Retainer Medicine is Misunderstood

December 24, 2007

But DB is beginning to see that direct medical practices are a logical solution to the primary care crisis…
…before he left his former practice, he was delivering a standard of care which troubled him. He was losing his love for medicine and patients.

As I asked SP about his typical day, he told me that he physically saw 6-8 patients each day. He spent at least as much time on the phone or answering email as physically seeing patients. At least once each week he makes home visits. He often calls his patients preemptively.

Because of his intense outpatient work, his admission rate is very low. He needs less consultants and orders fewer high ticker imaging studies.

This movement continues to grow. It grows because patients are willing to pay for service. Unfortunately, the Medicare reimbursement system drives what other insurers pay. This illogical, bureaucratic system is destroying outpatient internal medicine. Retainer medicine and cash based practice may save these practices.

Amen brother.



Related posts:

  1. Will retainer medicine save primary care?
  2. DB Explores Retainer Based Practices
  3. FAQ: Won’t Retainer Medicine Exacerbate Physician Shortages?
  4. Retainer medicine and the public good
  5. Retainer Medicine: Ethical or Not?
  6. Should general internal medicine merge with family practice?
  7. First night on call


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{ 1 comment }

1 Anonymous December 24, 2007 at 1:17 pm

Retainer medicine has always existed for the rich or otherwise privileged.

What’s bothering the bien pensant is retainer medicine for the little people. That term includes the doctors offering it as well.

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