Cottonwood Family Medicine is a Direct Primary Care Model, where patients pay a monthly fee to access all of their primary care needs. The physician providers are Marci Price-Miller MD and Kirk Miller MD. In general, and observed at this clinic, insurance companies have trended towards being less helpful for patients and more demanding on physicians. Every year, patients enroll in a new plan that causes uncertainty regarding coverage and co-pays. The confusion requires placing either the patient or the clinic in ﬁnancial jeopardy and at the mercy of the insurance company regarding coverage. Receiving payment is increasingly arduous and time consuming and gives the impression that the ﬁnancial motivation of the insurance company comes at the expense of either the patient or the clinic. Even Medicare, in a well meaning but misguided attempt to improve quality of care, has created a bureaucratic system that ﬁnancially rewards or punishes a clinic based on it’s ability to submit forms correctly and are not a reﬂection on the quality of care being provided. An example of how challenging insurance companies can be, In 2017 this clinic had payment for all Medicare patients withheld for almost 6 months due to a missing letter in a single form. The clinic submitted a form that stated the business name as “Cottonwood Family Medicine LLC”. We erroneously did not submit the “P” at the beginning of “PLLC”. Therefore, Medicare stated that we were not in compliance and withheld all pay until the clerical error was corrected. The number of hours and phone calls required to correct the error on this form was unbelievable. However, despite the burdens placed upon the clinic, I am sensitive to the fact that Medicare patients may be less inclined to spend extra money on a membership service. But with the recent changes in Medicare prescription coverage, it is even more important to spend time reviewing medication lists in order to try and save patients money. A typical primary care physician will have less then 10 minutes with each patient to address your questions, let alone take time to address your medications to try and save you money. At Cottonwood, we no longer believe that it is possible to provide quality care in our traditional health care system where the demands of the insurance companies outweigh the requests of our patients. So we have chosen to stop taking insurance payments in order achieve our goal of providing the highest quality of care, by spending quality time with patients.
Marci Price-Miller has been an independent practicing physician in Eagle, Idaho for nearly 20 years. She is an advocate for preventative care, and believes that health is a balance between wellness and medical management. Dr. Price-Miller demonstrates her passion for people in her personalized approach to care, taking the time to get to know each of her patients and their specific needs.
When she's not in the office, you'll find Dr. Price-Miller spending time with her husband and three adult children. She is an outdoor enthusiast and enjoys running, climbing, yoga, biking, mountaineering, backpacking, nordic skiing, and sea kayaking.
University of East Tennessee
School of Medicine
American Academy of Family Practice
Internship & Residency
University of Utah, Family Medicine
American Academy of Family Practice
Dr. Kirk Miller has been practicing Orthopedic Anesthesia since the year 2000, with Intermountain Orthopedics and has been consulting for Cottonwood Family Medicine, since 2012. Dr. Miller combines his experience in orthopedics and chronic pain medicine with his passion for health and ﬁtness. His medical services include musculoskeletal evaluations, nonopioid approach to chronic pain and annual wellness exams with an emphasis on nutrition, weight loss, and advanced cardiac screening through the Cleveland Clinic HeartLab. When not working, he enjoys a variety of intense activities, including rock climbing, mountaineering, bow
hunting and kayaking. He also competes in Triathlons and Nordic Skiing.
University of Tennessee
American Board of Anesthesiology
Internship, Residency & Fellowship
University of Utah, Cardiovascular Anesthesiology
American Board of Anesthesiology, American Board of Pain Medicine 1998