Put in some sweat equity, choose the right therapist, and you’ll get big benefits for little coin. [Read more…] about 5 Ways to Stretch Your Therapy Dollars
Has someone suggested needling or injection of your muscles or joints? The question I got recently from a former patient opened up a whole can of worms. [Read more…] about Prolotherapy and Needling Therapies
How Can ConciergeCare be Less Expensive?
Insurance plans have different contracted rates with different healthcare providers. Rates are determined (generally speaking) by the negotiating power of the provider.
With ConciergeCare, I am billing your insurance company directly. Payment for those services is based on the contract that I reached with your insurance provider. Because I’m a one man shop, I don’t have much bargaining power, so I generally don’t get the best rates.
On the other hand if you see me in a clinic setting – as part of a larger network, corporate chain, or hospital joint venture – then the rates will almost always be higher, with a more limited choice of insurance plans. How much higher is tough to say, but patients have reported to me that in extreme cases they paid a clinic 3-5 TIMES the amount they’d have paid me. That’s only counting the PER VISIT difference, and not the overall cost of your care.
With ConciergeCare, I am with you, spending every minute of your appointment re-assessing, customizing, educating, adapting, and moving your care forward. You’re getting the fastest recovery for your therapy dollar.
In most clinic settings however, the therapist provides a portion of your treatment, and leaves the other items to a physical therapy technician. The vast majority of outpatient clinic therapists are also not board certified. This is scientifically proven to lead to a slower recovery, with more visits required for the same treatment outcome.
If you get your care in a physical therapy clinic owned by your surgeon, studies show that the cost differential gets even wider, as still more care is provided by technicians, and the orthopedic group owners count on (and push for) a larger number visits per patient to maintain profitability. You’re nothing but a captive audience!
Are There Any Fees Associated with ConciergeCare?
The Trip Fee is only $15 per visit, and it covers your use of my equipment (TENS, heat, Ice, etc) in your home between therapy visits. You will also have the option to buy items used during your treatment, ordering through links on this website.
What Kind of Equipment Do You Use for ConciergeCare?
I actually use all of the same equipment that I traditionally use in an outpatient clinic. The items I use with ConciergeCare, however, are lighter, more portable, and many times, are left in your home for your use, during the duration of your therapy.
Why Go To a Clinic?
There are certain situations for which clinic equipment and assistance is needed. For example, I referred a patient last year who had suffered a spinal cord injury, and required specialized equipment and two additional technicians, just to get into standing. He was 6’4” and weighed close to 300lbs. He also required a tilt table, lift, and parallel bars. This is technically the type of patient that is supposed to result in the higher fees that hospitals get for therapy.
However, even in the most elite sports medicine clinics, the bulk of physical therapy is conducted with simple items like dumbbells, ankle weights, resistance bands, small electrical stimulators, ultrasound machines, cold and heat. By the time the athlete is able to use heavier weight equipment and machines, the injury has already healed and rehabilitation is over.
Studies have demonstrated over and over: It’s not the equipment, but the problem solving abilities of the therapist, experience, training, continued scientific education, consistent, individualized attention, education and patient participation in treatment that lay the foundation for a full, fast, recovery.
You’d think that for all that we pay, the governmental oversight to avoid “fraud, waste, and abuse” would be professional, upstanding, and streamlined. Think again. [Read more…] about What a Medicare Appeal Looks Like
Has a surgeon recommended knee arthroscopy as a treatment for your arthritis? Confused? Read this commentary for clarification. [Read more…] about Knee OA: To Scope or Not To Scope?
Know the top words and phrases associated with healthcare hype, fads, and frauds! [Read more…] about 5 Sure Signs of Healthcare Hype
If you have a high deductible, a “Cash Discount” sounds like something that could save you money…but the devil is in the details, as the saying goes. [Read more…] about Can I Just Pay the Cash Discount Price?
In this world of intense marketing and endless choices, people are always attempting to re-brand, or even un-brand themselves. Looking online for a church a few years ago, I found that many appeared at first to be non-denominational, but were in fact, part of a mainstream denomination. For reasons known only to them, they had dropped the denomination from their name, or buried it under the “What We Believe” page. The same is becoming more and more true of health care providers and products. [Read more…] about “Faux-sical Therapy”
Patients will hear me say over and over “MRI is really only for surgical planning. If you’re ready for surgery, then you need an MRI.” It doesn’t tell you “what’s wrong” or tell us if you need surgery or not. I ran into a research study today that demonstrates my point. [Read more…] about Don’t I Need an MRI?
Chronic or acute inflammation of the shoulder can result in stiffness of the shoulder capsule, severe pain, and occasionally severely limited motion. While treatment of a stiff/frozen shoulder can be very painful, it is generally not terribly complicated and improves in a reliable fashion. Physical therapy can also serve prepare the patient for consultation with an orthopedic surgeon, by restoring optimal shoulder flexibility, strength and function. Because normalized passive motion is a prerequisite to successful RTC repair, even patients with a diagnosed RTC will benefit from skilled physical therapy intervention. [Read more…] about Management of Stiff/Frozen Shoulder