From: Kevin Egly <kevin

From: Kevin Egly <kevin_egly@yahoo.com>
Mailing-List: list Practiceimprovement1@yahoogroups.com; contact Practiceimprovement1-owner@yahoogroups.com
Date: Thu, 2 Dec 2004 13:35:01 -0800 (PST)
Subject: RE: [Practiceimprovement1] Health Savings Accounts
Reply-To: Practiceimprovement1@yahoogroups.com

I believe this is where we can be helful to people. This is where $365 per year per patient would likely pay for good quality care. Episodic visits would not need to be billed just documented and the remainder of the practice time could be used to manage the populations of patients HTN, Obesity, Diabetes, Osteoporosis, and other ongoing health interventions. Group visits could be easily started to address major issues in your practice. Dare to call it concierge medicine, but it would be a cost patients could count on.

Can we negotiate with these individuals for managing their outpatient healthcare as a part of their annual deductible for the health savings accounts? Certain testing could be included, but that becomes more difficult to manage.

Any thoughts?

I have a catastophic health insurance from the AMA. Deductible is $20,000 over two years or greater than $10000 in any one year. The only problem is that I do not have access to insurance fee schedules when I see a doctor or visit the ER. My son had bloodwork at local ER chem panel, cbc, UA and bill was over $800 for the testing. It covers usual and customary over $20000. Cost $1200 per year.

I would like to explore the concept of how we can negotiate service at higher reimbursement from insurance carriers and or patients for managing care better. BCBS put me in the lowest reimbursement tier because they "don't have data on me" providing quality care. I do not know how to fight this. I think I will start collecting data on my own to substantiate my level of care.

Please expand on these two topics so that we can find a way to take back control of healthcare and save on the purchase of healthcare and health insurance.

Insurance for my family and one employee would likely cost 9-10K dollars, I feel helpless when I need to collect $20 copay and 10% coinsurance

Kevin