Posts Tagged - ‘primary care physicians’

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New Primary Care System Without Standard Health Insurance

Friday, April 30th, 2010

A new health care company in Washington State is trying a new method: primary care without a health insurance plan. Qliance deals only with patients through a “direct practice”, where each person pays a monthly fee in exchange for unlimited access to primary care physicians.

According to the company, the simplified billing structure allows general doctors more time to focus on their patients’ health. Qliance recommends that consumers and employers buy catastrophic, high-deductible health insurance(such as an HSA) to supplement their program. The total cost of premiums will likely be as much as 50% lower than that of comprehensive coverage.

The firm has some rich and famous backers behind it: founder Jeff Bezos, Drew Carey, and Michael Dell from Dell Computers have contributed a total of $6 million. In addition, the healthcare reform law allows direct primary care systems like Qliance to participate in affordable health insurance exchange markets. We’ll see if they are a success as they plan to expand.

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Newly Insured May Visit Nurses, Instead of Doctors

Wednesday, April 14th, 2010

Image: Debs under CC 3.0

Health insurance reform will increase the number of patients receiving medical care. It will only exacerbate the shortage of primary care physicians. The law funds many nurse-managed clinics, especially in rural areas.

28 states are considering laws that would allow nurse practitioners with advanced degrees to practice and prescribe medicine. Nurses say that they are qualified to treat most minor and moderate conditions at a lower cost (while giving referrals when appropriate), while spending more time with patients. Nurse practitioners are usually reimbursed by health insurance plans at 85% of the rate doctors get.

You may actually end up calling your nurse “Dr.” soon, if he or she has a doctorate degree. That is one of the issues doctors’ associations are arguing about, believing that this attempt at cutting costs will confuse patients and put them in danger. However, studies have shown that patients have similar health outcomes.

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FAQ: Doctor Visit Waits Under Healthcare Reform

Wednesday, April 7th, 2010

Image: a.drian under CC 3.0

Many are concerned that there will be extremely long waits for care, now that the new health care bill is the law of the land. Even supporters of healthcare reform acknowledge that many people will experience longer waits to visit a primary care doctor. However, they disagree on the extent of the impact. What’s the truth? Read this FAQ for more information.

  1. Will it take longer to see a doctor? There is no denying that an increase in the number of patients will lead to longer wait times. By 2019, over 30 million previously uninsured Americans will have access to affordable health insurance. Most of those people weren’t seeing physicians before, so the wait will inevitably increase.
  2. Are there any other reasons for the longer wait times? This situation has been going on before health insurance reform was a twinkle in the Obama administration’s eye. For years, there has been a shortage of primary care doctors. Many medical school graduates choose more lucrative specialties, instead. Granted, reform will probably exacerbate the predicted shortage of 40,000 by 2020.
  3. Who will be affected most? Those who already have their own doctor will most likely see little impact. You might have to wait a day or two longer for non-emergency visits. However, the impact is more severe for people with a new health insurance plan looking for a doctor for the first time. Many internal medicine and family doctors may refuse to accept new patients. The small percentage of the uninsured with already-established relationships with a doctor will be better off.
  4. What does the legislation do about the waiting lines? Many feel that the bill’s provisions to reduce its impact on wait times are insufficient. Med school students who choose primary care will receive special student loan packages that are less stringent about repayment. It will also increase reimbursement rates for Medicaid temporarily, because the public health insurance program for the poor is often rejected by doctors that find it impossible to break even on their practice with the low rates.
  5. What else can be done? Many health care experts promote the increased training of nurse practitioners and physician assistants, who are qualified to handle minor to moderate conditions. They can help reduce the load for doctors, and enter the workforce in a shorter period of time.
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Got A Health Insurance Plan? Find a Primary Care Doctor Now

Monday, March 29th, 2010

(Image: The Doctr under CC 3.0)

One of the effects of healthcare reform is an influx of previously uninsured patients. While the bulk of the 32 million without health insurance will not have coverage until 2014, some will be insured a few months from now due to Medicaid expansions and the like. Experts are predicting that the new patients will struggle to find coverage, due to a shortage of primary care doctors.

70% of all doctors in the U.S. practice specialties, which come with higher pay and more flexible working hours. That leaves the country about 40,000 primary care physicians short.

What does this mean for you? If you already have a health insurance plan, choose a primary care doctor if you haven’t already. Many doctors will close their offices to new clients once their patient load is full, and having one doctor for preventative care is ideal for health reasons. This is especially important if you live in one of the areas of the country that is considered under-served, which 65 million Americans do.

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