Jackie Yaeger, MD

Call now and ask Dr. Yaeger to become your personal physician. She can meet with you in her comfortable office in downtown La Crosse, WI or if you prefer, she can make a house call. It is your choice!  Dr. Yaeger provides care when and where you need it and happily coordinates care with your other doctors. Like other members of Dr. Yaeger’s practice, you will enjoy peace of mind knowing your personal physician is just a phone call away 24/7.

 

Dr. Jackie Yaeger

Call 608-498-0932 to schedule free informational visit!

What makes this practice unique?

1. Direct access to Dr. Yaeger between visits by phone, email and texting

2. House-Call Options

3. 30-60 min visits allow time for discussion of all concerns

4. Membership model allows predictable and transparent pricing

5. Caring, relationship based medicine which leads to happy patients  & a happy doctor!

Urgent Needs?

When urgent medical questions arise between scheduled visits, you can call and talk directly with Dr. Yaeger. If needed, Dr. Yaeger can see you at home or in the office the same day or next day to further assess.  In many cases, this will eliminate the need for an emergency room or urgent care visit.

Sudden, severe illness or injury?

Dr. Yaeger will come to your home or meet you at the hospital. She will assist you and your family through the crisis and help you make well informed and carefully considered decisions about treatment options. Wouldn’t it be comforting to have someone with you at your bedside who is familiar with the medical system and who knows you personally?

Membership Benefits

  1. Direct Access to your Doctor!  You can call and talk directly to me. (texting, email and video conferencing available too). Members will be given my direct phone line to call when needed.
  2. Consistency! You will see me and only me… every time!
  3. House Calls! This is not just for emergencies, but for whenever it is more convenient for you.  When you are ill, you may not feel up to leaving the house. Or, you may just want to avoid icy sidewalks and parking hassles.
  4. Focus on Comfort! I am a palliative care doctor trained to help people feel and function at their best. Sometimes, we may decide to stop a treatment or medication when it no longer makes sense. For many people, quality of life and maintaining independence is their primary goal and I will take that into consideration regardless of the mainstream “recommendations”. If your focus is on quality of life rather than quantity, this practice is for you.
  5. Simplicity! No more headaches from dealing with insurance companies and huge corporate medical centers. I do not bill insurance so I don’t have to play by their rules and you don’t either.
  6. Control! You control your own medical record. You will get a notebook to keep at home which contains your personal medical record.  I will update this at each visit.  You can take it with you if you have other medical appointments, share it with your family members and refer to it anytime you need a reminder of what we talked about at our last visit together.
  7. Adequate Time for Visits!  My practice size is small. I keep things simple (no insurance) and my overhead low. This way, I have more time to spend with you. Visits are generally 30-60 minutes each month so that we can address all of your concerns. We will get to know each other very well. Don’t you want a doctor who really knows you to come to your bedside when serious illness strikes?
  8. Financial Savings! You pay a monthly membership fee. This pays for direct access to me by phone anytime and one scheduled comprehensive visit each month.  If needed, I will also make up to two additional urgent visits per month at no additional charge.  This will help you avoid urgent care, the ER and costly hospital stays.  Also, good care and careful planning often leads to less time spent in a long term care setting.  Your monthly membership fee is $400. If I can keep you out of long-term care for even one extra month, you will save enough to pay for an entire year of my services.

 

Contact Dr. Jackie Today

For Practice Members, Dr. Yaeger Also Offers the Following Types of Care

Palliative Care

Palliative Care

Dr. Yaeger is a board certified Family Physician. She is also a board certified specialist in palliative care. This means that she is trained to help people with serious illness feel better even when the illness itself is not curable. This includes managing symptoms that often accompany serious disease. Symptoms like:

  • Pain
  • Shortness of breath
  • Anxiety
  • Constipation
Caregiver Support

Caregiver Support

Many patients worry that they will become a burden on friends and family as they age. This can certainly happen if only one person tries to do it all. Dr. Yaeger feels there are ways to avoid this by careful planning well ahead of time. Also, she will encourage you to formalize your circle of friends and family so that when the time comes, this circle will share the care giving responsibilities according to each person’s special skills and talents. In this way, no one will be burdened.

Community Resources

Caregiver Support Through Community Resources

Dr. Yaeger will help identify and facilitate use of community resources such as:

  • Personal Care Assistance
  • Hospice
  • Home Health
  • Long Term Care
  • Legal Advice
  • Funeral and Burial options (traditional and non-traditional)
Mindful Dying

Hospice Care

Dr. Yaeger believes wholeheartedly in the Hospice philosophy of care. Her past experience as the medical director of a hospice means that she understands the regulatory aspects of hospice care. She can help you decide when it is the right time to call hospice. Hospice care is covered 100% by Medicare and most other medical insurance. Dr. Yaeger can serve as your hospice attending physician. In this role, she will complete the necessary certification documents and then partner with whichever hospice program you choose to assure that you receive the very best end of life care possible.

 

Mindful-Dying

This is a very unique program offered by Dr. Yaeger for those that are ready to go beyond basic advanced directives and really reflect on what they want their dying time to look like. What does it really mean to “get your affairs in order”?

Dr. Yaeger is certified by The Conscious Dying Institute in Boulder, CO as a Sacred Passage Doula. Based on this training, she can help you create a detailed “Dying Time Care Plan”. This document will be your road map to get you from where you are now to where you want to be at the time of your death; emotionally, spiritually, socially, and practically. It will also serve as a guide for those of us who will be caring for you at the time of your death and caring for your body after death.

 

Intensive Vigil Support

As a Sacred Passage Doula, Dr. Yaeger is trained to attend at your bedside during your final days and hours as needed. Her goal is to protect the sacred essence of your dying time. Dr. Yaeger will support, guide, and assist your caregivers during what could otherwise be a frightening time.

Intensive Vigil Support Details

Dr Yaeger practices “Slow Medicine”. What does that mean?

Slow Medicine seeks to provide care with a deeper meaning that will enrich lives of patients and their doctors.

Slow Medicine in a High Speed World

You may have heard of the slow food movement which emphasizes simple, whole foods cooked slowly and from scratch. The slow medicine movement advocates care for the whole person including the emotional, social, practical and spiritual aspects of illness and aging.

Slow medicine sometimes means putting the focus on what will maximize your quality of life and help you remain independent rather than focusing only on what will extend your lifespan.

Slow Medicine is about doctors who slow down a bit and take time to examine, observe and listen to their patients. Slow Medicine seeks to provide care with a deeper meaning that will enrich lives of patients and their doctors.

Meet Dr. Jackie Yaeger

Dr. Yaeger received her BA in Biology from St. Olaf College, in Northfield, MN in 1984. She then went on to get her MD from the University of Iowa College of Medicine in Iowa City, IA in 1990. Dr. Yaeger has board certifications from the American Board of Family Medicine (1994), Hospice and Palliative Medicine (2008), and Hospice Medical Director Board Certification (2014).

Dr Yaeger has over 24 years of experience as a family physician. Over the years, she has delivered hundreds of babies and has cared for many people at end of life. She practiced at La Crosse Mayo in the Women’s Health department before relocating her practice to her home town of Sioux City, IA.  in 2001 to care for her mother. In 2009, Dr. Yaeger returned to La Crosse as a palliative care physician and Hospice Medical Director at Gundersen Health System.

Dr. Yaeger shares her vision of her new model of care.

A Healer in the Community

In recent years, Dr. Yaeger has completed several programs and as a result has become a true healer in the community. She has learned to provide excellent emotional support for her patients and to attend to her own emotional health.  You will notice there is something unique and refreshing about her practice style. The three most influential programs she has completed are listed below.

Mindfulness for End-of- Life Practitioners 

This is a mindfulness-based, compassion-focused and relationship-centered 18 month program run by the Metta Institute in San Francisco, CA.

 

Spiritual Deepening for Global Transformation

This is a three year training program at The Christine Center, a Franciscan Spirituality Center in Willard, WI.

 

Sacred Passage Doula Certification

An intensive training and certification process that occurs over several months at the Conscious Dying Institute in Boulder, CO.

 

Payment Options – Direct Payment Model

What is the Direct Payment Model?

Dr. Jackie Yaeger provides a model of care which is sometimes referred to as “Direct Care”.  This is a fairly new model of care and allows Dr. Yaeger to provide reasonably priced medical care which is influenced only by her medical training and your individual preferences.

The number of patients accepted into the practice is extremely limited so that Dr. Yaeger is readily available when you need her by phone or by home visit. 

In this model, Dr. Yaeger must agree not to accept any payments from Medicare. However, you can continue to use your Medicare benefits for labs, xrays, hospitalizations or to see any of your other doctors.

Cost

The direct payment model membership fee is $400/month.  This pays for one comprehensive home visit per month and direct access to Dr. Yaeger’s cell phone 24/7.  Membership also includes up to two additional visits if needed to address urgent matters each month. The membership fee will be an out-of-pocket expense for most people but an investment that is likely to save you money in the long term. Increased access to care by phone and in person will allow us to fix minor problems before they become major problems and thus avoid costly care in urgent care, the emergency room or the  hospital. 

Frequently Asked Questions

  • I do not bill Medicare or other insurance plans.  This keeps my overhead low so I can take fewer patients and be available to each of them. This model of care is called Direct Care and is a growing trend around the country. The membership fee will be an out of pocket expense. Labs tests, x-rays, medications, medical equipment and hospitalizations can be billed to Medicare or to your private insurance. For those of you with high deductibles and co-pays, I may be able to help you save money by paying cash for some tests.

  • My focus is to provide care to people in their homes so like most primary care physicians these days, I will not be your attending physician in the hospital. However, I will be available to come to the hospital to advise you during your stay and help you and your family communicate with the hospital providers. I will also be available to help with your transition back home.  I believe this is critical to your recovery.

  • You may have developed a longstanding relationship with your current doctor and want to continue with that. You may need specialty care that requires modern technology such eye care, dialysis, or orthopedic surgery. The good news is that you can continue to see your regular physician and specialty providers for as long as you wish and when that becomes too difficult, you can transition to my home visits exclusively.  Your Medicare and other insurance coverage for these visits will not change. 

  • I hope to be in a position to offer this soon. If you want to be on my “extra hug” waiting list, let me know. If you are ever in a position to donate money to the practice, I will be so happy to put your dollars to work to care for those on the extra hug list. So far, I don’t have a tax exempt 501(c)(3) status so donations are not yet tax deductible.

  • I will do my very best to help you make decisions designed to delay or eliminate the need to go to a nursing home. However, you will need to be in a safe situation before I can accept you into my practice as determined at the initial informational visit.  You and your family must also have a clear plan for what will happen when you need more care and can no longer live alone. This may be an able care partner/spouse who already lives with you or a plan for a family member to move in with you.  It may mean that you move to assisted living or that you hire private caregivers to stay with you in your home. We must agree that this plan will be implemented as soon as I determine it is necessary. If we disagree on this when the time comes, I may have to discharge you from the practice.

  • I am very familiar with the process of completing advance directives. I will carefully explain your options for life sustaining treatments and help you document your wishes accordingly.

  • I must be able to drive to your home from south La Crosse in less than 30 min.

  • Yes, this visit is required before you can be enrolled. It  is a chance for us to discuss your situation, your goals and to decide if membership is right for you.  I will not begin to treat any of your medical conditions at this visit and this visit does not mean that we have established an ongoing physician-patient relationship from a legal perspective.

  • There are several options for this which we will discuss.  For those who are unable to get out of the house easily, I will draw any necessary labs at your scheduled monthly visits at no charge.  Additional lab draws that require an extra visit will be billed separately.