Meet the man trying out a new way to deliver health care. He does not charge a membership fee, and he does not charge for follow-up visits, where he determines whether the initial treatment was effective. Kot purchases antibiotics from a supplier so he can give his patients samples. He charges a base inclusive fee ($220 per initial visit); office procedures and tests may have additional charges, and some patients with good out-of-network coverage get reimbursed by their insurance. But reimbursement isn’t Kot’s focus, because he provides an affordable product and is paid up front.
Dr. Mark Kot, an urgent-care specialist and the owner of Southampton Urgent Medical Care in Southampton, N.Y., is the anti-Obamacare doctor. He does not participate in most insurance plans and is not in any Affordable Care Act network. He feels sorry for the patients with this restricted insurance, and when they come to his door with a bad cough or a painful foot and ask to be seen, he does his best to provide them great care for a limited cost. The insurance card they got through Obamacare remains in their pocket, useless.