The Physician Market Part 2

•Download as PPT, PDF•

3 likes•1,002 views

MedicineAndHealth

Health & Medicine

The Physician Market, Part 2 Professor Vivian Ho Health Economics Fall 2007 These slides draw from material in Santerre & Neun, Health Economics, Theories, Insights and Industry Studies, Thomson Press 2007

Advantages of capitation for physicians ,[object Object],[object Object],[object Object],[object Object],[object Object]

MCOs and Physician Conduct ,[object Object],[object Object],[object Object]

MCOs and Physician Conduct ,[object Object],[object Object],[object Object],[object Object],[object Object]

Financial Risk Arrayed on a Spectrum from Full Risk for the Insurer to Full Risk for the Provider HBS Case Study 9-698-060, Note on Managed Care

Additional MCO Compensation Tools ,[object Object],[object Object],[object Object],[object Object]

Additional MCO Compensation Tools ,[object Object],[object Object]

Additional MCO Compensation Tools ,[object Object],[object Object],[object Object],[object Object],[object Object]

Additional MCO Compensation Tools ,[object Object],[object Object],[object Object]

HMO Reimbursement Strategies ,[object Object],[object Object],[object Object]

Advantages of capitation for physicians ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

4 Components of a Capitated Contract 1) Covered Services Definitions such as “primary care services within the physician’s scope of practice” are too vague Examples of capitated primary services:

Examples of Current Procedure Terminology ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evidence on Physicians & MCO Compensation ,[object Object],[object Object]

Evidence on Physicians & MCO Compensation ,[object Object],[object Object],[object Object],[object Object]

Physician Market Performance ,[object Object]

Physician Market Performance Revenue per Self-Employed Physician, ($1,000s) Increases in revenues are due to increases in expenses AND higher income for physicians

Physician salaries remain high ,[object Object],[object Object],[object Object]

Employed vs. Independent Physicians ,[object Object],[object Object],[object Object],[object Object]

Physician Practice Management (PPMs) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What Went Wrong ,[object Object],[object Object],[object Object],[object Object]

The Future of PPMs ,[object Object],[object Object],[object Object]

What's hot

Fellow Ais 4 Laws Regs & Ethics (Revised)

William Copeland

What is an HMO?

Angela Carrier- Founder, Business Leader Forum

Health insurance

BHANU DIXIT

What is payment posting in rcm

Richard Smith

The US Healthcare System by Madhav Sitaraman

The Hive

Healthcare Industry Highlight: Revenue Cycle Management

Cascadia_Capital

Medical Insurance Claims

legal1

US health care system overview 1

nithinmohantk

Modifiers 1

Karna *

MiraMed - Risk Adjustment HCC Coding Primer 2016

Phil C. Solomon

Modifiers-CPT CODING

Medesun Healthcare Solutions LLC

10. health ins.

UNITEDINDIA1

Risk adjustment documentation and coding overview

Scott Quick

Medical Tourism India

Theju Paul

Us Health System Ppt

asadhu86

Kaiser Permanente HealthConnect - EHR and SNOMED

Health Informatics New Zealand

Health system in USA

centaurodeldesierto

Key points Definition Medical Tourism Process Factors Of Medical Tourism Abroad For Treatment Specialties For Medical Tourism Benefits Of Medical Tourism Ethical Issues In Medical Tourism Legal Issues In Medical Tourism Points To Communicate Risks Of Medical Tourism Positive And Negative Impact On Medical Tourism In The UAE Some Of Dubai Statistic Articles About Medical Tourism Result References

Medical tourism

Mariam AlDosari

Medicare overview presentation

Zachariah Clay

Healthcare and Hospital Contract Management

Optimus BT

What's hot (20)

Fellow Ais 4 Laws Regs & Ethics (Revised)

What is an HMO?

Health insurance

What is payment posting in rcm

The US Healthcare System by Madhav Sitaraman

Healthcare Industry Highlight: Revenue Cycle Management

Medical Insurance Claims

US health care system overview 1

Modifiers 1

MiraMed - Risk Adjustment HCC Coding Primer 2016

Modifiers-CPT CODING

10. health ins.

Risk adjustment documentation and coding overview

Medical Tourism India

Us Health System Ppt

Kaiser Permanente HealthConnect - EHR and SNOMED

Health system in USA

Medical tourism

Medicare overview presentation

Healthcare and Hospital Contract Management

Similar to The Physician Market Part 2

Federal healthcare slides

Layton Lang

Cardinality Proof Problems Cardinality Proof Problems (1) Suppose f: S right arrow T, and that f is one to one. Prove that S ~ f(S). (2) Show that R~(a,b) for every a Solution f is a function from S to T f is given to be one to one i.e. each element in f has a unique image in T and also if f(a) = f(b) then a = b Hence if n is the no of elements in S, f(S) will have image for each of the n element. Hence n[f(S)] = n(S) S~f(S) ------------------------------------------------------------------------------------------------------- 2) b) Consider the function f(x) = sinx, where 0<=x<=pi/2 sin 0 =0 and sin pi/2 =1 Also sinx is one to one Hence (0,pi/2)~(0,1) c) Consider the interval (-pi/2, pi/2) as domain for the function f(x) = tan x As from -pi/2 to 0 tan is negative, we see that f is one to one. Hence f(x) = (-tan pi/2, tanpi/2) = (-infinity, infinity) Or (-pi/2, pi/2)~R.

Case Study 4.2Investing in Cardiology Services “It’s time for us t.pdf

Amansupan

Future trends in global healthcare

Congreso Internacional Cirugía Bariátrica y Metabólica

affordablecareact.ppt

AbhijeetSingh652

Current System Issues and Their Impacts Introduction Before we can discuss change and innovation in our health care delivery system, a strong understanding of the current system is necessary, including how it functions, what types of incentives are at work, and how the different entities inside it work with and impact each other. What Elements Drive Our Current System? There are several key drivers of the existing system, and among these are the money, providers, payers, and consumers. When examining the behavior of any system, it is useful to look at the series of rewards and consequences that drive behavior. In health care, this means that much can be learned about the system's behavior by following the money trail. What things are reimbursed, under what circumstances, and with what outcomes? Under what circumstances are consequences, such as not getting paid, applied? In the current system, payments are highest for procedures, and proceduralists such as surgeons, gastroenterologists, and interventional cardiologists are all paid much higher fees than are family practice physicians, pediatricians, or hospitalists, all of whom manage medical care. Hospitals function under the same premise. Approximately 75% of the revenue for the average community hospital comes from surgeries, and another 12% comes from diagnostic imaging procedures. Additional amounts come from cardiac diagnostic and interventional procedures. So, approximately 90% to 95% of revenue comes from performing procedures on patients rather than providing management of diseases through medications or other noninvasive treatments. Thus, the system is focused on rewarding procedures that lead to "curing" and focused away from medical management of chronic diseases or prevention of disease and illness. Financial Elements Without doubt, money is one of, if not the, most powerful drivers of system functioning. For a classic example, we can look at the old fee-for-service payment methodology prevalent in the 1960s and 1970s, and contrast it with Medicare's implementation of diagnosis-related groups (DRGs) as a payment mechanism in 1983. Under fee-for-service health care, providers used whatever procedures, equipment, and supplies they felt were needed for care, and they submitted a bill that charged for each item. The payors received the bill, corrected any errors, and then issued a check for the corrected amount to the providers. If a provider wished to make a larger profit, they could provide more services or billable items to increase the payment. It comes as no great surprise to note that utilization of services and cost both rose rapidly under this methodology, since there was no incentive to be frugal. When Medicare changed its reimbursement to DRGs, the system began to experience the impact of being paid one flat fee, set by DRG, for the entire admission, regardless of how much care was rendered. For example, if a hospital provided care at a cost below the DRG payment, it was ab.

Current System Issues and Their ImpactsIntroductionBefore we .docx

alanrgibson41217

Payment Reform: The Cure for Health Spending Growth

Detroit Regional Chamber

The physician market Part 1

MedicineAndHealth

Medical Insurance Concept's

BIMTECH Greater Noida

Common challenges faced by Physicians and Practitioners with Medical Billing

jennyvergeese

Medical insurance concept

Manoj Kumar Pandey

Employer Sponsored Medical Clinics white paper

Tom Pascuzzi

How to calculate healthcare productivity?

Jessica Parker

Healthcare Finance and Business Plan Thesis Paper.pdf

sdfghj21

Everyone is concerned about increasing health care costs. This interactive session will review the various triggers that drive health care and insurance costs and cover the major communication and engagement strategies that companies use to reduce their trend. Case studies to be discussed include wellness, employee engagement and communication, benefit plan design and consumerism. Successful benefit incentive programs that support communication programs and have a quantifiable return on investment will also be discussed.

Employee Engagement: Your Tool for Tackling Heath Care Costs

Digital Measures

Apollo Medical Holdings (ApolloMed) is a leading integrated healthcare company providing solutions to hospitals, health plans, physicians, and other health providers to provide cost-effective, quality healthcare. We work with providers and hospitals to coordinate care with local primary care physicians to reduce preventable hospital admissions and re-admissions, best in class patient centric care, and avoidable emergency room visits.

Apollo Medical Holdings, Inc.

RedChip Companies, Inc.

Anne Bracken Univ of South AL - aco rural health

Samantha Haas

1 Hospital Readmission Rates Kaylee Chauvin West Coast University NURS 350: Research in Nursing Mrs. Sandy Daisley September 5th, 2021 2 Hospital Readmission Rates Hospital readmission is characterized as an emergency clinic affirmation that happens inside a predefined time after release from the principal confirmation. The re-hospitalization rate was considered a sign of the eminence of the hospital's clinic and was displayed to reflect a measure of patient attention. Re-hospitalization results in longer hospital stays and more emergency clinic resource use. An increase in readmission rates and increasing the use of innovation, leads to increased incomes, even if the consideration may mean that it may not be effective. Re-hospitalization is an exorbitant cost for the clinic. Rather than spending money on complex systems and high-severity patients, clinics can level assets by providing more start-up confirmations for low-severity patients, or with appropriate release programs. You can invest in reducing readmissions. Various procedures are used to solve the readmission rate problem, as outlined in the PICOT question. It is used to determine best practices for working on results within a month. Description and background information Once patients are released from the medical clinic, they imagine going through their days recovering a lot at home until they improve (Upadhyay et al., 2019). Lamentably, for some elderly patients, that does not occur. Medical clinic readmission for elderly patients is not just distressing; however, it can likewise negatively affect a patient's general well-being. The additional time a patient is in a clinic, the more probable they are to create genuine, conceivably hazardous diseases, for example, medical clinic procured pneumonia. Finding a way ways to decrease clinic readmissions in the elderly is fundamental. In addition to the fact that it protects 176710000000017379 very true! 176710000000017379 176710000000017379 176710000000017379 we are interested in the nursing procedures (interventions) 3 the clinic from potential Medicare fines, however, it helps keep probably the weakest individuals from the community (the elderly) strong and healthy. Various strategies are used to address the issue of readmission rates. Framing partnership with nearby medical clinics and different suppliers, helps make the recuperation interaction simpler for elderly patients. At the point when they are released from the clinic, they're ready to rapidly and easily find doctors, home medical care groups, and emergency clinics that not exclusively will give quality therapy however that approach all past clinical records and important data. Elderly patients can without much of a stretch become overpowered when given a lengthy discharge document (Bjorvatn, 2013). HCPs should attempt to keep release guidelines simple to peruse and clear. Neglecting to plan follow-u ...

1Hospital Readmission Rates Kaylee ChauvinWest Coa

EttaBenton28

Darragh fahey draft v1

Investnet

About Cypress Benefit Administrators

justinhorn

Payment Rules are Changing. Are You?

NextGen Healthcare

Similar to The Physician Market Part 2 (20)

Federal healthcare slides

Case Study 4.2Investing in Cardiology Services “It’s time for us t.pdf

Future trends in global healthcare

affordablecareact.ppt

Current System Issues and Their ImpactsIntroductionBefore we .docx

Payment Reform: The Cure for Health Spending Growth

The physician market Part 1

Medical Insurance Concept's

Common challenges faced by Physicians and Practitioners with Medical Billing

Medical insurance concept

Employer Sponsored Medical Clinics white paper

How to calculate healthcare productivity?

Healthcare Finance and Business Plan Thesis Paper.pdf

Employee Engagement: Your Tool for Tackling Heath Care Costs

Apollo Medical Holdings, Inc.

Anne Bracken Univ of South AL - aco rural health

1Hospital Readmission Rates Kaylee ChauvinWest Coa

Darragh fahey draft v1

About Cypress Benefit Administrators

Payment Rules are Changing. Are You?

Recently uploaded

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP Call Girl At Their Home & Hotels Booking Contact Details WhatsApp Chat: +91-9820252231 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 01-05-24 (Smt)

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...

Arohi Goyal

The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Miss This Chance Of Getting Into My Sexy Boobs?t Booking Contact Details WhatsApp Chat: +91-9332606886 Hyderabad Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable Independent Escorts Hyderabad understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 01-May(Ast)

The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...

chandars293

Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Massage and Pleasant Why you Choose Us- +91-6378878445 Bangalore Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call Girls and Escorts, We Are Located in 3* 4* 5* Hotels. Safe & Secure High Class Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/Teens Escort in Delhi High class luxury and premium escorts agency. CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of $L16

Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...

tanya dube

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Rajasthan Booking Details Are here 06-May-2024( Mj) Click On WhatsApp Chat +91-9521753030 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...

Sheetaleventcompany

Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Haridwar Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Haridwar Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Haridwar Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Agra Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Agra Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Agra Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

EXPLORE THE BEST ESCORT SERVICE IN HARIDWAR These days people are very engaged with their hectic life timetable. Some are busy with the stress and hectic schedule in the office, while others have a partner but don't feel the same excitement as before. But don't worry; our sexy escort service in Haridwar is here to bring excitement back to your life. Luxury Escort Service is the best place to get some busty, sizzling, hot escorts who can help you relish all the moments and make the night unforgettable. We are one of the faithful escort agencies in Haridwar that provide escort services in Haridwar to the customers in the best practices. We apprehend that you need somebody who can listen to you and share some quality time with you, not being judgemental. Your privacy and hesitation are understandable while booking the Escort, but you can trust us as we have many clients who reach out to us repeatedly. You are at the right place if you are searching for a trustworthy and cheap escort service in Haridwar. Luxury Escort Service in Haridwar is the best place to get some seductive and hot escort girls service who can help you enjoy all the moments and make the night even more special. Vast numbers of independent escorts are working across Haridwar all day and night to make their clients happy as never before. If you feel so alone or get disheartened from the hectic life schedules, then nothing is better than having a mate who can give you a token of new love. Don't Worry, Guys; we are here for you. We are a highly demanded Luxury Escort Service in Haridwar that provides all types of escort services. We have top Haridwar models in Haridwar, highly sexy housewives in Haridwar, hot college girls in Haridwar, and beautiful independent escort girls in Haridwar to serve you with a sensual time that is matchless to all your unique experiences in life. Many escort agencies in Haridwar provide escort services in the market, but we have been operating in the industry for eight years to till date. We served Our Independent Escort Service to approximately 10000+ satisfied clients in Haridwar. Unlike other escort service companies in Haridwar, we give the client to mention their requirements and desires to cater to them with the best escort service in Haridwar.

College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...

perfect solution

Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Aurangabad Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Aurangabad Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Aurangabad Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

O963O942363 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad

Genuine Call Girls

☑️░ 9630942363 ░ CALL GIRLS ░ VIP ░ ESCORT ░ SERVICES ░ AGENCY ░ 9630942363 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9630942363 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9630942363 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9630942363 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9630942363 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE FOR BOOKING 9630942363

Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...

Genuine Call Girls

Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Bangalore Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Bangalore Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Bangalore Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl In 5 Star Hotel Service Available Booking Contact Details WhatsApp Chat: +91-8617370543 Guwahati Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable Independent Escorts Guwahati understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more.

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...

Dipal Arora

Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Ludhiana Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Ludhiana Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Ludhiana Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available

Dipal Arora

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋 Call Mr Chirag Ji +91-7877925207 NORTH/SOUTH INDIANS HIGH CLASS MODELS/COLLEGE GIRLS/ HOUSEWIVES/BODY TO BODY MASSAGE, SANDWICH MASSAGE, SHOWER BATHING, BLOW JOB, LICKING, FRONT AND BACK SHOT, RUBBING, KISSING SMOOCHING ETC ETC... UNLIMITED FUN Call 24/7. Your assistance for your service... ☛ ✔✔ secure✔✔ 100% safe ✔✔ Vip Callgirl Service offers you the most beautiful High Profile sexy independent female Escorts in genuine ✔✔✔ To enjoy with hot and sexy girls ✔✔✔ A03524SW ★providing:- • Models • vip Models • Russian Models • Foreigner Models • TV Actress and Celebrities • Receptionist • Air Hostess • Call Center Working Girls/Women • Hi-Tech Co. Girls/Women • Housewife • Collage Going Girls. • Travelling Escorts. • Ramp-models • Foreigner And Many More.. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5 star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋

TANUJA PANDEY

Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Ooty Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Ooty Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Ooty Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Kochi Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Kochi Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Kochi Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details Whatsapp Chat :+91- 9332606886 These professional and Call girls in Bangalore can satisfy your every desire - be it sensual massage or an erotic shower, they are always more than willing to meet them. Furthermore, they pay close attention to body language cues to ensure you enjoy every minute spent in their company - both in-call and outcall services are offered. Is an excellent choice for anyone seeking an exciting and thrilling night of fun and excitement The Oberoi, Bengaluru Taj West End The Leela Palace Bengaluru JW Marriott Hotel Bengaluru The Ritz-Carlton, Bangalore Sheraton Grand Bangalore Hotel at Brigade Gateway Conrad Bengaluru ITC Gardenia, Bengaluru Renaissance Bengaluru Race Course Hotel The Lalit Ashok Bangalore 30 apr 24 (LK)

Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...

narwatsonia7

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426 Call Girls in Call\\Us))),(Delhi) We are Provide best Genuine Normal, High class call girls. escort service at affordable price. We Are One Of The Oldest Escorts and Call girls Agencies in Delhi You Will Find That Our Female Escorts Are Full Of Fun, Sexy And They Would Love Enjoy Your Company. We Have A Fantastic Selection Of Callo Girls Ladies Available For In-Calls As Well As Out-Calls. Our Escorts Are Not Only Beautiful But All Have Great Personalities Making Them The Perfect Companion For Any Occasion. In-Call: — You Can Come at Our Location in Delhi Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — You have To come and Pick Girl From My Place We are Also Provide Door Step Services in Delhi , Gurgaon, Noida. Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hour In Delhi NCR, We Are Providing : — all Types of girls Indian, North East , Foreigner , Airhostess, many More. Service type — In-call Shot 1500, 2,000– In — Call Night /Out-call Night 6,000, to 7,000 — Hi-Fi Rates Shot — 2,000 to 4,000 Full Night 8,000 to 10,000 More Details, Call//WhatsApp, 97111 🔝 ⇛47426

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426

jennyeacort

Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Varanasi Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Varanasi Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Varanasi Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 Star Hotel Service Available Booking Contact Details WhatsApp Chat: +91-8617370543 Patna Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable Independent Escorts Patna understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more.

Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...

Dipal Arora

Recently uploaded (20)