Comments on: The Manhattan house call http://www.kevinmd.com/blog/2007/03/manhattan-house-call.html Tue, 14 Feb 2012 11:46:00 +0000 hourly 1 By: Conciergedochttp://www.kevinmd.com/blog/2007/03/manhattan-house-call.html#comment-72964 Conciergedoc Sat, 17 Mar 2007 13:40:00 +0000 http://clients.emmense.com/kevinmd/2007/03/the-manhattan-house-call.html#comment-72964 As a geriatrician, I faced the same problem with providing traditional at home care. Medicare, despite slightly increased reimbursements, still does not suffice to meet the costs of providing home visits, unless your a dedicated home visit company that is able to create and run an almost NYC cab like efficient itinerary & transportation system. <br/><br/>I hope to combine the aspects of dedicated senior care, balanced with home visits and office offices, and yes, I will have to charge a retainer because insurance coverage just doesn't afford this level of care. <br/><br/>As a society, yes we need to balance access to care and quality of care. But as a physician, my obligation is first and foremost to my patients and quality of care trumps all. As a geriatrician, I faced the same problem with providing traditional at home care. Medicare, despite slightly increased reimbursements, still does not suffice to meet the costs of providing home visits, unless your a dedicated home visit company that is able to create and run an almost NYC cab like efficient itinerary & transportation system.

I hope to combine the aspects of dedicated senior care, balanced with home visits and office offices, and yes, I will have to charge a retainer because insurance coverage just doesn’t afford this level of care.

As a society, yes we need to balance access to care and quality of care. But as a physician, my obligation is first and foremost to my patients and quality of care trumps all.

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