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Fed Up With Obamacare, Doctors Increasingly Prefer Cash For Care
Forbes ^ | April 2, 2013 | Sally Pipes

Posted on 04/04/2013 11:33:45 PM PDT by grundle

Patients should welcome this development. Not only does the move toward direct payment have the potential to reduce health costs — it could also yield higher-quality care.

Even before Obamacare, direct-pay practices were growing in popularity. According to the Center for Studying Health System Change, direct-payment practices increased from 9.2 percent of the market in 2001 to 12.4 percent by 2008.

Nearly 7 percent of doctors say they are planning to change to some form of direct-pay care in the next three years, according to a survey of 13,000 doctors done for the Physicians Foundation. The consulting firm Accenture projects that one in three doctors in independent practice will adopt “subscription-based care models.”

One direct payment model that’s growing in popularity is “concierge” care, whereby doctors charge a monthly or annual fee for care — and bypass the administrative headaches associated with insurance and government programs altogether. The American Academy of Private Physicians — which represents cash-only doctors — estimates that the number of concierge doctors has shot up 30 percent in just the last year.

Examples of these practices abound.

Qliance, for instance, offers primary and preventive care for less than $90 a month in several cities in Washington state. In January, the company raised $8.6 million to expand beyond its home state.

One Medical in San Francisco charges patients between $150 and $200 a year for same-day appointments, online prescriptions, and email access to doctors. And in Portland, Oregon, patients at the Multnomah Family Care Center can pay a one-time enrollment fee and then monthly membership and provider fees that average less than $60 a month for preventative care. Others include Atlas MD, MedLion, Simple Care, and Paladina Health.

(Excerpt) Read more at forbes.com ...


TOPICS: Miscellaneous
KEYWORDS: 0care; 0carenightmare; defundobamacare; doctors0care; doctorscash; doctorsdirectpay; doctorsobamacare; obamacare; obamacaredoctors; repealobamacare

1 posted on 04/04/2013 11:33:45 PM PDT by grundle
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To: grundle

Six months from now this will be illegal.


2 posted on 04/04/2013 11:36:25 PM PDT by 2ndDivisionVet (I'll raise $2million for Sarah Palin's presidential run. What'll you do?)
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To: grundle

now this could be reform i could get behind.

obamacare causes doctors to drop insurance and govt exchanges altogether and go back to cash. more care at lower costs. like it used to be.


3 posted on 04/04/2013 11:37:25 PM PDT by Secret Agent Man (I can neither confirm or deny that; even if I could, I couldn't - it's classified.)
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To: grundle

Cash for medical care — how very third-world!


4 posted on 04/04/2013 11:40:13 PM PDT by Jyotishi (Seeking the truth, a fact at a time.)
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To: grundle

Bump


5 posted on 04/04/2013 11:51:18 PM PDT by Jet Jaguar
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To: grundle
They were very receptive to cash at the upscale hospital I had to recently visit. Not that my kid isn't going to dispute some of the billing, that's her job, but cash is king. They knocked almost 1 kilobuck off the bill before she even asked..

/johnny

6 posted on 04/04/2013 11:51:58 PM PDT by JRandomFreeper (Gone Galt)
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To: Secret Agent Man

Not sure why the HMO thing grew as we used to just pay as we went and had only hospitalization insurance vs every cough and boo boo bandaid runs to the doc.....

.....albeit we have employer provided medical now I plan a pay as we go plan with only hospitalization / cancer plan insurance for retirement.

Frugal conservative I am I am ....


7 posted on 04/05/2013 12:30:53 AM PDT by Squantos ( Be polite, be professional, but have a plan to kill everyone you meet ...)
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To: grundle

go doctors! cut out the middleman government.


8 posted on 04/05/2013 12:35:12 AM PDT by dadfly
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To: dadfly

Many docs in my area doing this now


9 posted on 04/05/2013 3:36:54 AM PDT by dubyajam (t "Life is Hard ... It's Even Harder When you're Stupid" --- John Wayne)
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To: dadfly
I’d wager not one in ten Americans understand that government is the reason for outrageous medical costs.
10 posted on 04/05/2013 3:38:22 AM PDT by Jacquerie ('77 Sir!)
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To: grundle

11 posted on 04/05/2013 3:53:59 AM PDT by JoeProBono (A closed mouth gathers no feet - Mater tua caligas exercitus gerit ;-{)
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To: grundle
Three I years ago I had my prostate out. Before having it done, I looked around for the best surgeons. Two nearby - one if Baltimore and one in Philadelphia. Neither one would take insurance. 10k cash, visa and MC accepted. I stayed overnight in the hospital, which my insurance did cover. My insurance pays 50% non network, which came to a whopping $600. Turns out 50% is 50% of what the insurer would have paid an in-network doc which would have been $1200.

I know several doctors who are no longer accepting Medicare patients.

12 posted on 04/05/2013 4:03:51 AM PDT by old and tired
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To: 2ndDivisionVet

> Six months from now this will be illegal.

Just like Obamacare should be ...illegal. Well good luck enforcing it Feds. You’re doing your best to turn us all into outlaws, Obie. Watch out what you wish for.


13 posted on 04/05/2013 4:04:20 AM PDT by jsanders2001
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To: JoeProBono

New organization: Doctors Without Moochers


14 posted on 04/05/2013 4:08:06 AM PDT by Rocky (Obama is pure evil.)
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To: grundle

Not easy to track down but from what I’ve seen, an average office visit cost $5.00 in 1950. Adjust for inflation and that $5.00 becomes about $48.00 in 2013.

What are people paying now for a routine office visit to a family doctor?


15 posted on 04/05/2013 4:09:32 AM PDT by listenhillary (Courts, law enforcement, roads and national defense should be the extent of government)
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To: JoeProBono

The thing is, a decent doc deserves every penny. However, now that we have these CVS minute clinics to go to when we get an ear infection, we’re just not going to need as many doctors. A majority of routine health problems can be handled just fine by a nurse practitioner or physician’s assistant. My grandson is going to a dermatologist for teenage acne and he’s seeing a nurse practitioner who’s cleared his skin right up.


16 posted on 04/05/2013 4:11:45 AM PDT by old and tired
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To: Jacquerie

The irresponsible Obama supporters that don’t pay their medical bills ( or most other bills for that matter) and Insurance company policies both contributed to the problem too IMO (developed through talking to many healthcare providers in the past.) Allegedly, the non-payment rate was so high they had to overbilll the “paying” patients to make up the difference; almost the same result as socialized medicine if you think about it. I think the medical industry just went a little too overboard with it and the domino effect applied and it caused the price of medical care to rise exponentially.


17 posted on 04/05/2013 4:13:13 AM PDT by jsanders2001
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To: listenhillary

$50 is what one of the doctors I know who dropped Medicare patients charges for an office visit. A lot of his patients have stayed with him. They go to the Quest Lab to have their bloodwork done and that’s still covered by insurance.


18 posted on 04/05/2013 4:13:57 AM PDT by old and tired
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To: old and tired

19 posted on 04/05/2013 4:18:09 AM PDT by JoeProBono (A closed mouth gathers no feet - Mater tua caligas exercitus gerit ;-{)
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To: jsanders2001
The irresponsible Obama supporters that don’t pay their medical bills ( or most other bills for that matter) and Insurance company policies both contributed to the problem too

I know this is going to sound very lib of me, but I really think insurance companies and hospitals(along with the government) bear a huge responsibility for the mess we're in. My daughter and son in law have had Blue Cross and Blue Shield of SC for the last several years. My son in law (who is a top notch high billing corporate attorney) tells me the billing and reimbursement is such a mess that the majority of medical situations have errors either in the billing or reimbursement. My daughter no longer pays the medical bills that come in.

A couple of times a year, my son in law sits down, assembles all the medical bills and insurance statements, and then contacts the hospitals, doctors and BC/BS to get things all squared away. Not every bill is wrong, obviously, but enough of them are that it makes the most sense to ignore all of them until all facts are in. And the least stressful course of action is to rountinely ignore all medical bills until my son in law has a day to spend on them. For that to be their least stressful course of action, it's obvious we have a screwed up system.

20 posted on 04/05/2013 4:27:44 AM PDT by old and tired
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To: grundle

Not only does the move toward direct payment have the potential to reduce health costs — it could also yield higher-quality care.

Exactly, it doesn’t matter if it’s the government paying medical bills or if it’s an insurance company, prices are driven up. It gets even worse if a third party is paying the insurance premiums. People need to be responsible for their medical decisions and together with their doctors they need to devise the best course of action that they can afford.


21 posted on 04/05/2013 4:30:10 AM PDT by freedomfiter2 (Brutal acts of commission and yawning acts of omission both strengthen the hand of the devil.)
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To: freedomfiter2
Exactly, it doesn’t matter if it’s the government paying medical bills or if it’s an insurance company, prices are driven up. It gets even worse if a third party is paying the insurance premiums. People need to be responsible for their medical decisions and together with their doctors they need to devise the best course of action that they can afford.

This is true. We always paid a lot more attention to our medical bills when we had a traditional indemnity plan versus one of these in network provider plans that we have now - all we pay are co-pays.

22 posted on 04/05/2013 4:34:56 AM PDT by old and tired
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To: JoeProBono
Looks strangely like a confessional to me.


23 posted on 04/05/2013 5:00:02 AM PDT by Daffynition (The essential American soul is hard, isolate, stoic, and a killer. It has never yet melted. — D.H.)
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To: grundle

I have paid $40 per chiropractic visit the last 6 years. I get the same tx as the “insured” patients. (Oh, I paid $30 to a different provider 26 years ago.) The office closes on Fridays to process insurance paperwork.


24 posted on 04/05/2013 5:07:22 AM PDT by jimfree (In November 2016 my 12 y/o granddaughter will have more quality exec experience than Barack Obama)
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To: Daffynition

25 posted on 04/05/2013 5:08:48 AM PDT by JoeProBono (A closed mouth gathers no feet - Mater tua caligas exercitus gerit ;-{)
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To: JoeProBono

Great idea! Pay my doc with cigarettes!! LOL


26 posted on 04/05/2013 5:13:08 AM PDT by Daffynition (The essential American soul is hard, isolate, stoic, and a killer. It has never yet melted. — D.H.)
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To: grundle

Bump


27 posted on 04/05/2013 5:32:04 AM PDT by what's up
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To: grundle

No way the collectivists will allow pure capitalism.


28 posted on 04/05/2013 5:44:03 AM PDT by E. Pluribus Unum ("Somebody has to be courageous enough to stand up to the bullies." --Dr. Ben Carson)
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