The Dos and Don’ts of the Direct/Subscription Reimbursement Practice: A discussion on implementing the direct care/subscription models for preventive medicine practice
James J. Eischen, Jr. is a California attorney with 25 years of experience which includes representing various medical groups, real estate developers, software firms, industrial enterprises, financial institutions, property owners, and telecommunications conglomerates.This work has included management of all facets pertaining to entity formation including contractual negotiations. Other services include mergers and acquisitions, shareholder/board mediation, patents and licensing, venture capital investment, and labor services involving risk management and employment documentation. For the last four years he has also worked as a consultant/founder with medical groups, electronic health record software firms, cardiovascular testing and health coaching enterprises, venture capital groups exploring health product opportunities, to help creatively form and guide exciting new healthcare models.
- Direct/subscription medicine generally defined: history, evolution, various models
- Current typical integrative medicine reimbursement practices (cash basis fee for service)
- Structural problems of fee for service reimbursement (sporadic utilization, menu-driven utilization, reimbursement distorting service delivery)
- Applying direct/subscription reimbursement models to integrative medical practices: the psychological and financial benefits of subscription versus fee for service cash reimbursement
- Compliance issues with direct/subscription models
- Proper practice formation