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Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 6/4/2009 1:20 PM (GMT -7)   
I got a letter in the mail from my GP that he is joining this new group called MDVIP. He will only be accepting 600 patients and it is first come, first served. Currently there are over 3000 patients in his practice. I have been looking at their website and called to get more information. Of course there is an annual fee!!!! $1500, as if it doesn't cost us enough already. I just don't think that the benefits of this program for someone with CD justify the cost. But I'm curious to see if anyone else has heard of it. All insurance will still be accepted but this fee is above and beyond that. It covers an Executive physical, a personal wellness program and a personal health record that you can carry with you (the size of a credit card). Also, 24/7 access to your doctor, or another doctor in the program if you are traveling. It all sounds great, except the fee. While I would like to have a personal health record to carry with me, and access to my doctor 24/7 do I need it at that cost? I don't think so. I just bugs me. I have been with this doctor since before he actually had a practice (almost 21 years), and now I have to start over, or pay big bucks to keep the status quo.

So does anyone have any info?
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 6/4/2009 8:17 PM (GMT -7)   
Could you work out something with your doc that existing patients don't get all the bells and whistles unless they pay the fee but can keep him on w/ regular 9-5 care w/o the fee? I have never heard of ANYTHING like this.
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night.  I take xanax prn for situational anxiety (aka no easy bathroom access). 


Rider Fan
Veteran Member


Date Joined May 2008
Total Posts : 1445
   Posted 6/4/2009 8:59 PM (GMT -7)   
That would seriously irritate me if my dr did that. What a cash grab.
32 y/o male. Dx'ed in 1999. No surgeries.

Current meds: Humira 2/27/09. 8mg prednisone. Udo's Choice Probiotics (30 billion). Can't tolerate any iron supplements or infusions.

Tried SCD, didn't work, now avoiding gluten and dairy.


Go Saskatchewan Roughriders!


Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 6/5/2009 4:05 AM (GMT -7)   
Nope, can't work anything out. He will only be having this elite group of patients, so that his time is free to see them. It is irritating because if it wasn't for the patients like me, he wouldn't have a practice to start with. I am just curious if anyone else has heard of this. Since one of the benefits is that you have access to their network of doctors when you travel, I checked the place I go every summer. Not one doctor in the state. So the nearest doctor would be mine! So now I have to scramble to find a new primary who will understand all the minutia that goes along with me! I hate breaking in new doctors.
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


Rider Fan
Veteran Member


Date Joined May 2008
Total Posts : 1445
   Posted 6/5/2009 3:43 PM (GMT -7)   
Of course in a market based health care system you as a doctor have every right to use the laws of supply and demand to design any revenue structure for yourself that you choose.
 
I would suggest that many (most?) here do not spend $4.11 on a coffee every day, I know I don't.  Additionally, when you add the cost of basic health insurance to the $1,500 dollar fee, one is definitely paying a substantial fee for service, much more than a cup of coffee.  But I say again, this is simply supply and demand.
 
Of course I don't know you as a clinician, perhaps if I did and lived in the USA I would determine your price to be appropriate.  You would have to be very, very good AND I would have to be able to afford to pay for food, mortgage, retirement, savings, car, kids (and their health care) as well as multiple thousands a year for my higher than average health care expenses.  I think you'll find that many of the patients who most require your skills will no longer be able to access them due to other obligations to themselves and their dependants that I listed above.
 
Mike
32 y/o male. Dx'ed in 1999. No surgeries.

Current meds: Humira 2/27/09. 8mg prednisone. Udo's Choice Probiotics (30 billion). Can't tolerate any iron supplements or infusions.

Tried SCD, didn't work, now avoiding gluten and dairy.


Go Saskatchewan Roughriders!


Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 6/5/2009 4:23 PM (GMT -7)   
I don't drink coffee!

So no one else has encountered this? Which just makes my decision easier. I had already checked my home state, only 6 or 7 doctors enrolled, the state I vacation in and work in, has no doctors enrolled. I think that as a CD patient I'm already getting a pretty all encompassing physical each year, and most things would show up on blood work, or at least there would be some indicator. So I don't think I need an Executive Physical. I don't need a Personal Wellness Plan, don't we all already get that? So really the only benefit is the health record that I could carry around with me. I probably could find it cheaper on the web, or maybe just a piece of paper and pencil?
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


mbw1103
Regular Member


Date Joined Apr 2009
Total Posts : 71
   Posted 6/5/2009 6:45 PM (GMT -7)   
I haven't heard of this group, but "country club" doctors have been around for a few years.  I first learned about them when my boss was in a similar situation and he was venting because he didn't want to find a new primary care doc.  I want to say the cost to remain a patient in that practice was around $3k, but there wasn't access to a broader network, just the 3 or 4 docs in that practice.  The doctor benefits because they're not cramming in 20-30 patients/day to make the practice monetarily successful which reduces their stress and ultimately helps the patient too.  The patient benefits because they basically have a doc on call for them.  I'm not sure how the MDVIP practice works, but the one my boss was telling me about limited their patient load to about 200-300 patients to make sure that the docs could spend sufficient time and develop a relationship with the patient.
 
Personally, I don't quite get it (maybe I lucked out, but my key docs are always just a phone call away).  It might make sense in some situation (my boss' example was an executive who was in meetings/traveling during most business hours...in this case the doctor would be willing to make early morning/late night/weekend appts).  When I first learned about this is was pre-crohn's for me (although i had other stuff going on at the time).  Now, I might think differently about it if I really liked my doctor - I wouldn't think about such a practice for my primary care doc, but if my GI went that route, I'm sure I'd do it ... I've seen her for about 6 years now and she knows me and what's normal for me.  When dealing with something like crohn's plus a handful of other GI things, that would be worth the price of admission, in my opinion.
 
I recalled a Newsweek article about the same time my boss was telling me about his dilemma.  I was able to find the article on their site, which explains the benefits a bit better than i did :-) ...  http://www.newsweek.com/id/48656

33 - Diagnosed with Crohn's in Nov. '05
Current Meds: Apriso, Methotrexate, Pamine Forte, Aciphex, Domperidone, Folic Acid, VSL#3, lots of vitamins/supplements
Gluten free since Aug. '03

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