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	<title>Comments on: MDVIP &#8211; Beyond Concierge Medical Care</title>
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	<description>A med blog about health, news, surgery, urology and medicine as it must be, unlimited.</description>
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		<title>By: Russell</title>
		<link>http://www.unboundedmedicine.com/2007/02/25/mdvip/#comment-436357</link>
		<dc:creator>Russell</dc:creator>
		<pubDate>Thu, 01 Jan 1970 00:00:00 +0000</pubDate>
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		<description>In response to Sevoflurane I must say that the true greedy third party is the insurance company. The current payment plan to phycicians from HMO&#039;s, PPO&#039;s, etc forces physicians to limit time with patients, limits their choices of medications, and actually discourages adequate communication between the patient and the physician. Physician charges are reimbursed at best by 50% and office overhead increases because of more staff needed to deal with &quot;authorizations&quot;, approvals for tests, and other obstructions to care. And for what purpose? To increase profits for the insurance companies who I can assure you have NO interest in your well being, their only interest is the monthly check you write them. It is not going to get better only worse. So why not pay someone who really does care about you, your primary care physician. Because if you don&#039;t he/she will become extinct as no med student in their right mind would enter primary care these days. They know that insurance companies are making primary care feel like  assembly line workers in the health care environment while insurance carriers are laughing all the way to the bank. Neither politicians or executives understand their health care expenses are being wasted by ignoring the simple saying that &quot;an ounce of prevention is worth a pound of cure.&quot; So redistribution of the health care dollar is needed and that is why companies like VIPMD are starting to flourish.</description>
		<content:encoded><![CDATA[<p>In response to Sevoflurane I must say that the true greedy third party is the insurance company. The current payment plan to phycicians from HMO&#8217;s, PPO&#8217;s, etc forces physicians to limit time with patients, limits their choices of medications, and actually discourages adequate communication between the patient and the physician. Physician charges are reimbursed at best by 50% and office overhead increases because of more staff needed to deal with &#8220;authorizations&#8221;, approvals for tests, and other obstructions to care. And for what purpose? To increase profits for the insurance companies who I can assure you have NO interest in your well being, their only interest is the monthly check you write them. It is not going to get better only worse. So why not pay someone who really does care about you, your primary care physician. Because if you don&#8217;t he/she will become extinct as no med student in their right mind would enter primary care these days. They know that insurance companies are making primary care feel like  assembly line workers in the health care environment while insurance carriers are laughing all the way to the bank. Neither politicians or executives understand their health care expenses are being wasted by ignoring the simple saying that &#8220;an ounce of prevention is worth a pound of cure.&#8221; So redistribution of the health care dollar is needed and that is why companies like VIPMD are starting to flourish.</p>
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		<title>By: Sevoflurane</title>
		<link>http://www.unboundedmedicine.com/2007/02/25/mdvip/#comment-244083</link>
		<dc:creator>Sevoflurane</dc:creator>
		<pubDate>Thu, 01 Jan 1970 00:00:00 +0000</pubDate>
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		<description>I was recently abandoned by my physician of 15 years because the group he is with decided to switch over to this form of elitist healthcare.  In this case, the greedy third party outsider that brought this all about is MDVIP.  If I wanted to continue on with my physician, I would have to sign a contract and pay MDVIP $1,500.00 per year simply to have access to my doctor.  My primary insurance company would still be forced to pay for all office visits, lab tests and any in-house procedures.  In retrospect, I never needed a third party outsider to get quality care from my physician and I’m not about to line the pockets of some greed driven outsider who has absolutely no interest in my well being.  This concept is very unethical and patients are the real losers under this particular business model.  Medicare and all insurance companies should refuse reimbursing physicians who adopt this approach to patient care.</description>
		<content:encoded><![CDATA[<p>I was recently abandoned by my physician of 15 years because the group he is with decided to switch over to this form of elitist healthcare.  In this case, the greedy third party outsider that brought this all about is MDVIP.  If I wanted to continue on with my physician, I would have to sign a contract and pay MDVIP $1,500.00 per year simply to have access to my doctor.  My primary insurance company would still be forced to pay for all office visits, lab tests and any in-house procedures.  In retrospect, I never needed a third party outsider to get quality care from my physician and I’m not about to line the pockets of some greed driven outsider who has absolutely no interest in my well being.  This concept is very unethical and patients are the real losers under this particular business model.  Medicare and all insurance companies should refuse reimbursing physicians who adopt this approach to patient care.</p>
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