#1067: Show- Primary Care – Insurance Practice, Fee for Service, and Concierge

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5y ago 53:56

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Show Topic: Primary Care – Insurance Practice, Fee for Service, and Concierge

Co-Hosts: Judy Gaman, Mark Anderson, Walter Gaman

Guest: None

Segment 1:

Primary care has changed over the years. Today, we’re going to discuss some of those changes and how they have affected you in ways you may or may not know.

Define primary care and the players: Family Practice, Internal Medicine, General Practitioner, and now OB GYN. Explain the differences
How doctors used to be paid – in livestock, grain, etc
PPO, POS, Indemnity
The HMO Model
Obama Care
Why doctors are leaving the insurance game (we will discuss Concierge upcoming segment)

DOC SHOCK

According to a new study published in the International Journal of Cardiology, people who have had a heart attack or stroke and who are on a statin drug will do better and decrease the risk for an additional episode if they combine that statin with a Mediterranean diet. Both statins and the Mediterranean diet reduce inflammation, but when used together, the reduction of systemic inflammation is even greater.

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Segment 2:

Today we’re taking the guess work out of primary care. Where you get your care, when you go, and how you pay for it may all play into your overall health.

Immortal Minute

Why some doctors don’t take Medicare or Medicaid or close to it temporarily
Is fee for service really more expensive?
What’s driving the high cost of insurance premiums
Need an MRI or CT? Why these test fees vary so much
The idea of the Medical Home
Concierge Medicine defined – why it’s becoming so popular

Coming up - Concierge Medicine Plans are not all created equal.

Segment 3:

We’re talking about your options for primary care. We’ve saved the best for last. My personal favorite is concierge medicine.

Variations in Concierge plans
Details on the EMTX concierge plan

Segment 4:

****SHOCK THE DOC***** (NO Medical Mania Trivia Today)

DEMENTIA DEFENDER

LAST WEEKS RIDDLE WAS: The day before two days after the day before tomorrow is Saturday. What day is it today? A. FRIDAY

Riddle: Two people are born at the same moment, but they don't have the same birthdays. How could this be? A: Born in different time zones

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