Doc's cash-only billing bucks the insurance morass | StarTribune.com Doc's cash-only billing bucks the insurance morass [IMG]http://stmedia.startribune.com/images/502*320/8cashonly0131.jpg[/IMG] Brian Peterson, Star Tribune
Dr. James Eelkema, a longtime ER doc, has setup a cash-only family practice in Burnsville, posting prices online. One problem:$36. Two problems $54. He's out-MinuteClinic'ing MinuteClinic.
A Burnsville family physician totes a black bag on his house calls.
By CHEN MAY YEE, Star Tribune
Meet Dr. James Eelkema, a family doctor who got so tired of the paperwork he cut loose and started a cash-only practice.
Eelkema, who has been treating patients for 30 years, quit a large family medicine clinic last summer and set up his own shop, TimeWise Medical, in Burnsville. He does the blood draws. He does the urine analysis. He even make house calls.
Got one ailment? That's $36. Got two? $54.
Three problems? "Why don't you schedule a physical?" his website cheekily asks.
Eelkema is one doctor swimming against the tide. The number of solo family practitioners has fallen precipitously in the past two decades as medical care has grown more complex -- along with the billing. But he's also a potent symbol of the times: Doctors spend more of their day complying with insurance rules, which are usually well-meaning but take time away from patient care.
"What Eelkema is saying is, 'I'm opting out of all the over-regulation and lack of support for primary care,'" said Dr. Patricia Fontaine, president of the Minnesota Academy of Family Physicians.
Still, it takes a very determined doctor to cut out insurers altogether. In Minnesota, just a handful of physicians have taken this route, most of them psychiatrists.
"Many people will fantasize about it, many people share these frustrations," Fontaine said. "However, solo practices face many obstacles to their survival ... not many physicians are likely to follow his lead."
Closer to patients
James Eelkema looks more traditionalist than maverick. He wears a white coat and carries a black doctor's bag on house calls.
He recently drove out to see Bob and Joyce Silas at a senior complex in Brooklyn Park. Joyce, 83, is a cancer survivor with chronic pain in her back and legs. Bob, 85, is legally blind. One of their caregivers recommended Eelkema, who now sees them once a month, charging $200 per visit.
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