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Cash-only/Self-pay Practice Design
To gain relief from the health plan administrative complexities and expenses, family physicians are looking to insurance-free or "cash-only" practice designs.
Another practice design available to simplify the practice of medicine is to transition to a retainer practice or incorporate a retainer fee that assesses patients a member-fee for value-added services (e.g., 24/7 physician contact, home visits).
Even in traditional practices, physicians are becoming increasingly aware that they can charge insured patients for services that are considered non-covered by the patient's health plan. Under contract, physicians are able to charge patients for these services.
Another practice design available to simplify the practice of medicine is to transition to a retainer practice or incorporate a retainer fee that assesses patients a member-fee for value-added services (e.g., 24/7 physician contact, home visits).
Even in traditional practices, physicians are becoming increasingly aware that they can charge insured patients for services that are considered non-covered by the patient's health plan. Under contract, physicians are able to charge patients for these services.
Self-pay Discussion Paper -- A discussion of the legal and ethical issues regarding self-pay and advice about preparing for and implementing self-pay practice.
(4-page Word file; About Downloading)
(4-page Word file; About Downloading)
FPM: Cash-only Practice: Could It Work for You?
-- An article from Family Practice Management. (February 2006)
FPM: 2,500 Cash-Paying Patients and Growing
-- An article from Family Practice Management. (February 2006)
Patient Fees for Administrative Services (Template) -- Template for practices to provide to patients, containing possible Patient Fees for Administrative Services typically considered non-covered by health benefit plans.
(1-page Word file; About Downloading)
(1-page Word file; About Downloading)
Practice Designs
Accountable Care Organizations and Family Medicine
Cash-only/Self-pay Practice

