I will be limiting my practice to no more than 600 patients in order to provide a level of individualized service and care that is not possible in the current medical environment. This reduction in practice size will afford me the time to focus of proactive, preventive care….”
So begins a letter I received from one of my referring physicians today. He’s a good guy, but he must have wanted to make a change. As I read his letter, I noticed it was printed on some fancy stationary emblazoned with a fancy “MDVIP” logo. MDVIP, I learned, is a company “focusing beyond concierge healthcare.” So I wondered how this company marketed this to my referring doctor.
This approach to internal medicine cannot be offered in most traditional primary care practices. A physician in a typical practice of 2,500 patients could not provide a comprehensive annual physical examination to all patients, as to do so would require approximately 2,500 hours, or one year. In that case, a physician would have no time available to deliver any care to patients other than the physical examination. By limiting their practice size MDVIP physicians have time to provide both extensive preventive and wellness care and treatment of acute and chronic illness.I found impressive statistics on their website demonstrating how such a practice can provide reduced hospital admissions:
Reductions in hospitalizations are up to 65% for Medicare beneficiaries and up to a staggering 80% for those with commercial insurance. The results are scientific, not anecdotal and are because MDVIP physicians have the time to have much closer relationships with their patients.And then I noticed that you can refer patients to other like-minded “MDVIP” physicians via their network in other cities. Even global rescue exists.
Wow. Our two-tiered health care system is here now, isn’t it? The cheese was moved long ago. And some business-minded primary care doctors have been smart enough to skim the walking well with insurance off the top early.