The Ellis Medicine complex has proven to be a serious disappointment. The problems are primarily managerial, but there are some disturbing problems with attitude that seem to pervade professional staff.
The management problems begin with billing. In part, problems arise because Ellis Medicine doesn't bill promptly. For example, a complex of insurance-company approved tests conducted on in September 2014 was not billed to the insurance comany until December 2014. For various reasons -- some still not clear after several interactions with various Ellis offices -- about 20 percent of the costs that should have been covered were not.
Ellis management and support staff appear unable to determine under what circumstances Ellis Hospital and Ellis-affiliated physicians and surgeons are "in network". My wife has insurance through her government workplace; we asked and were told her first-choice physician was "in network" for her insurance. This turned out to be untrue; Ellis is trying to collect several thousand dollars for what was, after all, an annual physical with a routine blood test. Asking the same question of the hospital in another context, I received two different, and mutually exclusive answers.
Even in such matters as calling various Ellis offices is made difficult. It is very rare that one will EVER get a person to answer the phone; it is always "leave a name and number and we'll call you back eventually". This is just irksome.
Problems of attitude are more subtle, but equally obvious. For example, arranging an appointment for a semi-annual visit, I asked the clerk taking the appointment call (finally...) to have the ubiquitous CBC+blood-chemistry order faxed to me beforehand, so I could have it done and it would be in front of the physician at the time of the examination. The woman hung up on me.
I called another branch of the same operation, intending to change doctors, and made the same request. This time, the problem was on-site. I went to the consulting room and sat down. The intake technician (to call such a person whose job is to run a blood-pressure apparatus and a thermometer a "nurse" degrades the profession) proceeded to order me to move from a chair to an examination table, as more convenient for her. The suggestion that I use an available stool (lower, easier for me with my oxygen equipment) was met with a face and a complaint.
This sort of attitude reaches into more senior ranking medical staff. For example, I cancelled what should have been a simple surgical procedure for two reasons: On the one hand, the Ellis-affiliated thoracic surgeon wanted carte blanche, including the possibility of dramatically increasing the scope of the surgery on his own authority. He also refused to disclose whether the members of the surgical team were free of HIV, various forms of hepatitis and so on (all quite commonplace in hospital settings -- after all, they are disease-ridden places full of sick people and medical staff are quite commonly infected with chronic and contagious diseases in the course of their work); it would violate their privacy.
In short, Ellis Medicine in all its components seems still wedded to an obsolete model of health care. Its staff at all levels seems committed to an agent/patient model of medicine, and that is just plain foolish.
I am a senior citizen; I use a range of medical services and this will not decline. My wife is in the same group. I am well insured for these services, and I budget additional funds to go beyond the limits of that coverage. My wife and I are both university teachers by training; we have advanced degrees and we have research experience sufficient to assess what is going on. In short, we are both well able to assume the role now demanded of people seeking medical care, to be effective patrons of the system, not merely patients being treated.
I am now seeking medical services elsewhere. read more