Who we are

Step into our doctor's office where cutting-edge technology meets personalized care. We're redefining patient experiences with innovative solutions designed to ensure your health journey is seamless and efficient.

One of the most frustrating things for patients and health care providers is a lack of transparency created by putting an insurance company and health system administrators between the patient and the doctor. Doctors think they are providing the best care possible and trying to provide the best treatments, but even they don’t know how much the treatment will cost and whether the patient will be able to access that care.

When a patient gets a bill for a test that is a complete surprise - and often 3-6 months later - there’s a lot of guilt for the doctor even if there was no reason to expect such a fee. This isn’t only a hospital problem. It’s just as often a surprise pharmacy bill or lab bill.  Would you buy an article of clothing without knowing the price when you could only find out after you have been wearing it for 3 months?  Of course not. Why should you accept this from the health care system?

Advanced GYN and Wellness isn’t about seeing how many people we can cram in to one day or how much money we can make off each patient. It’s about helping women live well. It’s about removing the middle man from the doctor patient relationship. It’s also about having the time to discuss what’s going on in a patient’s life and how we can make someone feel well instead of just making someone not sick. Why does modern medicine suggest a person must be significantly sick before we make a treatment plan to start getting better?  Most women go to the doctor once a year and save up a years worth of issues and questions. To try to cram all of this into a 15 min appt will leave you feeling ignored and unheard. Don’t forget the surprise bill that will come in 3 months because you didn’t know you couldn’t talk about a problem during a “well-woman” visit. In our new practice model, however, you aren’t just paying for someone to check some boxes and order a few tests like mammograms.  You are paying to ask whatever questions you want.  You are paying to be able to address all of your concerns.  You are paying to get not just absence of disease, but also, the presence of health. 

Dr. Moore has long been an advocate of managing the whole body and not just covering up symptoms. For menstrual age women, the period is a vital sign. If things aren’t regular, the correct treatment isn’t just a pack of birth control pills, but a deeper dive to figure out the underlying cause and address it. For example, with PCOS, women are often most aware of the reproductive symptoms - irregular cycles and hair in places you don’t want it - but the underlying cause won’t be managed just by treating the visible issues. We need management of the root metabolic causes, not just giving someone pills to make the cycle appear normal.

When you feel fatigued and run down and wake up feeling physically exhausted, something isn’t right. Instead of just telling patient’s they should eat better and sleep more, we want to take the next step. We want to figure out why your body can’t get the rest it needs and recover the way it should. We also want to offer innovative solutions to help people recover their energy and vigor and feel the way they want to feel. We also think this shouldn’t cost thousands of dollars or only be accessible to the elites of our society.

For women going through their perimenopausal/early menopausal years, it can feel like you are on a roller coaster 8 days/week and trying to figure out how to get the alien that now inhabits your body to relocate. Working together, we can figure out what’s going on with your cycle and we develop a customized plan to address your symptoms. When doing this we won’t just give you a cookbook recipe or experimental therapy. We aren’t here to sell you something and we don’t make any money off whatever treatment option you choose. We just have a discussion about the options and make a decision together about how to move forward. You can also have confidence that we only offer evidence-based therapies and you are getting your treatment from a women’s health expert.

One of the biggest frustrations for doctors and patients is when a patient has a minor problem that can be quickly and easily addressed, but the doctor and patient cannot communicate directly or the patient can’t get to an actual human on the phone at a doctor’s office. We offer a better solution to our patients. For example, once you are established with the practice, if you think you have a UTI, you don’t need a fully scheduled appointment. You need to come by at your convenience for an assessment by our staff who know when to bump things up and who can get you a fast test and quick access to treatment. You also need a provider who will take the time to look at your chart and notice if this is a sign of larger underlying problem - like interstitial cystitis or recurrent menopausal UTIs that needs a longer term management solution. If you have a vulvar boil/abscess, you don’t need an appointment in 2 weeks to 2 months. You need to be seen within 24 hours - and preferably not in an ER, but by your doctor. We committ that we won’t take on more patients than we can provide this type of service to. You won’t become a number to us. You may feel like our fees are a little higher or that it’s not worth it because we don’t take insurance. What you are getting though is a level of service we cannot provide if we enter the model of healthcare where insurance companies get rich and healthcare costs just go up and up and up. By exiting the insurance system, we are able to keep our costs much lower, take good care of our employees and take great care of patients.

We are following in the footsteps of the direct primary care doctors that first opted out of the healthcare system. These doctors said, “labs cost too much for patients but don’t cost that much to run. What can we do?” They contracted with labs to provide at cost testing for their patients. They said, “our patients can’t afford their medications. What can we do?” They set up in office pharmacies to get wholesale pricing and then passed those savings on to their patients. They said, “I have to have three billers on staff to file insurance and then the insurance dictates the price. We need to see 40 people a day to make the system work. What can we do?” They opted out. Often they created subscription services that allowed for greater walkin flexibility, but continued to see patient’s who came for periodic care only. Dr. Moore first saw this model in 2017 and was really impressed. It was like they were practicing a “purer” form of medicine because they could keep health care affordable for the under and un-insured. The subscription model balanced costs/income over a longer period which made care more affordable for everyone. Most of these things can be translated to gynecology. Our favorite copy over is including any female family member under 22 still living at home on our subscription plans for just an additional $10/month.

When planning for this practice (more theoretically than concretely) Dr. Moore’s guiding light was price transparency. “If we want to really give patients’ choices in healthcare, we would require every office to put a price list on their website. When I open my own place one day, that’s what we are going to do.” There have been more than a few people who have heard that rant over the years. So, now that things are concrete, we will have a price list so you know the cost of everything. When developing pricing there are a few baselines that are nonnegotiable - take good care of staff, take good care of patients, make enough to keep the lights on and make sure my hairdresser can afford to come here. With those things in mind, when you come for an appointment, you will know your costs upfront. If you need an ultrasound, it’s included. If you need the doctor’s time to develop a treatment plan, it’s included. If you need a urinalysis, it’s included. We also want to make a trip to the GYN office a positive experience. We hope that you will find it a pleasant place to visit and know that we care about the patient experience. We provide cloth robes and cozy blankets, we keep the office a comfortable temperature, we play soothing music and treat you like family.

Our practice planning also includes ways to help patients avoid the parts of health care that really drive up cost - ERs, hospital care and urgent care that doesn’t provide real solutions. Women’s health care should be between a woman and her doctor. Lets keep these others out of the mix. In order to facilitate this, we aim to offer quick access for problem visits (avg ER visit cost - $2400 vs. our cost $40-$300), in office procedures for minor cases (avg hospital OR cost $3500-$6000 vs. our cost $1500-$3500) and ambulatory surgery center care for major cases (avg hospital OR cost $12,300 vs. ASC $6418 (South Carolina averages)). By keeping you out of the health care “system”, we can offer very significant price reductions. You will then have the option of filing a claim directly with your insurance and may be repaid a part of the cost. Most importantly, we will give you an up front cost breakdown, explain what’s variable and what isn’t and you will have a price list on the website for reference. Dr. Moore has never viewed her patients as a get rich quick scheme, but as her mom, her best friend or … her hairdresser.

We look forward to sharing this exciting way of practicing medicine.  It’s temping to call it a “new” model of care, but I think it’s far more akin to old school medicine when the doctor patient relationship was between the doctor and the patient and not the doctor, patient and insurance company.  By removing the insurance company and setting up a network of ancillary services provided at low cost, but not low quality, we hope to help every patient stay healthy and to thrive.  Also, like old time docs, we will consider payment with farm fresh eggs, local meats and fresh veggies.  After all, where our food comes from is key to making sure its nutrition rather than just food.