Just came across an article talking about alternative billing.  Here are
some excerpts:


Dr. Ryan Neuhofel, 31, offers a rare glimpse at what it would be like to go
to the doctor without massive government interference in health care. Dr.
Neuhofel, based in the college town of Lawrence, Kansas, charges for his
services according to an online price list that's as straightforward as a
restaurant menu. A drained abscess runs $30, a pap smear, $40, a 30-minute
house call, $100. Strep cultures, glucose tolerance tests, and pregnancy
tests are on the house. Neuhofel doesn't accept insurance. He even barters
on occasion with cash-strapped locals. One patient pays with fresh eggs and
another with homemade cheese and goat's milk.

"Direct primary care," which is the industry term for Neuhofel's business
model, does away with the bureaucratic hassle of insurance, which
translates into much lower prices. "What people don't realize is that most
doctors employ an army of people for coding, billing, and gathering
payment," says Neuhofel. "That means you have to charge $200 to remove an
ingrown toenail." Neuhofel charges $50.

He consults with his patients over email and Skype in exchange for a
monthly membership fee of $20-30. "I realized people would come in for
visits with the simplest questions and I'd wonder, why can't they just
email me?" says Neuhofel. Traditional doctors have no way to get paid when
they consult with patients over the phone or by email because insurance
companies only pay for office visits.

Why did he choose this course? Neuhofel’s answer: “I didn’t want to waste
my career being frustrated.”

This model is growing in popularity. Leading practitioners of direct
primary care include Seattle, Washington-based Qliance, which has raised
venture capital funding from Jeff Bezos,Michael Dell, and comedian (and
Reason Foundation Trustee)Drew Carey; MedLion, which is about to expand its
business to five states; and AMG Medical Group, which operates several
offices in New York City. Popular health care blogger Dr. Rob Lamberts has
written at length about his decision to dump his traditional practice in
favor of this model.

Here's the link:
http://reason.com/archives/2013/03/13/the-obamacare-revolt-physician-fight-bac

J

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The reforms we seek would bring greater competition, choice, savings and
inefficiencies to our health care system. - Barack Oba

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