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direct primary care

Posted on 2/6/15 at 2:33 pm
Posted by LSU6262
Member since Jun 2008
7489 posts
Posted on 2/6/15 at 2:33 pm
Anyone heard of this concept?

Basically, instead of paying insurance, month to month; you pay a primary physician a monthly fee. When you need to see your primary dr, there is no hidden fees because you are paying them directly and cutting out the confusing insurance.

Thoughts? I think it's an interesting concept
This post was edited on 2/7/15 at 7:27 pm
Posted by Jim Rockford
Member since May 2011
98128 posts
Posted on 2/6/15 at 2:34 pm to
What happens if you need hospitalization or a specialist?
Posted by saderade
America's City
Member since Jul 2005
25728 posts
Posted on 2/6/15 at 2:39 pm to
Yes it is called concierge medicine. It is typically used by wealthier people that can afford thousands of dollars upfront but require better service.
But it doesn't include specialists or hospitalization, diagnostic testing etc
Posted by lsu480
Downtown Scottsdale
Member since Oct 2007
92876 posts
Posted on 2/6/15 at 2:40 pm to
Yes its a concierge doctor, its a cool concept.
Posted by NewIberiaHaircut
Lafayette
Member since May 2013
11540 posts
Posted on 2/6/15 at 2:41 pm to
MDVIP. Subscription service for medical care. I've seen it in richer areas and it appears to be doing well.
Posted by AnonymousTiger
Franklin, TN
Member since Jan 2012
4863 posts
Posted on 2/6/15 at 2:48 pm to
quote:

What happens if you need hospitalization or a specialist?


Then you better have insurance.
Posted by ILikeLSUToo
Central, LA
Member since Jan 2008
18018 posts
Posted on 2/6/15 at 2:55 pm to
Had a boss who used it. He liked being able to get antibiotics ahead of time if there was something going around the office.
Posted by medtiger
Member since Sep 2003
21652 posts
Posted on 2/6/15 at 3:32 pm to
It's a very interesting concept. From what I've heard, the company that sets it up for the primary care docs, cap the number of patients. For instance, they'll charge $2,000 per patient but cap the number of patients a practice can have at 500 (Just making the numbers up). The company takes half and the practice keeps half. The patient can have unlimited visits. Obviously, the issue is having the cash up front and this not including hospitalization, specialists, procedures, etc.
Posted by borrelia
Member since Mar 2009
2019 posts
Posted on 2/6/15 at 3:42 pm to
It's going to become more common as more docs get frustrated with Medicare/insurance companies and stop accepting them. I'm a specialist so I can't really do it, but my friend is a doc with MDVIP and she's killing it. Making more money for much less work and hassle. She only sees 6-8 patients most days and she's got like an hour to spend with each of them.

Important thing is you obviously still need insurance for other docs, hospital, tests, etc so for now it will only be for wealthier people.
Posted by LSUfan20005
Member since Sep 2012
8807 posts
Posted on 2/6/15 at 4:19 pm to
quote:

She only sees 6-8 patients most days and she's got like an hour to spend with each of them


That would be huge. IMO, the whole 6-minute patient visits are a big problem. Docs feel pressured to make a quick decision, patient leaves disappointed because no long-term improvement happens, etc.

My only thing with a monthly subscription - you better like your DR and shop around ahead of time.
Posted by borrelia
Member since Mar 2009
2019 posts
Posted on 2/6/15 at 4:31 pm to
quote:

That would be huge. IMO, the whole 6-minute patient visits are a big problem. Docs feel pressured to make a quick decision, patient leaves disappointed because no long-term improvement happens, etc. My only thing with a monthly subscription - you better like your DR and shop around ahead of time.


Absolutely. It puts a huge amount of pressure on the doc to keep patients happy because they aren't going to continue to pay if they aren't satisfied.

The way MDVIP works they basically have access to her 24/7. Cell phone number, home phone, email, everything. It depends on trust on the patients part to not abuse it and on the doctors part to be responsive.

I think it's great and if I were a primary care doc I'd love to try it.
Posted by Itismemc
LA
Member since Nov 2008
4714 posts
Posted on 2/6/15 at 4:59 pm to
MDVIP cap 600 patients, $1800 fee and $500 goes back to MDVIP
Posted by medtiger
Member since Sep 2003
21652 posts
Posted on 2/6/15 at 10:56 pm to
Is the cap per doctor or per practice?
Posted by Hopeful Doc
Member since Sep 2010
14942 posts
Posted on 2/7/15 at 12:04 am to
quote:

MDVIP cap 600 patients, $1800 fee and $500 goes back to MDVIP


And is MDVIP any more than a matching service, or does some of that overhead go into office space or employees?
Posted by Tiger Ryno
#WoF
Member since Feb 2007
102972 posts
Posted on 2/7/15 at 12:15 am to
My family has used this service for 5 years
Posted by TMDawg
Member since Nov 2012
5374 posts
Posted on 2/7/15 at 1:16 am to
(no message)
This post was edited on 2/7/15 at 12:47 pm
Posted by LSUfan4444
Member since Mar 2004
53730 posts
Posted on 2/7/15 at 6:53 am to
I'm sure others have said it but it doesn't replace insurance. It's in addition to most peoples insurance.
Posted by Cracker
in a box
Member since Nov 2009
17669 posts
Posted on 2/7/15 at 9:07 am to
boutique medicine

UPMC has a nice system
Posted by LSU6262
Member since Jun 2008
7489 posts
Posted on 2/7/15 at 7:30 pm to
The most sought after doctors would seemingly do really well at this
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