SOLUTIONS GUARANTEE A+
✔✔Retail clinic for low acuity conditions represents ______ utilization, and that retail
clinic use was associated with a modest ______ in spending; retail clinics do not
________ health care spending - ✔✔Increased
Increase
Decrease
✔✔What is Concierge Medicine? - ✔✔Pay a retainers of $1k-5k and get a variety of
additional services including cell phone access to MD 24/7, same day visits, longer
visits, and PCP accompanies you to specialty visits
✔✔What are some of the pros of concierge medicine? - ✔✔Why not allow people pay
more to get more?
Physicians argue that it allows them to practice the kind of medicine that they think is
right
✔✔What are some of the cons of concierge medicine? - ✔✔It's 2 tier medicine, better
care for the wealthy, takes physicians away from those who need them
✔✔Concierge medicine ______ have a huge impact yet - ✔✔Does not
✔✔What is Direct Primary Care? - ✔✔Concierge care for the rest of us. Pay a monthly
retainer, but way less money (~$50), and get all the office-based primary care you need.
Couple with a high deductible plan
✔✔What is the benefit of direct primary care from the MD perspective? - ✔✔Don't have
the hassle of reimbursement; focus on patient care
✔✔What is the benefit of direct primary care from the PT perspective? - ✔✔Better,
easier access
✔✔A poorly functioning system creates niches for services such as concierge medicine
and direct primary care because: - ✔✔Patients are not getting what they need and
physicians are constrained in how they can meet these needs
✔✔What is Complementary and Alternative Medicine (CAM)? - ✔✔Group of diverse
medical and healthcare systems therapies and products that are not presently
considered to be part of conventional medicine
✔✔Top 10 CAM therapies used: - ✔✔Prayer specifically for one's own health,
, Prayer for another person's health,
Natural products,
Deep breathing exercises,
Prayer group,
Meditation,
Chiropractic care,
Yoga,
Massage,
Diet based
✔✔Yoga is ________ as a CAM - ✔✔Increasing
✔✔CAM makes up about ____% of Out of Pocket Spending on all healthcare - ✔✔11%
✔✔For 20 years, care has been moving to the _________ setting - ✔✔Ambulatory
✔✔The inefficiencies and less than optimal service quality in office setting is creating: -
✔✔Opportunities for new markets and new care settings (urgent care centers and retail
clinics)
✔✔The tradeoffs in these new settings, convenience vs detailed patient knowledge,
leads to: - ✔✔Potentially poor communication with primary care providers
✔✔What are the leading diagnoses for those admitted? - ✔✔
✔✔ What characterizes Inpatient Care stays? - ✔✔They are at least one overnight stay
✔✔"ambul" means - ✔✔walking
✔✔Three interrelated trends regarding inpatient care and ambulatory care: -
✔✔Because inpatient care is so expensive, payers won't pay for an overnight stay if it
isn't medically necessary
Hospital based outpatient care is more expensive than non-hospital based outpatient
care
Busy people demand convenient care
✔✔Hospitals must maintain all the expensive services and technology in order to: -
✔✔Be properly accredited and licensed, as well as attract various insurers, patients,
and good physicians
✔✔What does this high overhead do resulting in competition? - ✔✔It puts them at a
competitive cost disadvantage relative to free-standing, single focus ambulatory
facilities, including even surgical centers or imaging centers