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GcMAF

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  1. What are your thoughts about the DPC model? Are any FNPs successfully using this model either supervised or in independent practice? I have heard some very convincingly argue that it is the future, along with other particulars such as tax-free healthcare savings plans and cheap catastrophic insurance across states lines. What intrigues me about the DPC model is the freedom it brings to the provider: no coding and no limitations on diagnoses or treatments, no worries about getting paid or hiring collections agencies, no worries about rejected reimbursements, quick and straightforward charting. Heck, an EMR is not even needed further saving money for the provider and avoiding privacy issues for the patient. And, most important, the middle man is removed, and the patient/provider relationship is restored as it was originally intended with no conflicts of interest that many times seem to not only betray our patients but also the provider's conscience. Will an FNP make more money using the DPC model? That is a concern I have. But, I'm not sure if it really matters if the reward is the above-mentioned benefits.
  2. Are there any regulations or compliance issues with me offering integrative/functional/alternative/naturopathic options to my patients along with the option of contemporary medicine? Is offering those services within my scope of practice as an FNP? If not, if I get a doctoral degree in integrative medicine am I allowed to offer both integrative options along with contemporary options at the same time? If the patient chooses integrative options over or along with contemporary, do I need to have the patient sign a waiver that he/she is refusing/accepting along with contemporary options at this time? Or is the waiver not necessary?

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