MDVIP

MDVIP

MDVIP is a “Boca Raton, Fla.–based concierge care company, with 565 affiliated physician practices in 40 states. MDVIP’s 200,000 patients each pay between $1,500 and $1,800 annually—a lower price than many concierge competitors.

Summit Partners is the driving force behind the company. It invested in the early 2000’s and then sold the company to P&G in 2009. It then bought the company back from P&G in 2014.

They say they partner with Mayo, Cleveland Clinic, and Johns Hopkins, among other partners.

CREDIT: http://www.mdvip.com
CREDIT: http://www.mdvip.com/what-is-mdvip/our-model
CREDIT: http://www.mdvip.com/member-benefits
CREDIT: http://www.dpcare.org
CREDIT: http://www.kiplinger.com/article/retirement/T037-C000-S004-pay-flat-fees-to-doctors-with-direct-primary-care.html
CREDIT: http://johncreid.com/2016/09/direct-primary-care/
CREDIT: http://medicaleconomics.modernmedicine.com/medical-economics/news/bill-could-allow-health-saving-account-use-dpc
CREDIT: http://www.kevinmd.com/blog/2014/08/direct-primary-care-concierge-medicine-theyre.html

============Notes from credited sources ============
LIVE HEALTHY WITH A PRIVATE DOCTOR FOCUSED ON YOU
Long Live Healthy with Personalized Healthcare

PRIMARY CARE BUILT JUST FOR YOU
At MDVIP, we know that a lifetime of good health cannot be achieved through a one-size-fits-all approach to medicine. That’s why MDVIP is different. From the first day of your membership with MDVIP, its affiliated physicians across the country focus on delivering an experience that rivals ordinary primary care practices. Working as partners, you and your personal doctor will develop a tailored, comprehensive wellness plan that delivers in-depth knowledge and one-on-one support all year long. With the added benefit of minimal wait time, extended appointments and partnerships with some of the top specialized medical centers in the nation, you can rest assured that maximizing your health, no matter your current health status, is our number one priority.
TOP DOCTORS: 
Selected from among the best in the nation, MDVIP affiliated doctors hold accomplishments and honors such as Best Doctor mentions and Castle Connolly Top Doctor Awards.
SAME-DAY APPOINTMENTS:
MDVIP affiliated doctors are dedicated to providing convenient same-day or next-day appointments.
TAILORED CARE:
Whether you have a chronic condition or a clean bill of health, MDVIP’s Wellness Program provides tailored wellness plans with guidance in weight management, sleep, exercise and much more.
SPECIALIST CARE:
For advanced care needs, MDVIP helps manage direct referrals to top medical centers, including Cleveland Clinic, Mayo Clinic, Johns Hopkins and more.

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MDVIP is a personalized healthcare program that empowers people to reach their health and wellness goals through in-depth knowledge, expertise and one-on-one coaching with some of the finest primary care doctors in America. With memberships that average $1,800 per year (prices vary based on location), you become one of a few exclusive patients who receive the highest levels of personalized care to help transform your life into a healthier one.
Our unique approach to healthcare is proactive, instead of reactive. Unlike a traditional primary care practice, your MDVIP-affiliated doctor will take the extra time to get to know you, your lifestyle and your current health through consultations, comprehensive screenings and advanced testing.
He or she can then offer you a carefully thought out wellness plan tailored to meet your unique needs, while also helping you manage acute or chronic medical needs as they arise. Your MDVIP-affiliated doctor will get to know you as a whole person, rather than as a faceless name on a chart.

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Select Your Physician
Experience personalized, primary care from a dedicated MDVIP-affiliated doctor who understands you and your health needs. Beginning with your first office visit, your doctor will go above and beyond to provide care that knows no limitations. To start your MDVIP membership and find the perfect doctor, search by doctor’s name or geographical area in the form fields below.
Insurance and Medicare
To suit the unique needs of each MDVIP member, our program is compatible with Medicare and most insurance plans. An MDVIP membership supplements traditional insurance by emphasizing preventive measures and proactive care to keep you healthy and happy. Our customer service experts will help answer any questions you may have regarding your insurance or membership cost. Call 1-844-205-4940 to learn more.
Wellness Program
You and your MDVIP-affiliated doctor will form a partnership focused on better health and overall well-being that starts at day one. Working side-by-side, you will develop a comprehensive Wellness Plan made just for you. Taking key health factors and lifestyle habits into consideration, your personal Wellness Plan will help accomplish specific goals and live your best and healthiest life every day.

MDVIP Connect
Our goal is to provide convenience so that you can go about your life as planned. Using the latest technology, MDVIP Connect brings expert advice, round the clock secure messaging, medical records, customized nutrition plans and Health Assessments together in one personalized site. This intuitive platform makes managing your health simple and empowering, letting you focus on living a vibrant life.

===============================OTHER BENEFITS ========
MDVIP Travel Advantages
We want our MDVIP members to travel with peace of mind. Your doctor will connect you with other affiliated doctors across the country if an urgent need arises, provide care to out-of-town guests and inform you of necessary vaccinations before traveling abroad.
Online Personal Health Record
Every MDVIP member will receive online access to his or her Personal Health Record that includes a summary of the annual MDVIP wellness exam, lab results, EKG and other important medical information.
MDVIP Connect
After becoming a member, you have access to MDVIP Connect, an innovative personalized website designed to bring convenience and peace of mind to your life. Build a strong partnership with your MDVIP-affiliated physician and manage your health with 24/7 secure messages, medical records, meal plans and more available in one location.
Medical Centers of Excellence
We have partnered with nationally renowned medical institutions to create the Medical Centers of Excellence program. Through this program, your doctor can connect with the experts at these institutions to help you get a second opinion, consultation or specialized treatment if needed.

We strive to provide our members with more than just healthcare. We go above and beyond what the traditional primary care practice offers. Our holistic, proactive approach to healthcare addresses your physical, mental and emotional well-being through one-on-one counseling and comprehensive diagnostic testing. Unlike traditional practices of 2,000 patients or more, we ensure each MDVIP-affiliated doctor cares for 600 patients or fewer, so you receive the extra time and attention you deserve. Additionally, we provide you with convenient appointments and the benefits of our Travel Advantages program, Medical Centers of Excellence program and online access to your Personal Health Record.

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http://www.kiplinger.com/article/retirement/T037-C000-S004-pay-flat-fees-to-doctors-with-direct-primary-care.html

The trend has had an impact on concierge care. “We’ve seen more and more demand,” says Dan Hecht, chief executive officer of MDVIP, a Boca Raton, Fla.–based concierge care company, with 565 affiliated physician practices in 40 states. MDVIP’s 200,000 patients each pay between $1,500 and $1,800 annually—a lower price than many concierge competitors.

Pay Flat Fees to Doctors With Direct Primary Care
By CHRISTOPHER J. GEARON, Contributing Editor
From Kiplinger’s Retirement Report, March 2013
Ever need to wait a week or more to see your primary care doctor? Perhaps you should follow the lead of Debra Sallee, 58, a Seattle hair salon owner. For a flat fee of $79 a month, she can see her family physician as often as she wants—with no co-payments or health insurance

For several years, Sallee has been a member of Qliance, a primary care provider with four locations in and near Seattle. Her fee pays for round-the-clock e-mail or Skype access to the medical staff as well as same- or next-day (or evening) appointments for non-emergency medical care.
Sallee and Qliance are part of a growing movement known as direct primary care. For a set monthly fee, patients receive a full range of preventive services, such as wellness examinations, screenings and basic mental health care. Qliance also provides urgent care, including treatments for respiratory infections. Monthly fees are based on age, ranging from $54 to $89.
Direct primary care is an outgrowth of a concept known as concierge care, which provides unlimited access to physicians for hefty premiums ranging from $2,000 to $5,000 a year. Direct primary care provides many of the same services at a much lower price, eliminating the administrative costs and hassles of insurance. “It’s concierge care for the masses,” says Dr. Erika Bliss, a family physician and chief executive officer of Qliance. More than 80 medical practices nationwide belong to the Direct Primary Care Coalition. (Some members offer higher-priced concierge services.)

The trend has had an impact on concierge care. “We’ve seen more and more demand,” says Dan Hecht, chief executive officer of MDVIP, a Boca Raton, Fla.–based concierge care company, with 565 affiliated physician practices in 40 states. MDVIP’s 200,000 patients each pay between $1,500 and $1,800 annually—a lower price than many concierge competitors.
Primary care providers typically provide most of a patient’s care, including coordinating the oversight of patients with diabetes, asthma, heart ailments and other chronic conditions. Providers such as Qliance and Cambridge, Mass.–based Iora Health also coordinate all specialist and hospital care.

When Your Insurance Falls Short
Direct primary care may be a good option for those without insurance or who have high-deductible policies, such as Sallee. She pays a health insurer $311 a month for a policy with a deductible of $2,750, which she considers “catastrophic” insurance for high-cost hospital services. She pays Qliance separately.
Many employers who offer high-deductible plans are paying the fees for direct primary care. In these cases, the employer-based insurance covers the costs of specialists, hospital care and major tests once the patient meets the deductible.








Employers and unions pay Iora Health $50 a month to cover each worker and retiree in the Boston area; Dartmouth, N.H.; Las Vegas; and Brooklyn, N.Y. “Our practices aren’t designed for rich people to have conveniences,” says Dr. Rushika Fernandopulle, chief executive officer of Iora Health.
Direct primary care could get a big boost next year. Under the federal health care law, these practices will be able to operate in state-based health insurance exchanges. However, insurers on exchanges must offer a basic benefits package that includes hospital, drug and other coverage, so direct primary care practices will likely team up with other health plans.
If you’re considering a direct primary care practice, get a list of provided services and talk with a physician in the practice. Also, some practices that are similar to concierge care may accept insurance but charge a monthly fee for extra services. For options in your area, visit the Web site of the Direct Primary Care Coalition (www.dpcare.org).

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CREDIT: http://johncreid.com/2016/09/direct-primary-care/

Its pretty clear that a coalition of “direct primary care” providers is pushing Congress to recognize subscription services a service reimbursable under Medicare.

I believe they are differentiating themselves from “concierge” care, for political reasons. The coalition says concierge care is $2000-$5000, instead of under $2000.

“The Primary Care Enhancement Act of 2016” has been brought to the Ways and Means Committee, where is was referred in September, 2016 to the Health Sub-Committee.

Sponsor: Rep. Paulsen, Erik [R-MN-3] (Introduced 09/13/2016)
Committees: House – Ways and Means
Latest Action: 09/19/2016 Referred to the Subcommittee on Health. (All Actions)

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Direct primary care could get a big boost next year. Under the federal health care law, these practices will be able to operate in state-based health insurance exchanges. However, insurers on exchanges must offer a basic benefits package that includes hospital, drug and other coverage, so direct primary care practices will likely team up with other health plans.
If you’re considering a direct primary care practice, get a list of provided services and talk with a physician in the practice. Also, some practices that are similar to concierge care may accept insurance but charge a monthly fee for extra services. For options in your area, visit the Web site of the Direct Primary Care Coalition (www.dpcare.org).

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The Primary Care Enhancement Act of 2016  proposes to amend the tax code so consumers can use their health savings accounts (HSAs) to pay physicians in direct primary care (DPC), bypassing insurance. H.R. 6015 would also enable Medicare enrollees to pay for direct primary care using Medicare funds, rather than pay out of pocket.

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http://www.dpcare.org

Senators Bill Cassidy, MD (R-LA) and Maria Cantwell (D-WA) have introduced bipartisan legislation which clarifies that DPC is a medical service for the purposes of the tax code regarding Health Savings Accounts. The bill also creates a new payment pathway for DPC as an alternative payment model (APM) in Medicare. “Co-sponsors are important. They show Senate leaders that there is widespread support for the legislation,” said Sen. Cassidy when he addressed the DPCC Fly-in Sept. 24. We need your help today to ensure that S.1989 moves forward.  Please contact your Senators and urge them to co-sponsor the Primary Care Enhancement Act today.

On the Move in the States with DPC
16 States Move to Clear Regulatory Hurdles for DPC 
Legislation  defines DPC outside of Insurance.
 
As of June, 2016, 16 states have adopted Direct Primary Care legislation which defines DPC as a medical service outside the scope of state insurance regulation. 
 
The DPCC has developed model legislation to help guide legislators and their staffs on the best way to accomplish  this important reform. Click here to see the model bill.
States With DPC Laws:

• Washington – 48-150 RCW
• Utah – UT 31A-4-106.5
• Oregon – ORS 735.500
• West Virginia – WV-16-2J-1
• Arizona – AZ 20-123
• Louisiana – LA Act 867
• Michigan – PA-0522-14
• Mississippi – SB 2687
• Idaho – SB 1062
• Oklahoma – SB 560
• Missouri – HB 769
• Kansas – HB 2225
• Texas – HB 1945
• Nebraska – Leg. Bill 817
• Tennessee – SB 2443
• Wyoming – SF0049

Current as of June, 2016

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Direct Primary Care is an innovative alternative payment model in primary care model embraced by patients, physicians, employers, payers and policymakers across the United States.The defining element of DPC is an enduring and trusting relationship between a patient and his or her primary care provider. In DPC unwanted fee-for-service incentives are replaced with a simple flat monthly fee. This empowers the doctor-patient relationship and is the key to achieving superior health outcomes, lower costs and an enhanced patient experience.
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http://medicaleconomics.modernmedicine.com/medical-economics/news/bill-could-allow-health-saving-account-use-dpc

Direct primary care physicians charge patients a monthly fee for care and access to a package of services rather than by fee-for-service or insurance. The subscription model can grant patients increased access to doctors, discounted drugs and laboratory services. 
According to Meigs, the proposed law will allow people with high deductible plans to use their HSA to pay for primary care, given that people with high deductible insurance plans can use their insurance for catastrophic coverage and hospitalizations, and cost-effectively tap their HSAs for primary care.  

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Direct primary care and concierge medicine: They’re not the same

Direct primary care and concierge medicine: They’re not the same
SAMIR QAMAR, MD | PHYSICIAN | AUGUST 24, 2014
Samir Qamar
Direct primary care (DPC) and concierge medicine are rapidly growing models of primary care. Though the terms are used interchangeably, both are not the same. Such liberal use of terms, many times by even those within the industry, confuses those who are attempting to understand how these primary care models operate. As former concierge physician for the Pebble Beach Resorts, and subsequent founder of one of the nation’s largest direct primary care companies, I have attempted to differentiate the two based on extensive personal knowledge and experience.

First, concierge medicine. Born in the mid 1990s, this practice design was first created by wealthy individuals who were willing to “bypass” the woes of the current fee-for-service system by paying a subscription to access select primary care physicians. This access consists of same-day appointments, round-the-clock cell phone coverage, email and telemedicine service, and sometimes, as in my previous practice, house calls. Although some high-end practices charge as much as $30,000 a month, most charge an average monthly fee of $200.
In return, to allow such unrestricted access, physicians limit their patient panels to several hundred patients at most, a significant drop from the typical 2,500-plus panel size most doctors are used to. Many concierge doctors also bill insurance or Medicare for actual medical visits, as the monthly “access fee” is only for “non-covered” services. This results in two subscriptions paid by patients — the concierge medicine fee, and the insurance premium. Importantly, a few concierge practices do not bill insurance for medical visits, as the monthly fees cover both access and primary care visits.
Direct primary care started in the mid 2000s, and was created as an insurance-free model to serve a new patient population: the uninsured. In DPC, patients, and now their employers, are also charged a monthly fee, but the fee can be as low as $50 per month and there is typically no third-party payer involvement. Consumers pay physician entities directly (hence, direct primary care), and because the insurance “middle man” is removed from the equation, all the overhead associated with claims, coding, claim refiling, write-offs, billing staff, and claims-centric EMR systems disappears.

Patient panels can be as high as 1,500 patients per doctor, and there is typically no physician cell phone access or house call service. Similar to higher-priced concierge practices, DPC practices also allow for longer patient visits and telemedicine. The most important characteristic of DPC practices, however, is that insurance claims are not filed for medical visits.

Direct primary care’s definition, therefore, is any primary care practice model that is directly reimbursed by the consumer for both access and primary medical care, and which does not accept or bill third party payers.
Confusion arises from similarities that exist in both models, such as decreased patient panels, monthly subscriptions, and longer visits. There is added confusion when a DPC physician offers house calls or email access, typical of concierge practices. Confusion is maximized when a physician is by definition practicing direct primary care, yet calls the practice a “concierge practice.” Similarly, a concierge practice may decide to abstain from participating in third party payer systems, and thus would also be a DPC practice.
The distinction is important because direct primary care is explicitly mentioned in the Affordable Care Act, while concierge medicine is not. Several state laws have also recognized direct primary care as medical practice models, and non-insurance entities. In addition, the term “concierge medicine” causes visceral reactions in select social and medical circles, drawing criticism such as elitism and exacerbation of physician shortage.
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In summary, not all direct primary care practices are concierge practices, and not all concierge practices are direct primary care practices. The terms are not synonymous, and even the basic fundamentals of either model do not overlap. The key to differentiation is whether or not a third party payer is involved. If not, then the model is a direct pay, or direct primary care model, no matter what the fees.
Samir Qamar is CEO, MedLion and president, MedWand. He can be reached on Twitter @Samir_Qamar.