Health and Wellness : MORE DOCTORS GO CASH ONLY

Discussion in 'Black Health and Wellness' started by Kemetstry, Jun 13, 2013.

  1. Kemetstry

    Kemetstry going above and beyond PREMIUM MEMBER

    Country:
    United States
    Joined:
    Feb 19, 2001
    Messages:
    20,939
    Likes Received:
    5,245
    Gender:
    Male
    Occupation:
    Chemist
    Location:
    Detroit
    Ratings:
    +6,126
    More doctors are switching to cash-only practices
    The numbers are still small but rising, creating both cost savings and some new headaches.
    By Bruce Kennedy 8 hours ago

    Earlier this year, Dr. Michael Ciampi sent a letter to patients at his family practice in South Portland, Maine, telling them he would no longer accept any form of health insurance. He now posts priceson his office website and asks patients to pay for services out of pocket.
    Ciampi is part of a small but growing number of physicians who are switching to a cash-only model (not strictly cash -- most also accept payments by check and credit or debit cards) in order to streamline their costs.
    CNNMoney says about 4% of respondents to a survey conducted last year by the American Academy of Family Physicians said they took only cash at their practices, up from 3% in 2010. And a physician compensation report by WebMD site Medscape found 6% of doctors had a concierge or cash-only practice this year, compared with 4% in 2012.
    Doctors who go the cash-only route get some very tangible advantages. "This arrangement generally enables much lower overhead because claims processing, patient billing and countless hassles related to managed care can be eliminated," the AAFP noted several years ago.
    The cash-only approach also creates challenges. According to the AAFP, some health insurance companies prohibit patients from seeing physicians who terminate their contacts, if only for a limited amount of time. Doctors who switch to cash-only practices are also considered out of network by many insurance groups. And patients who want to stay with a cash-only doctor but need to be reimbursed have to file their own insurance claims.
    There's also the argument that only healthy and wealthy patients benefit from the cash-only system and that such practices reduce a doctor's range of care because patients with long-term, acute and costly problems will most likely seek out physicians who accept insurance.
    Ciampi says his decision to go cash-only cost him several hundred of his 2,000 or so patients.
    "It's been almost unanimous that patients have expressed understanding at why I’m doing what I'm doing," he told the Bangor Daily News, "although I've had many people leave the practice because they want to be covered by insurance, which is understandable."
    But going to a cash-only system also means Ciampi can practice a more flexible form of medicine. The insurance companies no longer tell him what to charge. He can also offer discounts to financially struggling patients and even make house calls




    .
     
  2. Clyde C Coger Jr

    Clyde C Coger Jr going above and beyond PREMIUM MEMBER

    Country:
    United States
    Joined:
    Nov 17, 2006
    Messages:
    39,361
    Likes Received:
    10,419
    Gender:
    Male
    Occupation:
    Speaker/Teacher/Author
    Location:
    Dallas, TX
    Home Page:
    Ratings:
    +12,074


    Well, we are on a slow road back to the way it was, affordable and done in the house, wow!
     
  3. Kemetstry

    Kemetstry going above and beyond PREMIUM MEMBER

    Country:
    United States
    Joined:
    Feb 19, 2001
    Messages:
    20,939
    Likes Received:
    5,245
    Gender:
    Male
    Occupation:
    Chemist
    Location:
    Detroit
    Ratings:
    +6,126

    I don't know about affordable. Loans are expensive





    ..
     
  4. skuderjaymes

    skuderjaymes Contextualizer Synthesizer MEMBER

    Country:
    Japan
    Joined:
    Nov 2, 2009
    Messages:
    8,757
    Likes Received:
    5,870
    Occupation:
    independent thoughtist thinker, context linker
    Location:
    theory to application to discussion to percussion
    Ratings:
    +6,043
    it's his license.. and his right to build the kind of practice he wants. He wants insurance companies out of his business.. that's one way to do it.
     
  5. Clyde C Coger Jr

    Clyde C Coger Jr going above and beyond PREMIUM MEMBER

    Country:
    United States
    Joined:
    Nov 17, 2006
    Messages:
    39,361
    Likes Received:
    10,419
    Gender:
    Male
    Occupation:
    Speaker/Teacher/Author
    Location:
    Dallas, TX
    Home Page:
    Ratings:
    +12,074


    Did I overlook the loan information? Where are doctors or insurers causing patients to take out loans? Or did you read something about patients having to secure loans to pay for health services ... that's horrible bro. Kemetstry.

     
  6. Kadijah

    Kadijah Banned MEMBER

    Joined:
    Apr 7, 2013
    Messages:
    6,265
    Likes Received:
    2,947
    Ratings:
    +2,952
    I have a friend who was severely burned. She had to go into the hospital as well as have skin grafts. Her bill came to $40,000. Paying to see a doctor is fine so long as you're not sick with a long-term illness or like my friend, an emergency that runs into the tens of thousands of dollars.
     
  7. Kemetstry

    Kemetstry going above and beyond PREMIUM MEMBER

    Country:
    United States
    Joined:
    Feb 19, 2001
    Messages:
    20,939
    Likes Received:
    5,245
    Gender:
    Male
    Occupation:
    Chemist
    Location:
    Detroit
    Ratings:
    +6,126

    That IS how they use to build a practice





    ..
     
  8. Kemetstry

    Kemetstry going above and beyond PREMIUM MEMBER

    Country:
    United States
    Joined:
    Feb 19, 2001
    Messages:
    20,939
    Likes Received:
    5,245
    Gender:
    Male
    Occupation:
    Chemist
    Location:
    Detroit
    Ratings:
    +6,126

    I'm talking about the loans it takes to go thru medical school. I don't see those doc.s not going for the big bucks in fees





    ..
     
  9. Gorilla

    Gorilla Well-Known Member MEMBER

    Country:
    United States
    Joined:
    Jan 31, 2009
    Messages:
    2,479
    Likes Received:
    1,382
    Gender:
    Male
    Ratings:
    +1,399
    I'm curious to find out what it does to their overall prices.
     
  10. Clyde C Coger Jr

    Clyde C Coger Jr going above and beyond PREMIUM MEMBER

    Country:
    United States
    Joined:
    Nov 17, 2006
    Messages:
    39,361
    Likes Received:
    10,419
    Gender:
    Male
    Occupation:
    Speaker/Teacher/Author
    Location:
    Dallas, TX
    Home Page:
    Ratings:
    +12,074


    Gotcha, thanks for clarifying that. Maybe you are right. The medical profession and health care is now under scrutiny anyway, but one thing for sure, folk will always need medical attention...


     
Loading...