Dr. Cyrus Peikari, Dallas MD, Discusses Concierge Medical Care

Dr. Cyrus Peikari acquired his MD from Southwestern Medical College in Dallas, which included a number of prestigious externships overseas. He then completed his Inside Medication coaching at Presbyterian Hospital in Dallas. Dr. Peikari is a effectively acknowledged doctor in addition to an writer haven written a number of books. His medical textbook is utilized by physicians nationwide as a examine information for the ABIM Inside Board Examination certification.

After 10 years of holding management positions at Baylor Medical Heart and Presbyterian Hospital, Dr. Peikari determined to vary course and opened a solo follow. Being born and raised in Dallas, he has at all times felt a powerful tie to the area people. A couple of years later, he turned to a Concierge type medical follow.

With a Concierge type follow (additionally generally referred to as boutique or retainer primarily based drugs) sufferers are charged a month-to-month or yearly payment. Insurance coverage will not be accepted. This, in line with Dr. Peikari, eliminates an entire host of issues the standard doctor encounters. Dr. Peikari usually takes not more than 200 sufferers in his follow and spends at the least half-hour with every affected person per go to. This permits for extremely individualized care. Most physicians see 30-50 sufferers per day. Affected person satisfaction in one of these setting is predictably greater.

Though this mannequin tends to favor these with greater incomes and people with extra advanced medical circumstances, the mannequin has been profitable in locations like Seattle the place Quliance has not accepted insurance coverage reimbursement for over 15 years. Sufferers pay a flat month-to-month payment for limitless entry to 13 physicians. This mannequin has been extraordinarily efficient since usually 40-50% of the overhead in a medical workplace is spent on billing and collections. As Dr. Piekari states “Everybody in well being care is in transition, the market is eliminating conventional practices, that are going bankrupt. It is changing into both Concierge Care or Mass Medication.”

We had been lucky sufficient to take a number of moments out of Dr. Piekari’s busy schedule and have him reply a number of of our questions on Concierge type medical care.

Kevin: Dr. Peikari, one of many main complaints from most sufferers is that they’re seeing a rise in ready time and a lower in particular person consideration from their physician. Concierge care is a pattern that’s rising in reputation. May you clarify the essential enterprise mannequin and why extra physicians are choosing one of these follow?

Dr. Peikari: Concierge or “money solely” practices are altering medical care again to the way in which Marcus Wellby practiced it on TV. Till now, third events, resembling insurance coverage payors and the federal government, have crowded themselves into the examination room. Concierge care brings again that shut, personal and private care. You as soon as once more have a trusted doctor, identical to the one you had rising up.

Kevin: How can a affected person anticipate to be handled in a different way in one of these setting?

Dr. Peikari: Concierge drugs permits sufficient time for a full dialogue of your points. Usually, I do not determine what the actual drawback is till 30 to 45 minutes into the dialog with a affected person. It’s so refreshing to have the ability to get these main breakthroughs in well being. That is what you miss in a 3 minute go to.

Kevin: Do you are feeling this shall be viable various to conventional insurance coverage primarily based medical care now that The Inexpensive Care Act is about to take impact?

Dr. Peikari: It’s viable as a result of in a money solely follow, the market determines the costs. Though the character of our particular companies places us on the greater finish of the associated fee spectrum, now you can discover Concierge companies at a fantastic value… due to free market forces at work.

Kevin: Are you able to clarify how one of these follow offers you the power to spend extra time your sufferers?

Dr. Peikari: By eliminating third social gathering payors, our busywork time goes down by 90%, which permits our face time with our sufferers to extend by 1,000%. So a rushed 3 minute go to mechanically turns into a leisurely 30 minute go to.

Kevin: How can a affected person get the individualized consideration of Concierge care and on the identical time be ready within the case of catastrophic sickness?

Dr. Peikari: We do suggest greater deductible catastrophic insurance coverage. In actual fact, that is what “insurance coverage” initially was created to be: to “insure” you towards disaster.

Kevin: To wrap this up Dr. Peikari, what’s the greatest consideration one ought to make when deciding on what sort of doctor care most accurately fits their wants?

Dr. Peikari: Your private view on therapeutic is what’s vital. For those who consider {that a} prescription for medicine and a 3 minute go to is all you want, then the present system works effectively for you. Nevertheless, others consider that it’s the relationship with the doctor, moderately than simply medicine, that helps unlock your internal therapeutic skills.

Dr. Cyrus Piekari runs his Texas MD medical follow in Dallas, Texas. He will be reached at 214-739-6100. His enterprise web site is texasmd.com.

Kevin Nimmo is an internet media strategist and author. He interviews subject material consultants and educates his readers primarily based on info offered by consultants of their respective fields.

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