Reply to Doctor's office switching to "concierge" (additional cost outside of insurance)

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[quote=Anonymous][quote=Anonymous]I’m a doctor in primary care. If you want an MD pcp doctor in the future with good appointment times and someone who has time to listen etc this is what the future holds. For many it’s either this or leaving medicine all together because the current landscape is not sustainable.

In the future it will be either MD via concierge for the rich and a rotating group of NP/PA with less training for everyone else. [/quote]

I haven't read the whole thread, but I'm a private practice board certified pelvic PT/DPT and agree with this entirely and it's not just MDs doing this, it's also mental health care professions and PT/OT/SPTs.  The bad/mediocre providers will still be in network, but those of us with lots of certifications, experience, education, and training will be concierge/cash based with superbills and the clients can fight it out with their insurers for reimbursement.  Insurance does not reimburse us adequately for the care we need to provide to get clients better.  United Healthcare is [i]notorious [/i]for going back 2 years and trying to "claw back" reimbursements they paid to providers for treatments done 2 years ago - entire hospital systems are dropping UH this coming year.  [/quote]

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