| October 10, 2005
True words about primary care: “We pay doctors fairly well to do procedures on people. We don’t pay particularly well for consultation and managing . . . Then we’re surprised that doctors don’t spend a lot of time with patients.”
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The average co-pay for my HMO patients is about $10 per visit.Nationwide, primary care overhead is about $150 per hour.And no, the monthly capitation (about $12.50 for me in PA) doesn’t cover the difference; the capitation payment barely covers the additional overhead of referrals, filling out extra HMO forms, etc.
It is time the insurance became again something that the patient–the one doing the consuming–waited for and worried about. This situation is not going to improve for primary care any other way.
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