How can a small business survive? Self-insure!

Here's How:

  1. Provide a health savings account for each employee to cover routine outpatient care.
  2. Provide free insurance physicals to each employee
  3. Provide free recommended vaccinations for children
  4. Pay for inpatient care at 110% of medicare rates; cap patient care at 110% of medicare rates
  5. Buy a stop loss policy to guard against catastrophic illness

Doctor Hotline Can:

  1. Advise employees about how to access care so that they receive discounts for cash for lab tests, imaging tests, doctor visits and procedures.
  2. Be available 24/7 to patients so that they do not panic and go to the Emergency Room/Hospital inappropriately. (Inappropriate ER visits are most wasteful of the healthcare dollar.)
  3. Provide vaccinations and insurance physicals.

Traditional Plan:

  • Use third party administrator to provide "health insurance" for employees.
  • Provide free health and wellness programs to encourage weight loss, fitness, compliance with medications for diabetes and hypertension
  • Share costs with employees using copays and deductibles
  • Provide free insurance physicals to each employee.
  • Provide free recommended vaccinations for children.
  • Pay for inpatient care at 110% of Medicare rates; cap outpatient care at 110% of Medicare rates
  • Buy a stop-loss policy to pay for expenses over 25-50K for each employee.

    This plan should save 25% over the cost of retail insurance.

Doctor Hotline Call Plan:

  • Provide a Health Savings Account for each employee to cover routine outpatient costs
  • Provide free health and wellness programs
  • Provide free insurance physicals
  • Provide free vaccinations for children
  • Pay for inpatient care at 110% of Medicare rates
  • Use third party administrator to obtain 25-50k stop-loss policy and pay inpatient and ER bills
  • Employees share in the costs by paying routine outpatient expenses after the personal Health Savings Account is used up. Also, there is a small fee in the form of a deductible for ER and hospital use.

    This plan should save 50% of the cost of retail insurance.

With either plan Doctor Hotline can

> Advise employees about how to access care so that they receive discounts  for lab tests, imaging tests, doctor visits and procedures.

> Advise employees about drugs and ways to reduce drug costs

> Be available to patients so that they do not panic and go to the Emergency Room/Hospital inappropriately. (Inappropriate ER visits waste the healthcare dollar.)

> Provide vaccinations and insurance physicals.

With our plan each patient will undergo an insurance physical and the results will be entered into a secure electronic medical record available only to our physicians. Our doctors will be able to access patient information in real time whenever a patient calls the Doctor Hotline. We are available day or night. The doctor can provide reassurance where appropriate or advise patients how best to access the healthcare system. Treatment advice and prescriptions can be given.

For example: the doctor can advise whether or not a patient can wait to see a doctor the next day, if a specialist is needed, or if urgent care or immediate hospitalization is necessary. The patient can call the same doctor back to report on the course of illness over a few minutes, a few hours, or a few days.

Our doctors are also available for a second opinion about tests, procedures, or surgeries even when a patient is in the hospital.

 

If you are in a business that values its employees, our service will help retain employees and attract prospective employees.

We are confident in our ability to improve patient care as well as save money. The patient/employee will not be charged for the Doctor Hotline service. The employer will be charged for the Doctor Hotline service. The charge will be 50% of the savings that result compared to last year's employee healthcare expenses.

This is how you save

A 58 year old women trips and falls on Sunday afternoon. She calls Doctor Hotline "I think I broke my wrist! Do I need to go to the Emergency Room??" she wails. The doctor asks a few questions to understand the situation. He is able to learn that no bones are showing, movement and feeling is present in the fingers, the wrist is swollen and painful, but there is no break of the skin. She did not lose consciousness or collapse but tripped over her cat.

The Doctor advises her to splint the wrist; apply an icepack; take pain medication; see her primary physician the next day (or, if she cannot get an appointment, to see our physician). The Doctor calls the drugstore with a prescription for pain medication.

Let's analyze the savings ...

A trip to the ER would most likely result in a wait of upwards of 4 hours. We can expect a cost of $1000 if we include hospital charges (for a pain shot, X-Rays, IV's, blood tests), ER Physician charge and Radiologist fees. An EKG and a cat scan of the head might be included to be sure that the collapse wasn't from a heart attack and to "rule out" head trauma, raising the cost even further.  If the Doctor Hotline advice is followed: treatment could be more timely and the cost of the X-Ray and doctor visit would be $100- 200.