Concierge and Direct Primary Care -
Subscription Medical Care

A small but growing number of local medical offices have adopted two new payment models; concierge medicine and Direct Primary Care (DPC).

While these two models share improved access to the physician, pre-negotiated discounts on imaging, labs, prescription drugs, and smaller patient panels, there is a difference. Concierge practices generally charge an annual access fee that often exceeds $1,000 and may still accept health insurance payments; direct primary care practices simply charge a fixed monthly fee.

Physicians are experiencing rapid change in reimbursement models for their services. Traditional fee-for-service has come under fire as promoting unnecessary visits simply to generate additional fees. In the move from fee-for-service (termed 'volume medicine') to fixed monthly payment (termed 'value medicine'), physicians have to make major changes in how they provide, document, and bill for care. The transition is not an easy one as any medical office that has moved from fee-for-service to fixed reimbursement (i.e. capitation, pay-for-performance) can attest.

In 2014, Time Magazine published an article on direct primary care (DPC) that stated in part: ‘The idea (DPC) is deceptively simple: Pay frontline doctors a fixed monthly fee directly instead of through the byzantine insurance bureaucracy.’

Can we expect to see more medical offices choose these new models that permit their physicians to focus more on accessible patient care than on their payments? Are we returning to the days when the doctor made home visits? How is new technology changing how physicians care for patients under these payment models? Come join us and find out.

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About the Speakers

Eric Meyer Eric Meyer  MyDirectMD Eric has over 30 years in the sales and administration of managed health care benefits, software and consulting services focused on innovative reimbursement models in health care. Through this experience he saw that these models became more focused on managing sick care, rather than providing proactive health care and believed strongly that there was a better model. A model where the individual and physician worked in partnership in delivering and managing care that was in the best interest of the patient, not the third party payer. Thus the creation of MyDirectMD. Eric holds a Bachelor's of Science degree from Purdue University and is actively involved with his church and Special Olympics. Tameika Lewis, MD, F.A.C.O.G Tameika Lewis,  MD, F.A.C.O.G. The Office Of Dr. T. F. Lewis Gynecology, Weight Loss, Aesthetics Dr. Tameika T. F. Lewis, the daughter of two pastors, was born in Virginia and raised in several states across the country. She graduated from Duke University, and then attended the Medical University of South Carolina for medical school. After completing medical school she performed an OBGYN residency at Greenville Hospital System University Medical Center in Greenville, SC. She is a board-certified obstetrician and gynecologist who enjoys learning, and generally completes 50 hours of continuing medical education every year.   Dr. Maribel Aviles, MD Dr. Maribel Aviles, M.D.  Innova Medical Care Dr. Maribel Aviles, M.D. decided to practice Family Medicine with a 'twist' within the Direct Primary Care (DPC) model through Innova Medical Care. She Graduated in 1989 U.P.R School of Medicine and was Board Certified in Family Medicine the same year. She has been in private practice since 1994 serving the Orlando Community. She Founder & President  The House Portable Medical Care, Inc.- non profit organization for the underserved and uninsured in Orlando.

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