MISSOURI: “Primary Care Club,” Patient pays $150 on their first visit, then $70 a month for check ups, some tests and meetings with a nutrition specialist.

COLUMBIA, Mo. – Dr. Myriam Ensling made the old dentist’s office she moved to in 2012 her new place of business, even with the dental lamps hanging from the ceiling.

“I see the patient, I have to write down the diagnosis, to do the bill, to prescribe things in only fifteen minutes,” Ensling said. “So it’s a bad quality of care.”

Ensling said she split from the hospital in 2012 to practice independently, but handling the health insurance claims has been difficult. One mistake on the report means Dr. Ensling doesn’t receive money for the tests she gives.



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