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Redefining the Safety Net

Should California establish a Basic Health Program for certain low-income residents? CHCF's Marian Mulkey captures a recent policy conversation in a Health Affairs blog.

Accountable Care in Action

A new post on the Health Affairs blog details how CalPERS kept costs down in Sacramento through a "virtual" ACO with insurers and providers.

Career Opportunity: Senior Program Officer

This position will play a major role in furthering the goals and objectives of the foundation's Better Chronic Disease Care program.

Business

Thursday, February 01, 2007

Physician House Calls Get New Life in San Francisco

San Francisco's On Call Medical Group provides house calls to patients and is part of a growing trend toward service-oriented medical care that also includes retail medical clinics, the San Francisco Chronicle reports.

The group, founded 10 years ago by Dr. Jordan Shlain, has grown to six physicians and recently expanded to Palm Springs.

Shlain said the majority of patients are working class and the service is more affordable for them than going to an emergency department for care, regardless of insurance status. The group charges $255 for a house call to a new patient and $195 for subsequent visits. It does not accept health insurance but provides patients with a form to seek reimbursement.

Insurance reimbursement is not guaranteed, but many health plans provide at least partial payment because the service is considered an out-of-network provider, according to the Chronicle.

Yan Chin, a pediatrician with On Call, said, "I know enough health policy to know this is not the answer to everyone's dream. It's one of the answers." He added, "It gives patients a choice" (Colliver, San Francisco Chronicle, 1/31).



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