Posts from 2017-10

Doctor’s Diary: October 27, 2017

(Snippets from the frontline)

In Denial

You suddenly become ill. The emergency room doctor feels admission is necessary. Your physician agrees, so you are hospitalized with IVs and testing done. Treatment is given, you survive and go home.

Your insurance company denies payment and claims you should not have been admitted. Now you are responsible for all medical bills.

Denial by insurance companies after hospitalization happens more frequently each day. Occasionally, your physician can have a “Peer-to-Peer” phone discussion with the insurance doctor to mitigate the issue.

Here’s the rub: They decide on an “approximate” call time (e.g. 8-12 noon), and expect your physician to be around a computer to reference the medical chart. If this contact is not made within a certain number of days from discharge (sometimes as little as three), their denial automatically becomes irreversible.

Trying to allot “Peer-to-Peer” time is like waiting for cable TV repair. Your doctor is under the gun and gets blamed. Worse, it is time infringement on medical care rendered to other patients.

It’s a new twist in their old game.

Another reason for eliminating insurance company middlemen.

Gene Uzawa Dorio, M.D.

Comments: http://scvphysicianreport.com/2017/10/27/doctors-diary-october-27-2017-in-denial/

Meet The 2017 and 2018 Top Doctor's In Concierge Medicine

A Biennial Recognition, Meet The Who’s Who In Concierge Medicine Throughout The U.S. In 2017-’18 by industry trade publication, Concierge Medicine Today.

OCTOBER 10, 2017

ATLANTA, GA USA – Twenty-five (25) Physicians have been named to Concierge Medicine Today’s biennial ‘Top Doctors In Concierge Medicine’ for 2017-2018. This national trade publication’s recognition is a distinction held by less than one percent of doctors across the country every two years.

“We look for physicians who have made a significant impact on patients, their peers, their community, their state, social media, clinical research and personalized treatment, use innovative technology and more,” said Michael Tetreault, Editor-in-Chief of the industry’s medical news and information agency, Concierge Medicine Today. “Concierge Medicine physicians don’t accept the status quo. Therefore, we believe it is important to acknowledge specific physicians and certain practices every two years within the Concierge Medicine space … they reflect, demonstrate and drive innovation, communicate with exceptional professionalism, provide value and uncover the unique benefits of this at-the-ready industry.”

Over the past several years, Concierge Medicine Today found distinguished doctors opening unique practices in markets like New York, Florida, Connecticut, California, Georgia, Texas and Illinois. This year, physicians are prominently working in various medical areas of healthcare which include: Integrative and Functional Medicine; Pediatric Care; Primary Care; Cardiology; Tropical Medicine; Family Medicine; Executive Healthcare settings; mobile medical facilities; and even Holistic Menopause and Anti-Aging practices. The result is Concierge Medicine Today’s ‘2017-2018 Top Doctors In Concierge Medicine’ across America list, which includes some of the nation’s most respected specialists and outstanding primary care physicians. These are the doctors that patients, peers and other healthcare professionals recognize as the best in their fields. They do not pay a fee and are not paid to be listed. Today, as in years past, it is a list which is respected by the medical profession and patients alike as a source of quality information.

 

 

 

“Patient Satisfaction in Concierge Care remains exceptionally high but inside traditional medical practice environments, patients expect to wait and they expect friction with staff,” notes Tetreault. “Nowhere else in our lives except inside a healthcare facility do we ready ourselves for this kind of tension. Attitudes toward Concierge Medicine have undergone significant and positive changes since the signature of the Affordable Care Act in 2010. Patients seeking Concierge Physicians tell us they expected insurance to cover their visit. When it is was not, they expected to fight. Consumers of healthcare today say, they expect a disengaged staff and an unpleasant visit when at their doctor’s office. We can do better. Concierge Medicine Patients are Invited rather than Expected. This counter-intuitive approach exceeds expectations, thereby creating a massively loyal and engaged audience which, in turn, is producing some amazing patient outcome data as released and seen by other organizations operating in this space.”

Congratulations to the following physicians named to Concierge Medicine Today’s 2017-2018 list of ‘Top Doctors in Concierge Medicine’ who made the list (in alphabetical order): 

“When healthcare is looking for innovation and ideas about care delivery, they are observing Concierge Medicine,” said Tetreault. “One of the most interesting observations inside of this years list of physicians is just how many are implementing genetic testing to help their patients understand more about their health.”

“Two notable observations we encountered throughout our entire review process was related to patient comments received prior to transition and staff issues— which seem to plague most medical offices, even those inside the four walls of a Concierge Medicine practice,” said Tetreault. “A physicians reputation in the public and online is dramatically different from the patient reviews they may receive prior to a physicians entry into Concierge Medicine vs. after the conversion. Many [physicians] go from zero to hero in the eyes of their patients in a matter of weeks or months. We have also noticed that the physicians staff and their individual attitudes towards patients still remains a sore spot among the doctor’s and patients concerns. Even post-transition, when physicians are well into managing their Concierge Medicine members … managing staff inappropriately can impact the clinic’s annual patient retention and ultimately, their bottom line. However, it is amazing what can be accomplished when Physicians walk this healthcare delivery process out and into their own communities. It is only now, that when we are able to look back and track these dramatic career moves of physicians that we see why so many patient experiences make so much sense.”

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About Concierge Medicine Today

Concierge Medicine Today (CMT) is a news organization and the Concierge Medicine industry’s oldest national trade publication for the Concierge Medicine and Membership Medicine marketplaces. Its website is the online destination for businesses, consumers, physicians, legislators, researchers and other stakeholders to learn about the history of this industry, various business aspects of the marketplace, trends, breaking news and more that drives the conversation that Concierge Medicine and free market healthcare delivery is creating on a national and international level.

To read the latest headlines or register for the October 27-28, 2017 Concierge Medicine Forum, visit http://www.ConciergeMedicineToday.com or, to register,  www.ConciergeMedicineFORUM.com

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