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We are rated #1 in quality by medicare standards and thus are "rewarded" with the lowest medicare reimbursement in the US. We would go broke if we accepted all medicare patients.
Medicare pays us TERRIBLY. That was even before the practice specific cuts (not the doc fix) went into effect Jan 1st. I would be much better off seeing no medicare patients, as we live in a fairly affluent area with low unemployment and a high rate of private insurance.
I guess it must be a bummer to be a physician in Florida. I know my brother in law is a GI guy in Jacksonville, works like a dog, and makes less than one third what I make.
Primary care is different. We make good money on Medicare these days. Not like the '80's, but with recent EMR bonuses and Wellness reimbursements, we have had some nice raises.
Those under age 40 previously health making over 400% of poverty and self employed are getting raped by the exchanges compared to their old plans.
Over 40, check.
Self employed, check.
No subsidy.
In August I move to my own office group HC plan.
Long story-short, I had an individual policy which only covered hospitalization, since as a doctor and part owner of all sorts of medical testing equipment, I did not need outpatient/office coverage. We sold off our stuff, so now I need a more comprehensive policy.
Up to 15% now endorse loss of license. I'm guessing there would be more who support class envy draconian measures such as this if they found out that doctors actually do just fine quitting the practice of medicine and entering into something else either medical related or another field altogether. I'm also guessing this number will increase as numbers increase for doctors dropping Medicaid/Medicare and/or ACA exchange insurance.
Actually we had a medical ethnics conference. If you are truly "coding" outside the hospital. We all know minutes counts. The oldest MD (he's 78 years old with multiple medical problems already) said he already instructed his wife if EMS doesn't arrive within 10 minutes to NOT to revive him. Because risk of permanent neurological damage becomes much greater.
No one wants to be kept alive like Ariel Sharon for years in a veggie state.
True-
20 minutes is the magic number. Survival improves with younger age. The folks I coded all made it to the hospital and three out of the four made it out (one was in a movie theater and wrecked the movie for me. The manager of the theater wanted to get my name "for insurance purposes" and I told him to go to hell.)
If you do not have a defibrilator, good luck. I find it very peculiar that "breaths" are not in the ACLS protocol for codes outside of the hospital. In house (obviously) establishing an airway and maintaining respirations is very important. Even though this is a part of the current ACLS code, I would have a hard time not performing respirations while doing chest compressions and defibrilation (if available- heck- they are everywhere now).
Long story-short, I had an individual policy which only covered hospitalization, since as a doctor and part owner of all sorts of medical testing equipment, I did not need outpatient/office coverage. We sold off our stuff, so now I need a more comprehensive policy.
Me under 40
Self employed
No subsidy
Paying much more. I do not get added benefits for the ACA. Same comprehensive
Up to 15% now endorse loss of license. I'm guessing there would be more who support class envy draconian measures such as this if they found out that doctors actually do just fine quitting the practice of medicine and entering into something else either medical related or another field altogether. I'm also guessing this number will increase as numbers increase for doctors dropping Medicaid/Medicare and/or ACA exchange insurance.
Why should they quit medicine? You expect them to throw away decades of experience and training because they refuse to be FORCED to work and get paid far less than what they have been?
Not sure about you, but I want my doctor paid and paid well. The service they provide is more often than not, the most important service anyone can offer and provide for my family and I. They deserve to paid as such and not have miserable people like you complain that they aren't forced to provide a very important and vital service for pennies.
(oh, and your poll is back down to under 11% for losing their license)
No doctor should be forced to accept. I had a friend who happens to be surgeon tell me that some of insurance from the health care exchanges only pays out 60% of Medicare. He had already scheduled like 40 people for surgeries until he realized how little it paid. So he basically get's to perform 40 surgeries at loss since he already agreed to do the surgeries. Also don't say he's being a greedy doctor because his clinic accepts Medicare and Medicaid. I look at this type of stuff as that's just the way it is.
Paying much more. I do not get added benefits for the ACA. Same comprehensive
IMO...the self-employed has always had a pretty good deal.....they can write 100% of medical off.
I know the money has to come in the pay the policy.....and that is not always easy.
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