CONCIERGE MEDICINE PRACTICES
How Concierge Medicine Is Saving $
HPC's 2010: Heal Thy Practice Conference
20th, 2011 - Independent analyses show clearly that
concierge-models deliver superior clinical outcomes
compared to conventional insurance-based practices.
This is independent of the age, disease burden, or socioeconomic
status of the patients. When you have time to
deal with the issues, you do better, Dr. Lee stressed.
recent study compared MDVIP practices in Florida with
HMO-based practices in that state. The MDVIP doctors
achieved an average total HEDIS compliance of 89.6%.
The average for the top-performing 10% of HMO practices
third-party evaluation of 2008 data showed that MDVIP
patients had 61.3% fewer hospitalizations compared with
similar patients in commercial insurance plans, and
74% fewer hospitalizations compared with Medicare patients
of similar age, gender, and disease risk.
and simple, MDVIP hospital utilization rates are lower,
even when matching for demographic variables. In 2006,
MDVIP practices had an average total hospitalization
rate of 119.24 admissions per 1,000. In non-MDVIP matched
practices, the rate was 226.5 per 1,000. On average,
MDVIP patients had 107 fewer admits per 1,000 than people
in standard insurance plans, a 47% reduction.
Centers for Medicare & Medicaid Services lists conditions
for which patients should never need hospitalization,
among them: Uncontrolled Diabetes, Uncontrolled Hypertension,
Decompensated CHF; Decompensated Asthma; Cellulitis;
Community Acquired Pneumonia; Pyelonephritis; and Perforated
data show that preventable hospitalizations are lowered
by 40% in MDVIP practices. MDVIPs avoidable hospital
rates average 16.6 admissions per 1,000 people. In standard
insurance plans with comparable patient populations,
the rate is 27.5 admits per 1,000. MDVIPs hospital
discharge rate in 2007 was roughly 105 per 1,000 members,
versus 199 per 1000 members in standard insurance plans.
Dr. Lee estimates that at its current small size, MDVIP
is already eliminating over 9,000 hospitalizations per
year, saving roughly $79 million in total health care
expenditures. This is such a beneficial program
for the government!