Maryland Insurers Group Releases Reimbursement Guidelines on Providers of Concierge Primary Care

[This article posted on February 13, 2009. It is posted within the following categories: Healthcare Policy & The Media, Politics & The Law, via Michael Douglas, MD, MBA.]

A report [PDF] obtained by the Baltimore Sun examines the possiblity that Maryland primary care physicians who offer so-called concierge or “retainer” care to patients while eschewing traditional third party reimbursement patterns could be offering healthcare plans themselves.  At the core of the report’s scrutiny is the establishment of bundled healthcare services offered by the providers to members of the their practices (patients) who would be recieving them on a fee-for-service model. The white paper is presented by Maryland’s professional insurance organization out of concerns that these concierge services undermined standard “market value” reimbursements to providers who continued to take traditional third party payments.

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