Obesity and nutrition medicine require comprehensive approaches that go far beyond what insurance typically covers. Creating a sustainable practice model in this field means overcoming significant reimbursement barriers, compliance challenges, and fragmented care frameworks. Our routine exam model provides the perfect structure for truly effective obesity and nutrition healthcare that benefits both patients and practitioners.
Practitioners focused on obesity and nutrition face unique challenges in creating effective, sustainable practice models:
Most insurance provides minimal coverage for comprehensive obesity and nutrition services, despite their clear medical necessity. This creates a fundamental misalignment between effective care and reimbursement models, forcing practitioners to compromise care quality or practice viability.
Our routine exam model creates the perfect framework for obesity and nutrition practice:
Creating a compliant, effective obesity and nutrition practice is straightforward with our guidance:
Whether you’re transitioning an existing practice or launching a new one, our approach provides the perfect framework for comprehensive obesity and nutrition medicine with full compliance confidence.
The routine exam model creates a structure that supports all essential components of effective obesity and nutrition medicine:
All these components can be structured within the routine exam model while maintaining clear Medicare compliance and HSA/FSA qualification
The routine exam model provides a clear structure for incorporating semaglutides within your practice while maintaining compliance:
Address the critical factors that determine GLP-1 success:
Position your brand, stay compliant, and prove value.
Strengthen your offering for patients and future buyers.
Stand out with a high-touch, high-value service level.
Scale your impact. Attract employers. Prove ROI.
| Feature | Insurance-Based Model | Typical Cash Model | Routine Exam Model |
|---|---|---|---|
| Medicare Compliance | Limited by coverage constraints | Often requires opt-out | Full compliance without opt-out |
| Visit Duration | Typically 15-20 minutes | Variable, often limited by price constraints | Comprehensive, typically 45-60 minutes |
| Follow-up Frequency | Limited by coverage | Often inadequate due to cost | Regular, structured follow-up |
| HSA/FSA Eligibility | Only for covered services | Generally disqualified | Fully eligible when properly structured |
| Medication Integration | Fragmented approach | Variable integration | Clear framework with proper boundaries |
| Patient Affordability | Covered services accessible, others not | Often limited by price | Expanded accessibility through tax advantages |
| Long-term Economics | Challenging with service limitations | Variable, often unsustainable | Predictable, sustainable subscription model |
| Comprehensive Care | Nearly impossible within constraints | Possible but limited by affordability | Fully integrated approach with expanded accessibility |
| Employer Funding | Limited to covered services | Generally unavailable | Qualified for corporate programs |
We provide communication frameworks that emphasize the comprehensive value of true obesity medicine compared to the limitations of insurance-based models. Most patients readily understand the benefits when properly explained, particularly when HSA/FSA funding options are highlighted.
The routine exam model enables the development of employer-sponsored programs that deliver meaningful results for both employees and organizations:
Develop structured approaches for workplace integration:
Create flexible models for different employer needs:
The routine exam model’s qualification as an eligible medical expense creates opportunities for innovative employer programs that expand your practice while delivering meaningful health improvements for employee populations.
Obesity and nutrition medicine have the potential to transform health outcomes addressing one of the most significant health challenges of our time. Now, the routine exam model offers the framework to practice comprehensive obesity medicine with full compliance confidence, economic sustainability, and expanded accessibility.
Discover how to transform your obesity and nutrition vision into a compliant, profitable reality with broader impact and unlimited growth potential.
Dr. Rachel Thompson, Obesity Medicine Specialist
Houston, Texas
“As an obesity medicine specialist, I was constantly fighting to provide the comprehensive care my patients needed within insurance constraints. The 15-minute visit model was completely inadequate for addressing complex metabolic issues, and insurance rarely covered the nutritional and behavioral components essential for success. Jim’s routine exam model allowed me to create a truly effective program that integrates all necessary components while remaining financially viable. My patients now receive the ongoing support they need, and many use HSA funds or employer sponsorship to access care they couldn’t otherwise afford. Most importantly, we’re seeing sustainable results because we can provide the continuity of care this condition requires.”
Contact Information:
Jim Eischen
Eischen DPSC LLC
2323 Locust Street
San Diego, CA 92106
619-919-5395
jim@eischenlawoffice.com
