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Monday, Feb 27 2017

Full Issue

Direct Primary Doctors Provide More Affordable Alternative To 'Concierge' Care

A small but growing number of doctors is bypassing insurance and charging patients a monthly fee for services.

There鈥檚 no waiting room at Linnea Meyer鈥檚 tiny primary-care practice in downtown Boston. That鈥檚 because there鈥檚 rarely a wait to see her. She has only 50 patients to date and often interacts with them by text, phone or email. There鈥檚 no office staff because Dr. Meyer doesn鈥檛 charge for visits or file insurance claims. Patients pay her a monthly fee鈥$25 to $125, depending on age鈥攚hich covers all the primary care they need. 鈥淕etting that third-party payer out of the room frees me up to focus on patient care,鈥 says Dr. Meyer, who hopes to expand her year-old practice to 200 patients and is relying on savings until then. 鈥淭his kind of practice is why I went into medicine, and that feels so good.鈥 (Beck, 2/26)

In other doctor-patient news聽鈥

When Margarita Ruiz takes her children to the doctor鈥檚 office, she has no choice but to trust that nurses and front desk staff are translating medical orders accurately. She doesn鈥檛 speak English and her children鈥檚 pediatrician speaks very little Spanish. Ruiz, of Rosemead, Calif., said聽she feels grateful that staff members at the office of her children鈥檚 current doctor are usually available to translate. In the past, in a different doctor鈥檚 office, her oldest son, 14, translated for her. 鈥淚t wasn鈥檛 ideal, but I didn鈥檛 have much of a choice,鈥 said the 33-year-old homemaker. Health care experts say it is not advisable to use untrained interpreters, whether they are medical office staff members or your own family members. (Ibarra, 2/27)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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