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Many, if not most, primary care doctors go into some form concierge medicine to escape what can best be described as the low reimbursement rates for Medicare patients. The more Medicare patients the doctor has, the more difficulty he or she has in generating sufficient receipts to run his or her practice. The Senate's proposal to allow millions of additional people to enroll in Medicare (down to as low as 55 years old) could mean bad news for primary care doctors but good news for those in the concierge medicine business. I predict that, if the Senate's "early enrollment" idea is enacted into law, there will be a lot more primary care doctors moving toward concierge medicine as a way of augmenting their incomes to offset the increased number of Medicare patients. |
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