Over the years I’ve written a lot about shopping for drugs, using price comparison and other techniques like pill splitting, asking for a generic or all the above. The best deal in health care (almost the only deal in health care) is over-the-counter (OTC) drugs. Almost all OTC drugs were once available only by prescription.
Author: Devon Herrick
Coworking Clinics Tailored to Physicians are the Next Big Thing (I hope)
Coworking spaces go back decades even if the name was changed to give the idea an aura of originality. One thing that is new is the concept is now being tailored for physicians. This is where an old idea gets interesting. Increasingly, physicians are opting to work for hospitals, large practices they don’t have a stake in and other employers whose interests may not align with their patients’. The reason many physicians are becoming employees rather than self-employed is because the financial cost of setting up an office is prohibitive, not to mention the headache of managing a small clinic.
Physicians’ Practices Vary: Some are Good, Some are Bad
I am (generally) a big fan of doctors experimenting with different forms of medical practices. Some doctors are sole proprietors and work mostly alone in their office. Years ago, I went to a doctor who did not accept insurance and would not make appointments. His office was small since he didn’t require a billing staff and was very efficient. His prices were transparent and quite low ($35 office call in 1993).
Another physician, this one from Northern Virginia, pioneered primary care consultations by telephone. Doctalker Family Medicine would do house calls, in-office visits and consultations by phone. Each service came with a different price tag. He did not accept insurance, but his office would help patients fill out an insurance claim form for a modest fee. Most of his consultations were by phone.
Why A Physician Visit is Sometimes Billed at Inflated Hospital Prices
Hospitals are the worst place to receive care if there are any other choices. Hospital prices are far higher than the same services available elsewhere. I often tell the story of my wife unknowingly checking on getting a CT scan at a hospital outpatient facility. She discovered that her share of the cost was going to be $2,700. That wasn’t the price; that was just her share of the cost. The price was higher. I quickly found a free-standing radiology clinic willing to do the same procedure for $403. Why was it lower? It wasn’t that one CT scanner was better than the other. It was that one was at the hospital where prices are always higher.