What Is Boutique Medicine?
Our type of practice has been called Boutique Medicine, Retainer Medicine, and Concierge Medicine. The patient pays an annual fee that is generally not covered by insurance and the doctor will be available when the patient needs to be seen. This allows the doctor to have a very limited number of patients and therefore is able to give the patients plenty of time to listen to the patient and solve their health care issues.
How Is This Different From Traditional Medicine?
In a typical primary care practice the doctor has to see a patient, submit a claim to the insurance company and await payment. Frequently the insurer denies the payment or pays a fraction of what the doctor charges. The insurers also put maximum values on what a doctor can charge for a service. Sometimes patients say they would be happy to pay extra in order to have just a few more minutes of the doctor’s time. This is also not allowed by the insurance company. If a doctor accepts that plan, they cannot charge anything more than what the insurance company pays. Since a doctor has fixed expenses they need to increase volume in order to make up for lost revenue. So this means longer waits for patients and less time for the patient to be with the doctor. All of these problems have come to erode the physician/patient relationship. In retainer medicine, all of that has been stripped away and we are back to the way medicine was meant to be practiced. Dr. Davis is free to spend as much time with a patient as she may need. It also means that the doctor/patient relationship is not dictated by the insurance companies and will not change if the patient gets a new insurance plan.
Do I Still Need Insurance?
Yes. Patients still need insurance for lab test, imaging studies, hospitalizations, and other expenses. A patient can still use their insurance for all of these things and it works just like it works in any other practice.
Can I Use My Insurance To Pay The Annual Fee?
Most insurers do not cover Dr. Davis’ annual fee. Some patients have been able to have their employers pay all or part of the fee but each patient needs to contact their company individually to see if that is possible.
Does Dr. Davis Accept Medicare?
Dr. Davis has opted out of Medicare. Lab tests, x-rays, etc. will still generally be covered by Medicare, but Dr. Davis’s fee is not covered by Medicare.
What Does The Fee Cover?
The fee generally covers:
|House calls||Comprehensive physical exams|
|Urinalysis||Rapid strep test|
|Some vaccines||T.B. test|
|Blood draws||Body fat measurement|
|Preventative health visits||Well child visits|
|Office visits||Annual female exam|
Does Dr. Davis Do Pediatrics?
Dr. Davis is Board Certified in Family Medicine and takes care of patients age 2 and up. Dr. Davis enjoys taking care of the whole family and has some families with 4 generations.
What About Referrals To Specialists?
Dr. Davis works very hard to find specialists who match well with a particular patient. Over time she has found a “short list” of physicians who work well with her and who can understand the needs of her elite clientele. She will make sure the specialist has all the records prior to the consult and will follow up with phone calls whenever necessary. Patients do need to understand, however, that she can’t control all aspects of their visit to a specialist and need to remember that once they leave her office, they are back in the “real world” of medicine with insurance, waiting rooms, etc. She has found it makes patients appreciate her service all the more!
Admission To The Hospital
If a patient needs to be admitted to the hospital Dr. Davis will coordinate admission with the help of a “hospitalist”. A hospitalist is someone who only takes care of people in the hospital and has extensive experience with critically ill patients. Dr. Davis is available to be sure that the hospitalist is up to date on the patient’s history and that nothing falls through the cracks. Dr. Davis also helps the patient and family interpret what they are being told by the hospitalist and other specialists. Dr. Davis has found that this process ensures the highest quality of care for her patients.