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]
You should try it. You will get less than 15 min. Can’t get ahold of anyone. Docs are burning out and leaving. Mostly young docs or NPs and PAs who don’t really know how to practice medicine because they don’t have enough training. 
But those attached to hospitals can charge a “facilities fee” which you may have seen on your EOB. That helps them pay all the administrators. It’s crazy. Hospitals with clinics make crazy $$$. Just not the doctors. They make nothing and work like hamsters on a wheel….lots of admin work. Very little quality time with patients. Not sustainable if you actually care about people. [/quote]

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