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

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Private practice, especially with high overhead costs in this urban environment (rent, staff, etc), are not able to be sustainable if you take insurance.

Insurance only works for large corporations who use PCPs office to refer to the hospital and specialists that generate profits and so the PCPs are "loss leaders".

If you want to see a doc who takes insurance, they usually have a panel of 3,000!  Concierge has about 500-600 and that is still a lot of work. But at least they can devote more time and brain power to you.

This country (Medicare, and thus insurance) doesn't value or reimburse primary care or preventative medicine.  They pay for procedures and medications (some).  [/quote]

Sounds like we need more PCPs employed by health systems, then. The private practice system is broken.[/quote]

Large health systems treat pcps like crap. They measure them on productivity and force them to  see patients every 15 minutes (then patients complain they are being rushed) and will place random patients on their schedules. For some it’s either leave medicine or go concierge just to maintain some autonomy and dignity in the practice of medicine. [/quote]

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