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Reply to "Drs office charging monthly fee for "better service"??"
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[quote=Anonymous][quote=Anonymous]Concierge service. Definitely a result of insurance micro managing the doctor/patient relationship. I am 50 and healthy--see my doc 1 or 2 times a year so I don't think the extra money is justified. However, if I had a chronic illness and needed to see my dr frequently, I would probably pay the fee.[/quote] Bingo. that's the point of concierge services. Most health plans, including Medicare, do not reimburse doctors for any of the work they do to manage the care for patients with multiple chronic conditions and there are a lot of patients out there like that. So all the time spent trying to contact your patients' specialists and other providers gets expensive and isn't reimbursed. They're also not reimbursed for time spent after-hours emailing and otherwise communicating with high-need patients. I'm not trying to defend concierge-type practices (nor am I a doctor, just a health policy analyst), but just explaining why they are popping up. If I had multiple conditions and was seeing upwards of 3, 4, 10 doctors, I might be willing to pay for that kind of coordination. Of course, what would make a lot more sense, and be far more equitable, is if health plans would make care coordination a billable code. [/quote]
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