Patient Loyalty


How much would it take for a patient to change physicians?  HealthPocket, a website that ranks and compares health plans, did a survey and found it would take $500 to $1000 a year.  I really think it is less than that.  I don’t have the reference now but I believe an increase of $10 to a copay would do the same trick.   I understand it (to a certain extent) but I also believe a really good doctor is hard to come by.   They say the Affordable Care Act is going to test this “patient loyalty” issue and I believe it.  The insurance companies are able to manipulate where you will go just by making you pay more of a copay or more of a bill to doctors they don’t like.  In other words, those doctors don’t make deals with them or satisfy some bogus quality indicator crap.   Those insurers wield too much power and influence and, to me, that is a crime.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  2 comments for “Patient Loyalty

  1. Sir 10thumbs
    June 5, 2013 at 5:46 pm

    A number bandied about in Minnesota in the early 1980’s when HMO’s were getting started suggested that patients would change doctors for as little as $3 a month. Adjusted for inflation that would be $8.23 today, so I guess your estimate of $10 is pretty close!

  2. Pat
    June 2, 2013 at 4:47 pm

    Patients can complain all they want, but when they balk over a $20 copay, they side with the insurance company, wittingly or not.

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