Membership Based, Personalized Healthcare practice is our goal and you can choose your model
Direct Primary Care Model
- Requires that the physician opt out of insurance and convert to a membership based practice,
- Reduce the size of the patient panel, and provide value-added services to their members.
- The practice will typically reduce the size of the practice to no more than 600-800 members depending upon the level of value added services provided.
- They are termed lifestyle models because there is:
– Much less activity in the practice,
– Third party billing activities are eliminated resulting in a 35-40% decrease in practice expenses ,
– Relationships between physicians, members, and staff are enhanced resulting in improved lifestyles for all
– The return to spectacular customer service for all members.
The Concierge Model
- The Concierge Model is also membership based.
- The physician will remain in third party contracts, and the patients will continue to be billed for co-pays and deductibles.
- Member’s fees are based on added services that are not reimbursed by Medicare or other third party payers.
- As with the lifestyle model, the concierge model requires that the physician reduce the size of the practice, from typical panels of 2000-3000 down to no more than 600-800 members, again depending on the value added services available to all members.
- The Concierge models must include membership procedures and services not reimbursable through Medicare.
The Blended Model
- A blended model, which is a concierge style, is one that allows the practice to have a mid-level, (Nurse Practitioner and or Physician’s Assistant), to provide primary care services to those patients who decline to join the concierge side of the practice.
- In these practices, the physician only sees the members of the concierge side of the practice while the mid-level practitioner sees all non-members.