I am a neurologist in private practice for 30 years. My overhead is crazy and I have 3 years left on a lease. I am contemplating what options I may have if I close my traditional private practice which accepts insurance. I was thinking about a cash based practice. Although, I don’t know if my community would support it. I would like to be as independent as possible and not have to rely on as much staff if any. I am the medical director of a local hospice, which I love, but it is not full time.
Any thoughts about options to transition a practice would be greatly appreciated. Thank you, Holly Maggiano, MD
The road would not be easy but the need is there for educated doctors who are willing to listen to their patients and help them achieve better health rather than throwing medications at them. I get calls all the time from patients wanting the names of practitioners that will try to help and not push things on them. We are going to face an even bigger problem with dementia and neurologic disorders because of our healthcare system and our lifestyle/dietary habits. You could make a difference if you wanted to pursue it. Offer both private pay visits and membership models for steady revenue so you give people options. I know that some membership only models scare some people off because they have insurance they are paying for already and are afraid of being stuck in something that might not help them. They will probably want to test the waters first. I hope you do make a change, because we need more fighters and advocates.
I am here in Northern Nevada, as a nurse Practitioner I have full practice privilege and own my own practice. I was in a hospital based clinic before and during the covid crisis. As a result of my off label treatment, I was pushed out. I started the clinic to offer covid and vaccine injury care, long haul care utilizing FLCCC protocols. My practice has gained popularity in this community and many of my past patients have left the HBC(hospital based clinic) die to the unwillingness of the practitioners to listen, discuss options and they generally treat labs and not people. I started out cash only, now accept a few insurances , no Medicare. I opted out of Medicare. There is a huge need. I provide primary care, acute care, I have a health food and supplement store, infrared sauna, offer home visits, and IV therapy. It works.