MDVIP

My Primary Care Physician is headed in this direction. Limiting his practice to 600 patients. More face time better care, 90 minute yearly physical etc. Cost is $1500 per year, over and above everything. Anyone go for this? Pros and Cons?

Looks like a good idea, but there are questions: what if you're "high maintenance," or have type I diabetes with complications, intractible spinal problems/pain, chronic liver failure from Hep-C, congestive heart failure, etc. Do you get the short end of the stick?

There was a fascinating article about reducing health care costs in The New Yorker Magazine via "medical Hot Spotting," or spotting which patients are responsible for most emergency room visits & hospitalizations, and their absurd costs.
90% of the time these high-maintenance "extreme expense" patients where just completely incompetent in taking care of their condition on a regular and proper basis via such things as proper glucose monitoring, not taking their heart meds with CHF, or not responding to obvious danger symptons until they where in the back of an abulance, etc. By buckling down on this group, this process allowed the expenses to be paid for - instead of medical services denied against - someone who needed the expensive treatment on a life-saving preventative basis.

See: http://www.newyorker.com/reporting/2011/01/24/110124fa_fact_gawande?currentPage=1

if you are also going to see: www.mdvip.com

their website could be more informative