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Concierge medicine would benefit from healthier patients (vitamin D)

Concierge medicine generally provides all medical services for a flat fee
Health Maintenance Organizations (HMOs) also generally have a flat fee
In both cases healthier patients result in more profit.


VitaminDWiki has wanted to encourage HMOs to see the profit resulting from vitamin D.
Probably Concierge doctors will also be interested in profit resulting from vitamin D

Concierge Medicine information on the web

  • Concierge medicine Wikipedia
    Also known as: retainer medicine, membership medicine, cash-only practice, and direct care
    Many different forms and wide range of prices
    # of patients per doctor ranges from 50 to 500+ (vs ~ 3,000 rypically)
    Annual fees range from US $195 to US $5,000+
    Sometimes just a fraction of the doctors patients are on concierge
    about 5,000 US doctors provide a concierge service (out of 200,000 doctors)
  • Pros and Cons of Concierge Medicine Wall Street Journal, Nov 2013
    “More practices are catering to the middle class, with the goal of providing affordable care”
  • http://conciergemedicinetoday.org/ huge website includes History, 2015 data,
  • http://aapp.org/ American Academy of Private Physicians: a trade organization
  • Physicians Abandon Insurance for 'Blue Collar' Concierge Model USNews April 2014
    "About 6 percent of physicians were in concierge or cash-only practices last year – up from 4 percent in 2012, "
    “We realized that insurance paying for primary care is akin to using car insurance to try to pay for gasoline,”
    “It’s something that’s otherwise fairly affordable until you try to pay for it with insurance"
    " . . . still strongly urge patients to take out high-deductible insurance for emergency coverage in the event of a catastrophe."

Expect that some high-end clients will be EXTREMELY interested in
disease PREVENTION provided by Vitamin D

One example of increased profit due to Vitamin D intervention is for pregnancies

Healthy pregnancies need lots of vitamin D has the following summary

Problem
ReducesEvidence
0. Chance of not conceiving3.4 times Observe
1. Miscarriage 2.5 times Observe
2. Pre-eclampsia 3.6 timesRCT
3. Gestational Diabetes 3 times RCT
4. Good 2nd trimester sleep quality 3.5 times Observe
5. Premature birth 2 times RCT
6. C-section - unplanned 1.6 timesObserve
     Stillbirth - OMEGA-3 4 timesRCT - Omega-3
7. Depression AFTER pregnancy 1.4 times RCT
8. Small for Gestational Age 1.6 times meta-analysis
9. Infant height, weight, head size
     within normal limits
RCT
10. Childhood Wheezing 1.3 times RCT
11. Additional child is Autistic 4 times Intervention
12.Young adult Multiple Sclerosis 1.9 timesObserve
13. Preeclampsia in young adult 3.5 timesRCT
14. Good motor skills @ age 31.4 times Observe
15. Childhood Mite allergy 5 times RCT
16. Childhood Respiratory Tract visits 2.5 times RCT

RCT = Randomized Controlled Trial

Vitamin D prevents/treats MANY diseases

Intervention - Vitamin D contains many lists, such as the following
Intervention AND Breathing

Intervention AND Cardiovascular

Intervention AND Diabetes

Intervention AND Pregnancy

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