- The act of connecting.
- The state of being connected
- An association or relationship
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The past two weeks have seen polls come out that would appear to portray physicians with diametrically opposite positions in the current healthcare debate. A September 14th poll of 5,157 physicians in New England Journal of Med… indicates that:
- 63% of physicians support a combined public/private approach to coverage (i.e. the healthcare reform approach currently proposed)
A poll two days later by IBD/TIPP of 1,376, also randomly selected physicians, indicated that [LINK]:
- 65% say they oppose the proposed healthcare plan
- 45% of the respondents stated that they would consider leaving medicine if the reforms were in fact enacted
In parallel, there has been a dramatic acceleration in the number of discussions around cash-on… While fee-for-service or “cash only” practices have long been a popular topic on Sermo, there appears to be increasing interest in this as the healthcare debate has progressed. Given the growing impact of this trend, the media is asking the Sermo physician community to help asses this trend and the possible impact on the physician-patient relationship.
Sincerely,
Daniel Palestrant, MD
CEO & Founder, Sermo
P.S. Get your colleagues involved. And help us make a big statement to the media. Cut and paste this link into your outgoing email: https://md.sermo.com/medical/ticket/details?id=41104
Scott Shreeve, MD 
Huh? Switching to a cash-only practice will mean that these docs lose the vast majority of their patients and treat only the rich. News flash: that’s about 2% of the population. Good luck scrapping for that business.
Dierde,
Thanks for your comments.
You have a common misperception about “cash based practices” (perhaps the name is inappropriate). In the “Direct Practice” model, the physician has a direct financial, clinical, and administrative relationship with the patients. In the setting of increasing amount of copays, coinsurance, and deductible – the patient is already coming out of pocket for the “first dollar” medical expenses. It is up to $2,500 per person right now, and quickly going to $5,000. So, if you are paying the first $2500-$5,000, it might make sense to take $500-1,500 of it to have a private physician advisor at your disposal for 24/7 hours per day. That’s it.
And, if you read the article, the number of physicians who are dropping off of insurance panels (particularly Medicare) is going to rapidly increase over the coming yeasr. It may be 2% now, but will be 5% within the year, and moving to 20-25% over the coming years.
Health Care in America, is like a Russian Bread Line.