Erickson Tribune

Cedar Crest

UPDATED: Friday, March 30, 2007

Health care goes ‘boutique’

Posted on Friday, March 30, 2007
 

Medical red tape causes more doctors, patients to explore alternative health care

By Julia Boyle
THE ERICKSON TRIBUNE

The U.S. is facing the worst doctor shortage in decades, with fewer younger doctors stepping in to fill the shoes of older, retiring physicians.

For adults of retirement age, who comprise the fastest- growing percentage of the population, the doctor shortage is particularly troubling. With many new doctors opting for more lucrative fields like sports medicine rather than geriatrics or family practice, America’s fastest-growing population may soon face a lack of physicians with the specific knowledge and experience to care for them.

More patients, less time
From frustration with managed care to soaring malpractice rates to exhaustion, doctors are leaving their practices for a variety of reasons, while new doctors are deterred from ever entering into practice. With so much of today’s medicine revolving around the business, insurance, and other “red tape” aspects of care, many doctors find themselves spending less time with patients and more time with paperwork.

Estimates suggest that the average primary care physician today sees between 2,000 and 4,000 patients each year. Unfortunately, the high cost of maintaining a practice coupled with shrinking reimbursement rates from insurance providers and Medicare make it necessary for some practices to take on a greater number of patients just to break even. Such a high volume of patients makes it nearly impossible to provide personalized care.

“I became a doctor because I want to help people with their medical needs,” says Dr. Roland Lascari, medical director at Cedar Crest. He says he spends much less time with insurance companies now than he did in his previous practice, where he had to choose several ones with which to participate instead of one.


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Response to a struggling system
In response to the growing dissatisfaction with the current health care system, an increasing number of doctors and patients alike are turning to a new trend in medicine: “concierge” or “boutique” medicine.

“The concept is that the patient has special privileges and receives special attention, usually from their primary care physician,” says Dr. Julie Silver, assistant professor in the Harvard Medical School’s Department of Physical Medicine and Rehabilitation. Those special privileges include longer exam times, shorter waits, better emergency services, and even sameday appointments.

The cost of ‘boutique’ care
The only down-side to boutique care is the cost. Patients pay physicians annual retainers for this specialized care. According to an article in the Journal of the American Osteopathic Association, those retainer fees range anywhere between $900 and $20,000 per year.

Since older adults often have multiple medical conditions, they generally pay higher fees. One Miami practice was caught charging $1,500 annually to patients under age 45, while charging up to $3,000 for people age 65 and older.

Patient-centered care
Fortunately, there’s a way to enjoy all of the benefits of concierge care without the high price tag. The type of patient-centered care some people are paying as much as $20,000 per year for comes standard with Erickson HealthSM, the nation’s largest and most completely integrated health care and wellness system for America’s aging population. With Erickson Health, the doctor to patient ratio is five times better than the norm: 400 patients per doctor rather than the average 2,000.

Erickson communities take a “whole-istic” approach to medicine by looking at the whole person and making sure he or she has the facilities to help them stay healthy. “Dr. Lascari has been my doctor for five and a half years; that’s how long I’ve been here. He takes the time to listen and the time to explain—for example, new medications,” says Evelyn Schauer of Cedar Crest.

Schauer has more peace of mind knowing that Dr. Lascari and the pharmacy are right downstairs. “The office is busy, yet it’s run very efficiently. Plus, having a pharmacy right there is more than convenient,” she says. “You always leave with an understanding of your own problem.”



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