I have looked into the MD-VIP program. They have already cleared the retainer fee with HCFA (Medicare), by calling it a "comprehensive evaluation for health status", which as preventive care, isn't covered by Medicare anyway (ironic, huh?). The patient signs a waiver that they will pay if Medicare doesn't. In MD-VIP, you actually have to do a face-to-face with the patient, but I can't see why you couldn't just provide the patient a report on health status, using the new AC version 5 features for instance.
By the way, each patient for MD-VIP pays $1,500/year, of which $500 goes to MD-VIP. I expect that, as primary care docs become scarce and the patient pool with insurance goes up from the health care legislation, patients may need to pay a retainer to get into a full-service practice, or to see an MD instead of the PA, for instance.
