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High-Level Medicine

Jul 25, 2018 03:40PM ● Published by Debbie Hall

Once upon a time, seeing the doctor meant you’d get a house call and personal service but as the medical industry became dominated by insurance companies and timed visits, practices shifted to a rather impersonal experience. Thankfully, some doctors have gone back to giving better service with convenient options including implementing technology to make patient experience better all around. From concierge, managed care, patient-centered medical home care, to virtual appointments, doctors like Dr. Scott Jacobson are subscribing to a new model of practice. Combining Western and Eastern treatments, Jacobson has a membership-based subscription model available to patients, focusing on allowing them to receive individualized care.

Jacobson originally came to Las Vegas to complete his residency in family medicine. Enamored, he wanted to make Southern Nevada home and “was ready to change the world and save people’s lives.”

After less than two years in traditional primary care practice, Jacobson became jaded. He worked in a busy practice seeing 30 to 40 patients daily.

“My bosses would come into my office every month and tell me how I had to see more patients and include more tests. The clinic was a fee-based model that doctors got paid more if they did more. If a doctor saw more patients, they spent less time with each person. Also, more tests can be intrusive,” he explains. “This way of practicing medicine was totally contradictory to why I became a doctor.”

He realized he was unable to provide a reasonable level of care and still be profitable to the company. Disillusioned, Jacobson refused to accept that a fee-based practice was the only way to provide health care. He researched innovative medical care models and was inspired by a program on PBS about different ways of providing health care nationally. He wanted to duplicate the same pioneering ideas in Las Vegas.

A startup company based in Boston offered Jacobson a position in practice more aligned with his beliefs and ethics. He advanced to medical director of one of its clinics and spent five years learning about the business of medicine while providing the best health care possible.
“The clinics promoted creating relationships with patients and getting them off the medicine,” he says. “I began educating people on how to live a healthier life. I can’t accomplish that in a 10-minute visit paid for by the insurance company.”

The clinic had negotiated a contract for a large organization, and Jacobson took care of the organization’s staff suffering with significant health issues including uncontrolled diabetes, heart ailments, and lung disease. Many patients were taking up to 15 different medications.
“I got very good at managing these very complex cases. However, I am very passionate about helping people prevent health problems. This was when I researched more holistic approaches to medicine.”

While appreciative of the opportunities given to him during his time in the clinic, Jacobson wanted to open his own practice in Las Vegas—and so he did. His practice, Wishing Wellness (WISHINGWELLNESSMEDICAL.COM) incorporates his principles through an innovative system.

According to Jacobson, barriers must be broken down to establish trust between a patient and physician. E-visits, including email, text, phone call, and video conferencing, help with communication. If there is a system in place where a doctor is getting paid to take care of people, this impedes interaction. For example, many doctors will not review test results over the phone or write a prescription to a pharmacist because insurance companies will only pay for an in-office visit. The length of times waiting for an appointment are increased.

With a membership model (much like a gym), patients have access to him as their personal primary care doctor as well as same-day appointments, e-visits (email, text, phone, and video), classes, and workshops. From nutritional counseling, herbs, supplements, hemp-based products, medicinal cannabis, exercise programs, and mind-body practices such as yoga, Tai Chi, Qigong, and meditation, patient needs are met.

His individualized approach to health recognizes that everyone is different and as a result creates individualized plans. Striking a balance between holistic and pharmaceutical, Jacobson explains benefits and risks to both. His care also includes cannabis.

“Cannabis has been used medicinally for thousands of years, and only recently has there been a resurgence in the exploration and research into the medical benefits of this powerful herb. We are very fortunate to live in such a progressive state with some of the strictest regulations. Nevada should be a model for other states going forward with legalizing cannabis since here we know exactly what’s in all of the cannabis products sold,” he says. “Cannabis-based products can have a huge impact on people’s lives. I’ve witnessed its effect many times.”

"Cannabis-based products can have a huge impact on people’s lives. I’ve witnessed its effect many times.” —Dr. Scott Jacobson


As a physician, he is knowledgeable about the forms of administration, dosing, and timing of cannabis products, and is committed to helping patients navigate the complicated world of medical marijuana by providing the safest and most effective medicinal use through a prescription. Supplements remain an unregulated industry, so Jacobson uses companies he has researched first hand and trusts, ensuring quality and safety for his patients.

In spite of shaking things up, Jacobson puts his patients first. Since all services are offered on a direct-pay basis, the practice does not bill any insurance companies. That said, they do recommend their patients have health insurance. Their goal is to offer the most affordable and quality healthcare around. Wishing Wellness is leading the way, giving patients a far more personal form of healthcare, ensuring they are healthy, happy, and not treated like a number.
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