Re: Re: NCBF vs Micropractice Sustainability Fee?

[Guest guest]

No, I like it, and I'd call it a Sustainability fee, that is exactly what it is. you can't operate that way and still make enough to eat without it.

CCote

To: Sent: Monday, March 12, 2012 8:08:01 PMSubject: Re: NCBF vs Micropractice Sustainability Fee?

Everyone, I'm resurrecting a comment I made on Saturday, because I was hoping to get some more opinions. I am still toying with theidea of calling my fee a "Micropractice Enhanced Access Fee." (Or maybe even better, a "Micropractice Sustainability Fee." Any other ideas out there?) I would state that the fee is specifically for the purpose of allowing me to sustain a practice that will be limited to approximately 1/3 of the number of patients carried by the average full-time family doctor. I don't see how any insurer can say thatthey pay for that! Then, for the patient, I will expand that the benefits this small practice size will provide to them are far-above-average access to same-day appointments, longer visits to more thoroughly address their needs, 24/7 cell phone access to their personal physician, forms/prior authorizations/prescription renewals done outside of regular office visits when appropriate, etc, you get the idea. Does anyone see any major problems with this?---Sharlene> > > >> > > > Does anyone have a non-covered benefit letter that the insurances accepted as not being in conflict with their contract?> > > >> > >> >>

[Guest guest]

Sharlene,I like it.

I also like " community supported healthcare "  http://www.midcoastmedicine.com/csh.html used by Pierce's partner Ashmore in Rockport, Maine.  That's my current favorite term.  We did a call on it earlier this year you can listen to if interested.

Sharon

Sharon McCoy MDRenaissance Family Medicine10 McClintock Court; Irvine, CA  92617PH: (949)387-5504   Fax: (949)281-2197  Toll free phone/fax:  www.SharonMD.com

 

Everyone, I'm resurrecting a comment I made on Saturday, because I was hoping to get some more opinions. I am still toying with the

idea of calling my fee a " Micropractice Enhanced Access Fee. " (Or maybe even better, a " Micropractice Sustainability Fee. " Any other ideas out there?) I would state that the fee is specifically for the purpose of allowing me to sustain a practice that will be limited to approximately 1/3 of the number of patients carried by the average full-time family doctor. I don't see how any insurer can say that

they pay for that! Then, for the patient, I will expand that the benefits this small practice size will provide to them are far-above-average access to same-day appointments, longer visits to more thoroughly address their needs, 24/7 cell phone access to their personal physician, forms/prior authorizations/prescription renewals done outside of regular office visits when appropriate, etc, you get the idea. Does anyone see any major problems with this?---Sharlene

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> > > > Does anyone have a non-covered benefit letter that the insurances accepted as not being in conflict with their contract?

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[Guest guest]

I call mine simply a "Membership fee".Steve Hersch L. Hersch, MD, FACPMeducation, P.C.499 Chestnut StreetAshland, Oregon 97520 Telephone: E-Mail: meducation@...________________________________________________________________________________________________--This e-mail is not intended for use in urgent situations - please contact your nearest emergency room and seek assistance if you feel that your situation is an emergency. --This comunication contains CONFIDENTIAL INFORMATION WHICH ALSO MAY BE MEDICALLY/LEGALLY PRIVILEGED and which is intended only for the use of the recipient(s) identified above. If you are not the named addressee, or if the message has been addressed to you in error, you are directed not to read, disclose, reproduce, distribute, maintain, save or otherwise use this transmission. Delivery of this message to any person other than the intended recipient(s) is not intended in any way to waive privilege or confidentiality. --If you have received this communication in error, please notify our office immediately by phone at (541)488-5661, by fax at (541)488-7063, or by e-mail at meducation@..., and destroy this communication and all copies. Thank you for your cooperation.

Sharlene,I like it.

I also like "community supported healthcare" http://www.midcoastmedicine.com/csh.html used by Pierce's partner Ashmore in Rockport, Maine. That's my current favorite term. We did a call on it earlier this year you can listen to if interested.

Sharon

Sharon McCoy MDRenaissance Family Medicine10 McClintock Court; Irvine, CA 92617PH: (949)387-5504 Fax: (949)281-2197 Toll free phone/fax: www.SharonMD.com

Everyone, I'm resurrecting a comment I made on Saturday, because I was hoping to get some more opinions. I am still toying with the

idea of calling my fee a "Micropractice Enhanced Access Fee." (Or maybe even better, a "Micropractice Sustainability Fee." Any other ideas out there?) I would state that the fee is specifically for the purpose of allowing me to sustain a practice that will be limited to approximately 1/3 of the number of patients carried by the average full-time family doctor. I don't see how any insurer can say that

they pay for that! Then, for the patient, I will expand that the benefits this small practice size will provide to them are far-above-average access to same-day appointments, longer visits to more thoroughly address their needs, 24/7 cell phone access to their personal physician, forms/prior authorizations/prescription renewals done outside of regular office visits when appropriate, etc, you get the idea. Does anyone see any major problems with this?---Sharlene

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> > > > Does anyone have a non-covered benefit letter that the insurances accepted as not being in conflict with their contract?

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[Guest guest]

Me too.  Although mine covers all services, including visits, but I like the simplicity.

Sharon

I call mine simply a " Membership fee " .

> Steve Hersch

[Guest guest]

You'd have to have anyone i n medicare sign  an ABN

 

Under Medicare, it seems that the main constraint that has been placed on fees is that they cannot include anything that could be construed as being a covered service. Maybe the limited-panel formulation would work, but I would be concerned that they could say that that really translates to longer visits, and visits are covered, so it is not allowed. So I talk to patients about sustainability but let them know that technically my fee covers forms, online management, and phone management not connected to visits. Just my take, FWIW.

Haresch

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