Paducah’s Purchase ENT

PURCHASE ENT HAS BEEN PROVIDING high-quality health care for patients with ear, nose, and throat, as well as other associated Otolaryngic problems for over 10 years. Shawn C. Jones MD started the practice in March 1995. Since then Purchase ENT has added Dr. Randy Resser and Dr. Daren Kest to keep up with the high demand for ENT services in the Purchase region. They have 23 employees, including a nurse practitioner

and an audiologist. Their growth is reflected not only in terms of personnel but also in the desire for their services in other communities where they have expanded, such as Fulton, Murray, Paris and Martin, TN.

The company has been at the forefront of medical technology and innovation being the first large group in Kentucky to implement a completely electronic medical record system through Ulrich Medical and the Team Chart Concept. Purchase ENT was also the first ENT group in the region to employ image-guided technology in endoscopic sinus surgery making certain aspects of this revolutionary procedure safer and often less painful for patients.

The physicians recently added coblation to their surgical armamentarium and were the first ENT group in the region to do so. This procedure combines low temperature radio-frequency energy with a saline solution to reduce the pain and recovery time of patients who undergo a tonsillectomy.

Considering the history of this medical service company, it is not surprising that when a new high-deductible health insurance plan with a health savings account (HSA) became available, Purchase ENT was one of the first small businesses in the region to implement it. Dr. Jones had personally investigated these plans prior to the final regulations being written at the federal level, while doing wellness consulting for ProActive Health Management. “These high-deductible plans, in conjunction with an HSA, had a lot of favorable features, both for employees and employers,” Jones said. “Primarily they place control for spending, to some degree, in the hands of the person purchasing the health care. In addition, they allow spending for some preventative services.”

Both of these features will have a tendency to reduce costs in the long run. For the employer, they offer some control over expenditures for health care insurance, and this is particularly true for smaller companies. “Our company’s insurance costs were predicted to rise some 20% last year if we had stayed with a conventional plan. By switching to a high-deductible plan and an HSA in 2005, Purchase ENT was able to contribute their potential savings over the year to the employees’ HSA, keeping the impact for the employees of going to the high-deductible plan as low as possible. This kept the actual health care insurance costs of the company stable for the year.

We have always felt that offering health insurance to our employees was the right thing to do. The high- deductible plan with a health savings account has allowed us to accomplish this goal without yearly double-digit cost increases,” Jones said.