ron pion md October 18, 2012, 3:49 pm Perhaps it's time to introduce 'virtual' medical practice as an alternative to current practice and let patients understand that being with a physician, a nurse practitioner, a nutritionist, a social worker, psychologist, occupational therapist, physical therapist etc. describes what insurance pays for....Doing so will allow patients to understand this disruptive innovation and when to take advantage of it.