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Started By
Message
Doctor fed up with insurance making dramatic change in how he charges patients
Posted on 9/5/14 at 8:49 am
Posted on 9/5/14 at 8:49 am
LINK
Interesting ideas, but his patients will still need insurance.
Interesting ideas, but his patients will still need insurance.
quote:
“What I’m intending to do is do away with insurance. I want to cut out the middle man between me and you,” said Dr. Kenneth W. Stubbs, a board certified internal medicine physician and partner at Internal Medicine Associates of Natchez.
quote:
Beginning Jan. 1, 2015, Stubbs said he will operate on a cash only basis, meaning his patients will be expected to pay him at the time of service either in cash, by “good checks” or with a credit card.
quote:
Under Stubbs’ “Plan A,” or the most expensive plan, patients pay an annual fee of $1,500 or three payments during the year — one in January, one in March and the last in May — of $525 each. “Plan A” includes the patient’s annual wellness visit and basic labs and some basic testing.
In addition, any other office visit a “Plan A” patient needs during the year will be at no charge. However, additional testing and vaccinations like the flu shot will carry additional, nominal fees. If a “Plan A” patient must be hospitalized, Stubbs will not charge that patient for any work he does on the patient in the hospital.
Stubbs’ “Plan B” costs about $600 per year, prepaid, or $55 per month with a checking account draft. Office visits under “Plan B” will mean additional charges, such as $150 for a wellness examination to $50 for a simple office visit. Labs will be additional fees, as will daily charges if the patient must be hospitalized.
“Plan C,” which will be available to full-time students through college age will cost $120 per year with additional and higher charges for exams and doctor visits.
“Remember, this is only for my services,” Stubbs said. “I can’t control what the X-ray doctor charges you or what the pharmacist charges you. You still need insurance.
This doesn’t replace your insurance or other charges or expenses. It’s only for my charges. Don’t misconstrue this. I’m not going to pay for your mammogram.”
Stubbs’ partners would cover for him when he is vacationing or otherwise away, just as they do now, without charging his patients additional expenses.
However, after his practice change Jan. 1, 2015, Stubbs’ patients will have his cell phone number and greater access to him and his staff.
Because of the time he plans to spend with his patients, he said it’s necessary to limit the number he accepts into his new, no-insurance practice.
“If I’m going to spend an hour or an hour and a half with you when you come in, I can’t have unlimited number of patients,” he said. When one of his patients calls him and needs to see him, he said he plans to make certain he can see that patient that day or the next working day.
Stubbs said a firm limit on how many patients he’ll accept hasn’t been established, but he expects it to be somewhere around 500. He currently has about 2,000 patients on his rolls, “but I don’t see many of those regularly,” he said.
Posted on 9/5/14 at 8:52 am to AnonymousTiger
I know that guy.
Matt Moscona used to do a plug for a guy in BR area doing this very thing. I can't remember his name or his clinic. I can dig it.
Matt Moscona used to do a plug for a guy in BR area doing this very thing. I can't remember his name or his clinic. I can dig it.
Posted on 9/5/14 at 8:53 am to AnonymousTiger
The insurance companies will figure out how to sue him and make him stop.
Posted on 9/5/14 at 8:53 am to AnonymousTiger
I see a lawsuit from either the state government or the insurance industry in his future. Can't have docs leaving the system.
Posted on 9/5/14 at 8:55 am to mikelbr
$1500 sounds reasonable to me for a doctor with his experience who also agrees to give you tons of access and spend more time with each patient.
I wonder if he is going to limit it to 500 people on each level of plan though. 500 wouldn't do it if everyone signs up for the lowest coverage level.
But holy hell, the $1500 would add up quick. He would bring in 3/4 of a million a year if everyone goes with that one. (obviously not what he would bring home)
I wonder if he is going to limit it to 500 people on each level of plan though. 500 wouldn't do it if everyone signs up for the lowest coverage level.
But holy hell, the $1500 would add up quick. He would bring in 3/4 of a million a year if everyone goes with that one. (obviously not what he would bring home)
This post was edited on 9/5/14 at 8:58 am
Posted on 9/5/14 at 8:55 am to AnonymousTiger
Sounds kind of like the MDVIP plan that several doctors around BR have gone to. I think there's also at least one clincic in town that offers cash-only (no insurance filing) visits for a flat fee per visit.
Posted on 9/5/14 at 8:56 am to Dorothy
quote:
Sounds kind of like the MDVIP plan that several doctors around BR have gone to. I think there's also at least one clincic in town that offers cash-only (no insurance filing) visits for a flat fee per visit
Right. Didn't Matt do an advertisement for that clinic? I sure would like to find out what it was.
Posted on 9/5/14 at 8:58 am to AnonymousTiger
Will they not have to have insurance anyway, based on the mandate..?
Posted on 9/5/14 at 8:59 am to GrammarKnotsi
Yes. He says that everyone will still need their own insurance, especially to pay for everything that falls outside of his area of practice, but he will not accept it.
Posted on 9/5/14 at 9:02 am to AnonymousTiger
quote:
He says that everyone will still need their own insurance, especially to pay for everything that falls outside of his area of practice, but he will not accept it.
So how would this be a good deal..Insurance would only cost you $20-30 to see this guy, but seeing him with his plan could cost you $1500
Posted on 9/5/14 at 9:03 am to AnonymousTiger
This is starting to happen more and more. Hopefully, mini-networks or different specialty groups will begin to work together to offer various networks. Get rid of insurance and bypass the gov't altogether.
Posted on 9/5/14 at 9:03 am to mikelbr
I can't remember what the clinic or doctor was that ran the flat-fee office policy... I remember hearing the ads on the radio and seeing fliers/signs though, so it was probably the same one Matt advertised.
The MDVIP thing I was talking about has several doctors in Baton Rouge LINK. Our old primary care physician went to that plan, then the new one we switched to went too. It wasn't worth it for us to join because we don't go to the doc that often, but my father-in-law became one of their members and loves it.
The MDVIP thing I was talking about has several doctors in Baton Rouge LINK. Our old primary care physician went to that plan, then the new one we switched to went too. It wasn't worth it for us to join because we don't go to the doc that often, but my father-in-law became one of their members and loves it.
This post was edited on 9/5/14 at 9:04 am
Posted on 9/5/14 at 9:04 am to Dorothy
quote:
I remember hearing the ads on the radio and seeing fliers/signs though, so it was probably the same one Matt advertised.
Louisiana Family Medicine
Posted on 9/5/14 at 9:05 am to GrammarKnotsi
quote:
So how would this be a good deal..Insurance would only cost you $20-30 to see this guy, but seeing him with his plan could cost you $1500
It's a good deal for him. And there are tons of people out there that would be willing to pay more to get more access to a good doctor. Just look at all of the doctors in other socialized medicine countries, such as England, that have stopped taking insurance in order to cater their practice to people with money.
Slight difference here is that Dr. Stubbs offers lower priced plan levels that almost anyone could afford.
Posted on 9/5/14 at 9:06 am to Dorothy
There's a clinic in LC that does something similar. They don't take Medicare or Medicaid. They'll file with your insurance, but you still have to pay the fee up front and your insurance can reimburse you. Don't do "pain management." Open on Saturdays.
Posted on 9/5/14 at 9:06 am to AnonymousTiger
quote:
Slight difference here is that Dr. Stubbs offers lower priced plan levels that almost anyone could afford.
But on top of my current insurance...Am I missing something..?
Posted on 9/5/14 at 9:07 am to AnonymousTiger
Maybe I am missing something here.
Why, as a patient, would I sign up for this shite? I have to pay for insurance, either directly or through my employer, and I have to pay extra to see this guy?
Why wouldn't I just take my lumps through my insurance company, and go see a guy with a $20 copay or something.
Why, as a patient, would I sign up for this shite? I have to pay for insurance, either directly or through my employer, and I have to pay extra to see this guy?
Why wouldn't I just take my lumps through my insurance company, and go see a guy with a $20 copay or something.
Posted on 9/5/14 at 9:07 am to AnonymousTiger
quote:
Stubbs’ “Plan B” costs about $600 per year, prepaid, or $55 per month with a checking account draft. Office visits under “Plan B” will mean additional charges, such as $150 for a wellness examination to $50 for a simple office visit. Labs will be additional fees, as will daily charges if the patient must be hospitalized.
$55 per month with $50 copays doesn't sound too bad except that this only covers you if you need a general practitioner and not any specialists. If I still need insurance anyway to cover everything else, what's the point unless I'm sickly and know I go to GPs a lot?
Posted on 9/5/14 at 9:08 am to GrammarKnotsi
quote:
But on top of my current insurance...Am I missing something..?
Obviously, you are not the demographic he is targeting.
Posted on 9/5/14 at 9:10 am to DirtyMikeandtheBoys
I think he is reaching out to the people who don't have insurance and they can basically get "his coverage." He is just saying you need to have insurance as a bit of a front imo. This is basically insurance light.
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