A single-section user-interface that allows the most comprehensive organization of your literature. it helps you organizing, creating, and discovering academic literature. Colton has helped him keep his weight, blood pressure and diabetes under control.Docear is a unique solution to academic literature management, i.e. That may be, but Schramm, 60, of Boca Raton is convinced there's nothing better than paying extra to get his doc's ear. "There are better ways to handle the problem," he said. Instead, Mandel recommends that doctors improve the efficiency of their practices so they have more time for patients. It gives the appearance that doctors are being greedy and catering to the highest bidder." "It's understandable that they want to take charge and accept higher compensation for fewer patients, but it's very unproductive. "Doctors are seeing more patients, working longer hours, feeling more hassles from managed care and seeing their incomes fall," said Mandel, president of Quality Partners. Ira Mandel, a physician who heads a Tampa group focused on improving doctors' practices, said he understands the motivation of colleagues like Kaminetsky but doesn't agree with the solution. I don't think the public realizes the depth of physicians' dissatisfaction." "It was either do this or leave clinical practice. "I was seeing 30 patients a day and on an accelerating treadmill," he said. Kaminetsky said working with a limited caseload _ and a financial cushion to lessen the impact of fewer billings _ has rekindled his love of medicine. "I even paid a house call to a patient who was dying last week. "You get a sense that you've really attended to a problem and it's so much more gratifying," said Kaminetsky, 48, who has been in practice 17 years. Bernard Kaminetsky, an internist in Boca Raton, joined MDVIP in June and now spends at least 30 minutes with a patient, compared with less than 10 minutes in the past. "But we remain confident that we are compliant with all applicable legal requirements."ĭr. "Our challenge right now is to educate people what's happening and what's not," Ripps said. They say the fee goes to cover services that would not be covered by Medicare, such as the annual physical. MDVIP executives said its affiliated doctors don't contract directly with patients but rather with MDVIP. "If you accept Medicare money, you cannot contract to accept money outside the system," he said. The American Medical Association's ethics expert, Herbert Rakatamsky, thinks MDVIP's fee violates Medicare rules. The Florida Department of Insurance is investigating complaints from consumers who say they were dropped from coverage by a doctor for not paying MDVIP's fee. Kleinhaut filed a complaint with the federal Medicare program after he received a notice from MDVIP telling him to pay up or find a new doctor. "It's greedy, unconscionable and possibly illegal," said Herbert Kleinhaut, a 68-year-old retired businessman in Lake Worth and a former patient of Dr. Ripps also has been talking to two primary-care physicians in the Tampa Bay area, whom he declined to identify.īut not everyone is sold on MDVIP's plan to sell what Ripps calls "white-glove medical service." Except for the annual physical, patients or their insurers are responsible for all other health care costs.Īndrew Ripps, MDVIP's chief operating officer, said the company's concept is spreading rapidly, with a cluster of doctors in Southern California and the Northeast interested in joining. The fee does not affect co-payments, co-insurance or deductibles. In return for guaranteeing more personalized service, the doctors receive about two-thirds of each patient's annual fee.
MDVIP's doctors agree to limit their practice to 600 patients versus a primary care physician's average caseload of 3,000. So far it has about 1,000 members and just two affiliated physicians in South Florida. I was on my way to the drugstore in 15 minutes." "With MDVIP, I paged my doctor at 10 o'clock one night and heard from him five minutes later. "I go to other doctors and have to wait an hour and a half for a three-minute visit," said Schramm, a retired basketball coach. Dick Schramm of Boca Raton said when he learned his doctor was opening a concierge practice with MDVIP Inc., the company based in his city, he couldn't wait to sign up.
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