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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I am so opposed to this trend.

They are charging you a retainer to be their patient.

Trying to work less and make more.

Cutting out all but wealthy patients..

Reeks of greed, but around here they can get away with it.[/quote]

I don't agree.  On a lot of fronts.

First not just here but it is everywhere and it is the future.  I think it will not be too long before other practices require 500 to join.

Doctors are not trying to make more.  In most cases they make less.  But they can spend more time with patients.

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It's about quality of their day.  Our CM doc has at most 300 patients vs the 2500+ most regular PCP have.  All appointments are at least 30 mins, many 1 hour.   When I have an issue and doing lab work/radiology/various testing, my CM doc actually calls me with the results and is not rushed, we can talk for 10-15 mins or as long as needed to evaluate and make a plan.  And the call is typically the same day the results come back, usually within a few hours (I mean they do have appts, so it's typically at the lunch break or end of day if they have a full day of actual appts).  It's the doc that calls, not the front desk/nurse assistant.  It's not just an email.  It's direct doc to me contact.  And that is wonderful when you have issues, and can get your questions answered promptly.  
So they are not as rushed thru the day.  They seem happier and more relaxed than when they were not CM (I followed my fav doc into the CM practice).  Previously when she would attempt to spend extra time with a patient, you know that 45 mins she spent with me would then push the rest of her day way off schedule (as appt was only a 15 min appt).  Now she can listen, spend time helping patients and still be on schedule.

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