Anything not basic is a referral out, but then we are dealing with the normal medical system at that point.
So I do totally see the inefficiencies from an outside prospective. I just am struggling to see the benefit to Amazon for this particular purchase. It feels like a market that will be unprofitable for a long time if they are trying to make a system that doesn't work like it normally does.
My understanding is that these are “concierge lite” services, and full blown concierge medicine services like MD2 are a whole magnitude even better. Albeit at the cost of paying five figure annual membership fees.
To be fair this is what they do with software engineers and their ever-lowering hiring bar aside, they're still managing to get people.
True, but most people don't care who writes their software, as long as it works, whereas most/many people really prefer to have a relationship with their provider, not see a different person every time they come in. Maybe thats more of an older generation problem, and perhaps younger people will just need to have a different mindset and won't care as much.
For my wife and I, we signed up with a primary care physician that is employed by the same company that owns the hospital we want to go to. They employ all sorts of doctors and labs and can easily see medical records between them. We also chose our pediatrician group because they use Epic and integrate with hospital which also uses Epic and so medical records for the whole family are instantly available for all doctors at the hospital in case of emergency.
When one of my kids has some blood in stool as an infant, and we had to go see a pediatric GI specialist, we could go see one employed by the same company at a special children’s hospital, and they had east access to all of the same records my kid’s pediatrician was seeing.
And, of course, because the whole healthcare provider company that operates the hospital and employs the doctors is covered by BCBS, we do not have to worry about checking for out of network providers.