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Concierge medicine on the rise

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PHOENIX (KSAZ) - The Norman Rockwell image of the family doctor making a house call seems to be making a comeback, concierge doctors are growing at a fast pace.
    
"I love not having a doctors office," said Dr. Carrie Bordinko.

You could call Scottsdale doctor Carrie Bordinko, the modern day Marcus Welby only, her black bag is a Rebecca Minkoff.

Bordinko is what's called a concierge doctor she went to a cash only house call practice in 2008.

"We just set up shop right here in an office or in their living room, and we do the same exact tests from drawing blood to ultra sounds all of that now is this big and portable," said Bordinko.

She guarantees 24/7 cell phone access and unhurried, unlimited home visits that average an hour or longer.

"I get a call at 4 in the morning I know somebody's had a procedure they're having shaking chills I say call 911 ill meet you in the er," she said.

"The whole medical office was something very off putting to me," said patient bob hunt.

Bob hunt of hunt construction group likes the convenience and Bordinko's expertise.

"If you need a specialist for something Carrie has a resources group of her own she knows how to find the right people anywhere in the country and then she'll go with you if you want her to," he said."

Bordinko does everything from stitches in home to writing prescriptions, and she takes her practice a step further.

The doctor hikes with her patients, "the first stop is going to be the juice stop," she said.

And even takes them to the farmers market on weekends, to show them how to eat better. "so obviously guys a much easier way to get high dose vitamins," she said.

"I've lost about 60 pounds and its been a whole behavior modification," said Bruce Lefco.

It is not cheap, Dr. Bordinko's concierge service costs, $9,500 per person, per year over the age of 35. It's a one time fee regardless of how often you call, text or email her.

"So we have emergencies, then I have I'm walking down the hi-health vitamin aisle, and there's three different forms of vitamin D, which one do you recommend," she said.

"For me its an investment for my wife and I in our well being in our health in our life," said hunt.

Concierge doctors say eliminating insurance billing cuts 40% of the practice's overhead expenses, but clients still need insurance.

"I pay Carrie but any test she orders or specialist she wants me to go to or pills she wants me to take its covered under insurance just like any other doctor you see," said hunt.

While a typical physician can have 25 hundred patients, a concierge doctor can have a few hundred, Bordinko only accepts 65.

Her clients range from 11 years-old to 92 years-old they can be CEO's, vice presidents of companies and attorneys.
They live around the world.

While many of her patients are wealthy, she says she's recently seen a change in clientele looking for concierge services.

"Now its the average person lost their relationship with their primary care doctor or realize times are changing with access to their primary care Dr.," she said.

Studies show concierge services are growing about 25 percent a year Bordinko is now expanding her business.

She plans to keep operating her cash only house call practice as long as she can.

"Certainly other countries have made accepting cash payment directly from patients illegal I hope we never see that happen," said Bordinko.

A modern day doctor is treating people the old fashioned way.

"Without going into great detail it has saved my life," said hunt.

There are more expensive and less expensive concierge services of the estimated 55 hundred concierge practices nationwide about two thirds charge less than 135 dollars a month but services range.
    
For more on concierge medicine visit: http://conciergemedicinenews.wordpress.com/
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