nos-trum. pronunciation: \nos'-trum\. noun. Etymology: Latin, neuter of noster our, ours.
1. a medicine of secret composition recommended by its preparer but usually without scientific proof of its effectiveness.
2. a usually questionable remedy or scheme.
See here for more discussion.

Saturday, June 19, 2010

High Quality Care At Low Cost: One Doctor Makes It Work

Here's an example of reform that's working for this doctor and his patients (brought to you from the little town of Apex, NC)

A prologue for those who aren't familiar with medical practice:
1.  Seeing 30 patients a day is a typical standard, in order to keep up with patients seeking care (access) and billing expenses.   This is why you sometimes think your doctor is in a hurry or doesn't spend enough time with you.
2.  6000 patients is a big practice.  If he's following that many, he's probably doing a great job at prevention.
3.  You can be a per-visit patient, which he talks about.  Or you can pay a $350 annual enrollment fee which includes a free annual physical (with labs)  and prevention screening.  Enrolled patients pay only $20 per visit.  My insurance enrollment fee is $460 per year and I don't get anything with it.
4..  Some of the blood pressure and lab test results he talks about may not be familiar to you.  I will attest that he's talking about REALLY bad situations.
5.  His complaint about spending 30 minutes, convincing Medicaid to authorize a test you need, is accurate.
6.  Lastly, this is an office practice.  These days doctors do either office work or hospital work ("hospitalists").  This practice model couldn't work for hospitalization; people have to fall back on insurance, Medicare, and Medicaid for that.

See Dr. Forrest's practice webpage here.
I would love to hear comments or experiences any of you have had from similar medical practices.

Physicians for Reform Forum - Brian Forrest, MD from Lawson For Congress on Vimeo.

Doc D

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