How to get more bang for your buck in concord andrology surgeries
Concord and the medical profession are a long way from the days of a pay-for-play model.
Concord doctors are paid a percentage of the services they perform, and the percentage varies depending on their specialty.
But the system is changing fast, and many physicians are questioning how much the industry can afford to lose.
A few of those are now taking matters into their own hands, offering a “pay-for service” model for doctors, called “co-payment.”
This model is based on a model developed by health insurance company Kaiser Permanente, which has been used by health insurers, as well as some medical providers, for years.
The concept is simple: A doctor will pay for services he or she performs, but he or her patient will pay the cost of his or her care.
Co-payment can be used in a variety of ways, including for outpatient surgeries, where doctors would pay directly for their services, and for inpatient surgeries, when a hospital has limited resources.
In most cases, co-payment would be a flat amount for the surgeon’s services and a flat rate for his or their patient.
In some cases, it would be set by the surgeon, which could include payments for other procedures, like radiotherapy or hip replacement surgeries.
In the case of co-payments for outpatient surgery, a surgeon would need to pay a certain amount per patient.
But it could be higher or lower depending on the procedures.
In addition to the cost, many physicians argue that the co-pays are not very fair.
“The difference between a full co- payment and a part co- fee, which is a little higher, is not always worth the difference,” said Dr. Mark Everson, a board-certified internal medicine doctor in Concord, New Hampshire.
Everson also said that some patients have complained about being charged too much for services that may not be necessary.
For example, when he does a hip replacement, he could be charged up to $15,000 for his surgery.
“That’s just not reasonable,” he said.
“When you’re going to a surgery like hip replacement or a hip reconstruction and it’s going to be $10,000, $20,000,” he added.
“The patients deserve that.”
But Everson is not the only one asking questions about how the industry is changing.
A new paper published in the American Journal of Orthopaedic Surgeons and co-authored by Dr. Scott G. Hodge, director of the division of endocrinology and hormone therapy at the Mayo Clinic, argues that the “cooperatively-satisfied” model is not an ideal solution.
In the paper, Dr. Hinkle and colleagues show that in certain settings, it can be difficult for patients to find co-op providers.
And, in certain circumstances, the quality of care can be significantly compromised.
Dr. Halsey says she does not think the industry should change its pricing model, and that some doctors are still working within the model.
But she does think the current system is working well.
“I think we’re in a better place than we were five years ago,” she said.
Dr Halseyan also noted that there is a growing number of surgeons that are willing to accept a lower co- pay, to provide better quality care.
But for many patients, co of pay is just not an option.
“In the past, I’ve had patients come in, and they were like, ‘This is not a good plan.
I can’t do this,’ and they weren’t sure if they could do it,” Dr. Godge said.
“They were frustrated.”
In addition, some surgeons have started looking for more flexible payment options.
For example, Dr Halseys co-paid hip replacement was cut to $5,000 and she was not able to accept the full $30,000 payment she had originally requested.
The authors of the paper say that the system needs to be updated to include more flexible options that allow surgeons to negotiate lower fees for certain procedures.
They also suggest that the industry create more incentives for doctors to accept less than their industry standard.
“This needs to happen so that surgeons are incentivized to negotiate with the medical providers they’re working with,” Dr Hodge said, noting that doctors should not have to accept more than their fair share.
“They need to accept something that they can afford, which would be in line with the industry standards,” he concluded.