Posts Tagged ‘retainer based medicine’
Program Note: Due to ‘technical difficulties’ the interview with Jay was disrupted and will be rescheduled shortly! This live web is a continuing experiment and the tech gremlins do tend to appear now and then. My continued apologies to Jay.
Jay Parkinson, MD, MPH, of Hello Health, joins me for a conversation on emerging alternative medical practices from Concierge, Boutique to retainer based models, including the HelloHealth strain. Jay is a pioneer in the adoption, and integration of social media tools into medical practice; and will share his insights, and vision for the promise and pitfalls of social media innovation in medicine.
Amidst the current ‘fever pitch’ buzz of health reform, there is considerable conversation about lowering health care costs, while improving both quality and access. The US health care system is at risk of implosion. Whether we look at it from the underfunded programs of Medicare or Medicaid, or the cost prohibitive employer sponsored health insurance system – which has priced iteslf out of reach absent the planned cost shifting of so called ‘high deductible health plans’ – few are happy campers; and approximately 46 million Americans are without health insurance.
We will connect the dots of emerging medical practice models to the broader health reform agenda by considering the vision and value system of one of medicine’s clear innovator’s.
Join us on June 19th, at 11 AM EDT/ 8AM PDT for a live broadcast that will also archive for later broadcast or RSS subscription to Google Reader, iTunes or other feed aggregator.
It seems not a day goes by without another announcement of this or that primary care medical practice electing to leave entirely, or in part, the traditional model of medical care. Yet, this is a trend most worthy of considerable exploration.
Absent effective health reform (minimally: primary care payment equity, and administrative simplification), the current drip, drip, drip outmigration of physicians from a traditional billing and collections medical practice into these ‘new age’ models has the potential to grow into an outright tsunami in the near term.
Movement by primary care physicians into the boutique, concierge or retainer based medical models is not without a downside. Some say that it is clear evidence of the emergence of an impending ‘perfect storm’ in medicine that will collapse the primary care safety net at the precise time when it anticipates its greatest demand (i.e., retirement of the baby boomer generation).
When one takes into consideration the overwhelming preference for medical students to opt for higher paying specialties vs. the primary care specialties of Family Medicine, Internal Medicine, and Pediatrics, the trend is quite disturbing – health reform incentives (to grow capacity) notwithstanding.
At one level, it is a rational response by physicians to a failed healthcare finance and delivery paradigm; while at the same time, extracting essential primary care infrastructure from a delivery system that completely relies on it’s availability.
There are many models in the retainer or concierge medicine market. Once you’ve seen one, you’ve seen only one; there is no standardization. From MDVIP, to Jay Parkinson, MD, at Hello Health, this is a dynamic and rapidly evolving industry.
We will feature this medical phenomenon from the inside out at one of our next programs. There is much to discuss.