Talk of The Villages Florida - Who do I contact

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Appreciate your post. I believe social media is the proper venue to attempt to make changes to the villages health care system with a follow up to the administrator s. Post their responses if we get any

Never had Village Health, but heard a lot of problems

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Originally Posted by ThirdOfFive (Post 1984248)

I am pretty sure that The Villages doesn't hire doctors; just like everywhere else they are employed by independent health-care entities with practices on The Villages. If you have a complaint about the quality of your medical service through the one you use, be it with your doctor, the PA's or any other part, I am sure that the organization has a complaint department. In today's connected world, especially in an environment such as The Villages, both good and bad experiences shared online make the rounds pretty quickly and I doubt that your health-care provider wants negative reviews going around.

Check their website. My guess is that it will be pretty easy to find how to file a complaint with them.

When we moved here from South Florida, we searched a lot of different plans, we had United Health Care Through AARP (big rip off), we started with Humana PPO, wow, I get to choose my own Dr, Hospital, etc, don’t need a referral to see a Specialist, and low $5 for reg Dr and $35 Specialist, had them now for 5 years and are loving it. By the way I see Dr. Georg Courterier as my Cardiologist, really happy with it.

The state has an office also for insurers .

This is sad...my husband is a retired surgeon. We do not want to see a PA ever. They have a purpose but after years of medical school and residency their training and experience cannot really compare.

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Originally Posted by Hifred (Post 1984238)

I just read the Villages Magazine about health care and was wondering who to write regarding an issue I have had with the health care system. What my husband and I as well as several neighbors have experienced is that indeed The Villages is uping their game on hiring new doctors. We were delighted with our first visits and were looking forward to receiving good care. What we found to be substandard is following the initial visit no matter what the severity of the problem we experienced we were only allowed to see a physician assistant (PA) as our doctor was fully booked. The PAs have made mistakes with diagnosing and ordering tests. They are not physicians and even the doctor after seeing the tests ordered that we paid for acknowledged the PA made an error. What I would like to propose is that TV start a concierge medical program where you are guaranteed to see a real live doctor when you need one. I have a history of cardiac issues (two heart procedures and one heart and lung procedure). When I needed to see a cardiologist I couldn't get an appointment in TV so I ended up calling my doctor at Northwestern in Chicago who immediately fed ex'd me a monitor and his nurse went over a video of how to put it on. I had my problem fixed within a week. Where as I would have had to wait weeks to even see a doctor here. I would definitely be willing to pay for concierge medicine. The other thing is that specialists and primary care doctors I saw in Chicago had Master's in nursing with additional training in their specialty area who would review email questions and discuss with the doctor what course of action was needed. Here in TV and at Shands if I call with a question for a specialist the person handling the question is a CNA who doesn't begin to be able to make the determination of the seriousness of the problem. As a next step to world class medical care I would like to ask:

1) Can they examine protocols and put in place basic procedures to insure proper care? i.e. at TV the nurse who took my husband's blood did not even put a label on the tube of blood. She said she was going to do it as soon as she was done with us. She didn't even write his name on the tube. The protocols here are loosie goosey and are poor medical practice. When the results came back they didn't even resemble my husband's past blood work results with elevations he had never had before. We ended up at Shands and new blood work was done. The two results were not even similar. So we ended up paying for two sets of blood work rather than relying on the one taken at TV.

2) Can they guarantee patients can see a doctor by assigning less patients per doctor and reserving some spots daily for doctors to see emergency patients rather than relying on PA's? Or at least allow patients to see a doctor rather than a PA. At Northwestern Memorial if your primary doctor can't see you, you always see an MD not a PA. I understand this level of care costs more but I am willing to pay for it. I have private insurance and would gladly pay to see an experienced doctor over a PA.

3) If they can't do step 2 would they be willing to have an MD review the PA's recommendation instead of having them order tests? In our case we paid a lot of money and were sent for the wrong tests because the PA didn't know he was ordering a useless test for the symptoms my husband had. This significantly delayed treatment and he required additional work ups. The cost for the useless test was more than $500 after our insurance.

No one wants better health care in TV than I. Can't they develop a higher level of care than what exists at present? Who can I write to for an answer?

You have some valid questions but your post is just way too long We don't need to know all those detailed questions We got the point.

Wow.

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Originally Posted by Traveling lady (Post 1984451)

I think if you see a PA you should be charged less than if you see an MD. You are not getting the same level of care, education, or experience.

However they charge the same as a physician. I decided to not sign up with anything here just pay for Medicare and when I move will purchase better coverage and become part of the Emory health system. So many people become enamored with TV golf etc but one of the most important factors is a comprehensive medical system to service geriatric medicine. My experience with both medical and dental here is crazy expensive for awful practitioners.

Quote:

Originally Posted by Hifred (Post 1984238)

My opinion. It is far from a simple problem. Like many things the problem is MONEY.

Here in the Villages most people are on Medicare. Medicare tells the provider what they will be paid. A system that leads to mediocre care.

Many years ago, when the Clintons were talking about nationalized healthcare, I had a friend and a customer with family in Germany. I'm not sure if he was or was not an American citizen.

I asked him about nationalized healthcare in Germany. His reply was interesting.
He said people who can afford it buy private insurance AND THEY GET BETTER CARE.

At the time aids was front page medical news. There was potential to keep aids infected people alive and the cost was hundreds of thousands of dollars per year.
I asked him if under German nationalized healthcare there was a cap on what they would spend. His reply was there are wards of people that are by our definition dead-brain dead, who are kept alive at government expense till they finally pass away.

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Originally Posted by eeroger (Post 1984467)

The only concierge doctor in The Villages is of no help. For $1800 per year out of your pocket, you get sent to multiple for tests and see multiple specialists with little follow up from primary care doctor. She does not manage your care unless you can come into the office. I thought a primary care doctor was supposed to help you manage or coordinate care among the specialists. I guess that is no longer the case.

That’s only the doctors In Florida. Most medical systems have that purpose. Part of the problem is the exponential growth lack of MD RN and poor compensation. They are not on a unified computer system and the system locally got hacked because they didn’t invest in infrastructure. The primary reason I’m leaving the state.

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Originally Posted by KRMACK55 (Post 1984632)

When are you moving?

Quote:

Originally Posted by KRMACK55 (Post 1984638)

When are you leaving?

So, who is a good doctor outside the bubble? My husband’s previous doctor dropped him this year because we are healthy and generally only go once a year for a routine wellness check and bloodwork. Didn’t go in the past year at all due to covid. I am also looking because I plan to get a supplemental medicare plan when I reach age 65.

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Originally Posted by Pedrocarrasco01@yahoo.com (Post 1984510)

You do not say who is paying for it. We are now on medicare. As we were not 65 when we retired we paid for private healthcare. It was 5 or 6 years ago. We had AETNA who no longer will insure in Florida. I'm sure if they did and competitors have all raised their prices but we paid 22,000 a year. That had to come from SAVINGS.

The whole system is a mess. If, you are uninsured, decide to self insure, you bills will be roughly 1/3 more than insurance pays for the same service. Co-pays are at what I call retail price not the discounted real price. No simple choices for anyone-including doctors. It is literally a matter of life and death. Few, including me, face reality that no one gets out alive and life is not permanent.

We have had terrible care (lack of) in the Villages and thru one of the Villages health clinics. Charges that were off the charts etc etc. We had just moved here and it was a shock. Now we know and go to U of F in Gainesville or wait for routine care when we visit our home state. We are hoping over time U of F's move to the Villages hospital will improve care and protocols, but it may take some time. In the meantime, if you can travel to Gainesville it is well worth it.

If you think you can find a comparable physician as Northwestern in Florida, good luck. That type of expertise doesn’t exist here. I’m a retired healthcare worker living in Florida half my life and very particular who is treating me. I’m on my sixth primary physician here in the Villages. Shands or Mayo is my recommendation.

Quote:

Originally Posted by Shadywood (Post 1984392)

So far, VHS has not impressed me. But neither have the specialists they've sent me to.

During my one yearly check up with my new VHS primary care doctor, I mentioned that it had been more than five years since I'd had a stress test. So instead of just scheduling the test, he sent me to a VHS cardiologist (to collect another fee, I guess). The cardiologist collected my copay and then informed me they don't do stress tests anymore, but instead use a CT scan to look for plaque in my heart. So he sent me to Lake Radiology, where I paid yet another specialist copay for a radiologist to agree that I needed a CT scan to screen for heart disease, based on the fact that I use statins to control my cholesterol.

My insurance, United AARP Medicare Advantage, states in all the plan documents that cardiac screening tests are covered 100% with no copay.

So, naturally, the radiologist used a "diagnostic" code rather than a "screening" code to file the insurance claim, while specifying in English that it was a cardiac screening test.

So naturally, United rejected the claim, since the $103 was less than the $150 copay for radiology diagnostics.

I opened a case with United, who contacted Lake to inform them that they had used the wrong code, who then performed an "investigation", which determined that they had used the correct United code for a cardiac screening. Apparently, Lake Radiology is the authority on United insurance codes, not United Healthcare.

So I personally called Lake, managed to get through to a "supervisor" (after arguing with a brick wall for half an hour), who informed me that they had no intention of refiling, despite the fact that both United and Lake agree that it was a screening test and not a diagnostic, and United had given them the correct code and told them they would happily pay the claim if they would just file it correctly. I pointed out that I would not be paying, United offered to pay, and their own stubbornness had wasted far more than $103 of their time on phone calls and "investigations", which seemed absurd when United had offered from the start to pay the bill.

But brick walls don't have minds to change, so I was forced to give up. I guess Lake will not be getting their $103.

Can't wait for January to get out of this goofy system.

My opinion. Just reading your posts. Perhaps, I am wrong. You seem to be screaming.
You probably have not spoken to the right people. The person you are talking to may not even have the power to correct things.

I recently had four different such issues going at the same time. Truth they sort of compounded on each other even though they were unrelated and with different organizations. In each case the solution was finding the right HUMAN. I just got the last of the four resolved. Each of the four, I got resolved in my favor. The last one took almost a year.

I've done customer service. These people deal with problems all day long. By the conversation, there are people you want to help and others that you put on the bottom of your growing pile.