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Started By
Message
re: Dr Matt Chamberlain new policy
Posted on 12/5/16 at 11:53 am to UF
Posted on 12/5/16 at 11:53 am to UF
quote:
AMA has been politicized and supported Obamacare from the outset, which has also prompted this concierge stuff.
I was writing my grad school paper on establishing a concierge business model long before the ACA was passed. It's been a trend since the volume needed to be profitable with current FFS contracts became overbearing for PCP's. Financially minimizing primary care services started this trend. E&M codes pay squat, and that is what a PCP lives on.
Then the ARRA and HITECH were added in 2009 requiring EMR adoption and quality reporting for all eligible professionals. The financial cataclysm this has been for private practice is the other primary cause for shifting to boutique practices.
You're right about the AMA being complicit with the ACA, and about them restricting residency slots. No argument there. But their impact is truly minimal in the grand scheme of things beyond the PCP shortage. Which, to a degree, has been plugged with foreign medical grads.
This post was edited on 12/5/16 at 11:54 am
2
Posted on 12/5/16 at 11:58 am to yoga girl
quote:
This has to be illegal. Sounds like a way to exclude the poor from his practice.
You know more about medicine than most Doctors.
Posted on 12/5/16 at 12:03 pm to Mir
yuk yuk
Grow up
Grow up
Posted on 12/5/16 at 12:04 pm to maxxrajun70
The VIP model is not a very good investment for someone who is not chronically ill.
Unofficial survey (upvote for yes, downvote for no)
Who would be on board with a provider (MD) who ran a cash based practice (on time) to discuss practical ways to maintain wellness/ health? Topics would address non - pharmacological mangement of stress/sleep along with optimal diet/exercise in a customized fashion (nutritionist support if needed)
Telemedicine would be an option for busy folks. Lab draws can be coordinated at patient convenience. Higher end testing (genomics, nutrition, food sensitivity, microbiome assessment) could be offered. Electronic updates (email, social media) provided to distribute timely general info on health wellness
The goal of care would be maximal optimization through diet/lifestyle. "Traditional /conventional medicine" and referrals to specialist used as a backup strategy. The relationship would be more teacher/student instead of parent/child...
Anybody???
Unofficial survey (upvote for yes, downvote for no)
Who would be on board with a provider (MD) who ran a cash based practice (on time) to discuss practical ways to maintain wellness/ health? Topics would address non - pharmacological mangement of stress/sleep along with optimal diet/exercise in a customized fashion (nutritionist support if needed)
Telemedicine would be an option for busy folks. Lab draws can be coordinated at patient convenience. Higher end testing (genomics, nutrition, food sensitivity, microbiome assessment) could be offered. Electronic updates (email, social media) provided to distribute timely general info on health wellness
The goal of care would be maximal optimization through diet/lifestyle. "Traditional /conventional medicine" and referrals to specialist used as a backup strategy. The relationship would be more teacher/student instead of parent/child...
Anybody???
This post was edited on 12/5/16 at 12:37 pm
Posted on 12/5/16 at 12:04 pm to jeekers78
quote:
I don't think this is accurate. It was explained to me that they will still be affiliated with OLOL and will run their standard billing thru OLOL. So that shouldn't change as I understand it.
Not what the letter I received said. Just saying.
Posted on 12/5/16 at 5:15 pm to KamaCausey_LSU
quote:
Well there are six other doctors at the same OLOL Primary care facility he was at. I'll probably just switch to Dr. Lee or maybe Dr. Barber
Before I moved from BR I saw Dr Barber for years (When he wasnt available, Id see Dr Chamberlain) and I really liked him.
As far as Dr Chamberlain going this route, I dont blame him. Ive heard other Dr's mention going this route but alot of them say they cant because they have way too many patients. In my opinion, if you have a large clientele that coukd afford this, then why not? Its no different than Financial Planners requiring their clientele to have a certain amount invested in order to work with them.
Posted on 12/5/16 at 5:47 pm to maxxrajun70
My Doctor did this about 4 or 5 years ago. You pay yearly "fee" and they guarantee that you are seen within 24 hours of requesting an appt. Say there is a limited patient population and more one-on-one time. No insurance claims, etc. Loved my doctor but had to move on. Not worth it for me. I only go once a year when forced to. It's the way of the future.
Posted on 12/5/16 at 5:49 pm to JOHNN
I got my final wellness exam with him on Friday... I admire what he's doing but it just does not make sense for me based on my health profile.
Posted on 12/5/16 at 6:05 pm to titmouse
Sounds like Dr. Chamberlain is the OT doc of choice.
I'm a patient as well.
I'm a patient as well.
Posted on 12/5/16 at 6:09 pm to maxxrajun70
it's a concierge practice. Lots of physicians are goingg that route, to keep from dealing with insurors/medicare/medicaid. Curious to see if it works. Out here in NorCal the only non-concierge GP/FPs are the Medicaid providers.
Think about it: your guy has to see 40-50 patients a day, spend countless hours billing and fighting insurors. If he gets 300 patients to join his practice, that's around $450K, plus he can still bill your health insurance. Get by with smaller staff, and have more personal relationship w patients. interesting concept.
Think about it: your guy has to see 40-50 patients a day, spend countless hours billing and fighting insurors. If he gets 300 patients to join his practice, that's around $450K, plus he can still bill your health insurance. Get by with smaller staff, and have more personal relationship w patients. interesting concept.
Posted on 12/5/16 at 6:26 pm to titmouse
I use the MD VIP platform. It does cost more, but it is worth it to me for the convenience. The cost does bother me at times, but I spend more on, tailgating, LSU sports tickets, beer, trips/ travel etc.
I wouldn't have done it at 27 or 37, but at 47 it seems like money well spent. Tracking your numbers for year over year comparison/ chang has it merits I believe. As your friends start to come down with more serious health issues, you rethink things I guess.
I wouldn't have done it at 27 or 37, but at 47 it seems like money well spent. Tracking your numbers for year over year comparison/ chang has it merits I believe. As your friends start to come down with more serious health issues, you rethink things I guess.
Posted on 12/5/16 at 6:42 pm to MSMHater
MSMHater - from your health admin perspective, what do you think about using a healthsaharing plan such as Liberty Health Share in lieu of traditional health insurance?
Posted on 12/5/16 at 7:41 pm to MSMHater
quote:
In lieu of health insurance
But what happens when you need to go to the hospital or see a specialist? Still would need health insurance to cover anything that you have to go somewhere besides your primary for
Posted on 12/5/16 at 7:45 pm to maxxrajun70
My old doctor did this. I left his practice
according to him, he did this because his practice had gotten to big ( to many patients).
according to him, he did this because his practice had gotten to big ( to many patients).
Posted on 12/5/16 at 7:50 pm to Sheep
quote:
I can't believe this guy has gone from being one of the original drummers of Pearl Jam to being a primary care physician.
Matt Cameron
Posted on 12/5/16 at 9:15 pm to Rekrul
I think it's great for primary care Drs and for people who want to be able to see their MD when they need it. If you can't afford a Mercedes drive a GM
Posted on 12/5/16 at 9:20 pm to yoga girl
quote:
This has to be illegal
I know you're just a troll but a Dr office is a private business
Posted on 12/5/16 at 9:41 pm to maxxrajun70
This has been going on for a while in some other states. Family in Cali have a type of concierges service going on besides their policy.
Posted on 12/5/16 at 9:43 pm to MSMHater
My cousin told me about this concierge or boutique doctor system that they use in Los Angels and that was around 12 years ago. Apparently it's pretty normal in that once a doctor proves himself and has a loyal client base he can start charging extra to guarantee a more personalized service. Some even will do house calls, it all depends on how high-end you want to go. I recall him saying he paid for a membership not for just one doctor but for a NETWORK of doctors of which his doctor was a participant in.
Louisiana =/= L.A. though so I dont know how sound this business model is. There's a million millionaires in LA but not that many in BR. $120 is not much but once a lot more doctors try to do it, the market will quickly be saturated and it may backfire on him.
Louisiana =/= L.A. though so I dont know how sound this business model is. There's a million millionaires in LA but not that many in BR. $120 is not much but once a lot more doctors try to do it, the market will quickly be saturated and it may backfire on him.
Posted on 12/5/16 at 10:12 pm to maxxrajun70
does he give tons of free viagra samples or something? why would anybody do this, mates?
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