayetiger
My brother in law fought for over a year. They brought in hospice/home health and he was back and forth to the hospital a half a dozen times or more. His medical expenses when he died were in the millions and he was under 40. No one is going to pay those costs and I'm not sure what was gained by keeping him going that short amount of time. I could never tell my sister that though. So I get what you mean. But somebody should have stopped it before it got that far..
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