My Practice is Changing…
Find Out Below How it is Going to Benefit You!
Before I get into the exciting changes that are coming, I want you to know right up front that I've always wanted to be a doctor.
I treasure the personal interactions with my patients ... with you.
I became a doctor for one reason - to really make a difference in my patients' lives … and I believe that I really do make a difference in each and every one of your lives.
So now that brings me to the changes that are about to take place.
You see, I’m making changes in my practice in order to be able to practice medicine the way I’ve always wanted, the way I believe it can still be done.
These changes are only possible because of the mutual admiration, respect and trust that we have for each other. I have a deep personal commitment and investment in each and every one of you.
Some of you I've known for over twelve years, and some of you I have just begun to know.
My Motto Has Always Been, "Do the Right Thing for the Patient and Everything Else Will Take Care of Itself"
I always try to do the right thing when it comes to keeping you healthy, and to find out what is wrong when you do get sick.
However, over the last twelve years, managed care companies, and insurance companies seem to think that they are better at knowing which tests to order for you than I am, or they think that they know which medicines work best for your individual condition.
Their policies are pitting insurance companies against the better judgment of your doctor, pitting the patients against the doctors, and pitting the patients themselves against the decisions of the insurance companies.
The paperwork load has increased so dramatically that I seem to only have time to call about really abnormal test results anymore. It seems that normal test results do not get communicated to you very well at all. There is simply not enough time to do all the things that could and should get done.
By now, most of you know that I frequently fall behind and run late for appointment times. Worse, I find myself so busy lately that it is nearly impossible to see you when you do get sick or injured.
The policies of the insurance companies and managed care companies have taken their toll on our relationship for too long and if I stayed with my current practice model things would just get worse in the future.
The Changing Face of Healthcare…
Did you know that 30 million new people are expected to enter the health-care system in 2014 under the Patient Protection and Affordable Care Act (which is also being called Obamacare)?
Experts are saying that having a close relationship with your doctor will soon be an utter impracticality in a traditional medical practice.
The average patient is already waiting 6% longer in doctors’ waiting rooms and spending just 6 minutes in the exam room – imagine how big those numbers will grow next year with 30 million more people in the health care system.
To survive economically, traditional medical practices have become a numbers game, needing panels of 3,000 or more patients per physician to be viable. To serve this number of patients, physicians must schedule more and more appointments each day – which means less and less time patients can spend with doctors.
This is not what I signed up for and I’ve decided to do something about – both for your benefit and mine.
It is time to return to the good old-fashioned doctor-patient relationship, where the doctor is always available, sees you when you do get sick, sees you at your scheduled appointment time with no waiting, and the doctor really knows who you are. The model where the doctor always takes the time to help you stay healthy and prevent major medical problems.
A model that offers all of the following:
- Comprehensive, pre-physical and preventive physical exam that can last up to 2 hours
- Being able to see you on the day you wish to be seen
- Being able to discuss issues/ lab reports with you at the DAY and TIME that is convenient for you
- Timely call backs
- Educational information that allows you to be more proactive with your healthcare
- Opportunity to reach me by cell or email whenever you need to
- Being able to speak directly with a member of my staff when you call
- Nutrition, weightloss, hormone and other health and wellness programs that are pro-active so you live better
I have consulted with Personalized HealthCare, Inc., an incredible company that was founded by doctors and that helps excellent doctors return to the way medicine was designed to be practiced.
Over the past several years, I have watched colleagues of mine adopt the Personalized HealthCare model. At first, I was not sure it was for me...
However, over the past year, the wisdom of the approach taken by my colleagues has become increasingly clear. The more I have examined it, the clearer it has become to me that it is the solution to the healthcare challenges you and I are facing today.
The more I look, the more I see that Personalized HealthCare is on the cutting-edge in restoring what it seems I—and traditional medicine—have lost.
Why I Made This Decision to Switch to a Personalized HealthCare Practice
Let me now share with you more about the key reasons why I came to this decision and what I feel this new model of healthcare will help us achieve. In doing so, I want to concentrate on two aspects central to Personalized HealthCare.
Simply put, there is no substitute for time in the care of patients.
The time spent talking and listening to you, my patients, is the best diagnostic test I can order. Better than lab tests, x-rays or whole body scans. I want to be able to address all your questions.
As doctors lose time with patients, we often compensate with testing, which increases costs and usually offers minimum benefits. When you are not sure what you’re looking for, you’re more likely to get false positives.
Similarly, when we focus on prevention and screening – having the time to review your health habits, discuss your concerns and provide you with educational material is essential. The focal point of the PHC Inc. program is the yearly preventive comprehensive physical, with the time for comprehensive review and discussion of all aspects of health.
Doing that, taking that time, gives me the baseline I need for your best care in the long term and allows me to provide you with true preventative care.
The second aspect is what I will call immediate communication. I don’t have to tell you that calling a physician’s office is typically not a pleasant experience. Many have shared with me their frustrations with complicated voice mail systems and not being able to reach my staff.
You’re fed up and I’m fed up. WE ARE BOTH FED UP with the effects stemming from the lack of personal care and attention you deserve. Again, the problem is that as my volume of patients increases, out of necessity to remain viable, my ability to provide seamless access becomes compromised, despite technological advances.With the Personalized HealthCare model of patient care, you will reach my staff and me, at any time.
You will also have my cell phone number and email address and will be able to text me at any time.NO ANSWERING SERVICE.
The reason I emphasize this is due to the value that I see in the ability to reach me, rather than someone who is “on call” for me who doesn’t know you. If I can save you an emergency room visit because I know you – you will have gotten immediate value in the program!
No Matter What the Insurance Companies Say… Having a Relationship With Your Doctor is Vitally Important!
The last thing I want to discuss may be a little more difficult for me to articulate. It has to do with a restoration of the value with the doctor/patient relationship that is accomplished by this practice model.
I have already mentioned how the restoration of time helps the diagnostic aspects of the doctor/patient relationship. But I also believe there is a therapeutic value as well. If my years of medical practice have taught me anything, it is the truth of that statement.
Simply put, your symptoms start to improve when you have confidence and trust that your concerns have been addressed, that you have been heard, that your problems are not dismissed.
Your headache begins to go away when you are reassured it is likely not a brain tumor, your fatigue improves with the realization that stress, poor sleep and lack of exercise is the problem.
It sounds deceptively simple, but it is not.
It acknowledges the fundamental fact that human beings need to relate.
Once you have found an individual to whom you can openly express your concerns on an intimate level (and I’m speaking as a patient as well as a physician), you have a valuable relationship. You would think such a relationship would not be discarded, but it has been.
Physicians have become commodities – we are names on a list or a card. You change us by contacting a clerk at an insurance company. Obviously, no one there has any real concept of a healing relationship as I have just described.
In this new model, our relationship is the core, because you have said that is what is important. You have made the choice and commitment.
The Traditional Fee-for-Service Model Just isn’t Working
In today's world, in the fee-for-service model, despite the good intentions of the "Patient Protection and Affordable Care Act," physicians are having to close down, sell or borrow money to keep their practices open due to the lower and lower reimbursements from insurance companies.
The fee for service model is not sustainable if I am to give the kind of care you deserve and the kind of care I am committed to provide.
Put another way, each day I strive to integrate the best of medicine, hormone balance and nutrition to help you achieve total body wellness - I believe this new practice will allow me to best accomplish this goal.
So What About the Cost for this New Type of Care?
At just $125 a month, you'll have 24-hour access to your physician.
- $125 per month is about what you’d spend on one premium daily coffee at Starbucks
- $125 is equivalent to one visit to most hair stylists
- A pack-a-day cigarette habit cost $100-$225 per month
- The average monthly cable television bill is $120
If you are ready to make this move with me, we are offering two options:
- You can register as a member of my new Personalized HealthCare practice today and if you are one of the first 200 to register we will add a free month to your membership. We highly recommend this option.
- However, I understand that my announcement of a change in my practice model may have been a surprise to you and, as a result, you may need a little time to digest everything. If that is the case, you can click here (or the reserve link below) and we will hold a spot for you while you consider everything that I’ve told you in this letter. This way you can have a little extra time to weigh your decision without risk of having our membership fill up before you decide.
Just remember, we can’t reserve your spot for long. We expect demand for this new practice model to be very high, especially with the news that 30 million new people will be entering the healthcare system in 2014. That’s why we are offering to add a free month to the membership of anyone who registers now before demand becomes so high that we stop all promotional offers and may end up having to turn people away.
You know, I firmly believe this new practice model is your best bet to get the best possible healthcare in the future.
To further guarantee that members receive the best possible care, I’ve decided to only treat 600 patients in my new practice.
That’s right, only 600 spots are available – and remember I have a patient list of over 6,000 right now!
If you are ready to make this move with me, register as a member today! In order to ensure that I have the time I need to provide you with the best possible care, I’ve decided to only treat 600 patients under this new healthcare model.
Now Consider this:
- The average physician today maintains a patient list of thousands, while Personalize HealthCare doctors maintain a patient list in the hundreds.
- Most patients are lucky to get six minutes with their doctor during an office visit, while patients under a Personalized HealthCare plan receive unhurried 30-minute visits and 24-hour access to their doctors.
- Personalized HealthCare doctors have a vested interest in not just making their patients well, but keeping them healthy.
- Personalized HealthCare also means Preventative HealthCare. Focuses on stopping illness before it starts whenever possible.
- Preventative HealthCare starts with an annual physical examination, which establishes a base line of your health status, including any nutritional deficiencies. Your health can then be compared every year to determine if it has improved or diminished.
- One study showed that the patients of concierge doctors had up to 72% fewer hospitalizations than similar patients in other insurance plans.
The long-term goal of this new practice model is to slow the aging process, increase your longevity, improve your quality of life, and prevent disease.
I’ll stop now, and simply say that it has been a privilege for me to be your physician. I hope that we can continue to practice preventative healthcare together for many years to come.
Thank you again for reading this letter. If you are ready to make this move with me, you can either:
Remember, there are only 600 spots available!
Robert B. Vance, DO