Posted on 03/14/2013 7:05:21 PM PDT by neverdem
They will lose hospital privileges.”
The hoops you have to jump through to just get auth to see your patient in the hospital and all the hassles are beyond ridiculous. Easier to refer them, let the hospital staff handle their treatment and then just follow them after they are released, which is what more and more doctors are doing.
Some hospitals would also really prefer not having to deal with doctors from the “outside”.
Yes, it will. Will it say they can't get out of medicine too?
I know that there were some very similar sounding practices in the New York City area which had the government go after them and try to shut them down.
I know the rumor mill about Obamacare is working overtime, but has anyone else heard this:?
You pay XXX for your health insurance. To Blue Cross or whomever.
You are single & pay $400 a month==$4800 a year.
For years, you don’t use this insurance—you are basically pretty healthy & not a hypochrondriac, going to the doc for the simplest of things.
Then something big happens-—say you need gall bladder surgery.
You have paid $4800 that year for your insurance premiums——and your surgery costs $85,000 over your co-pay, which the insurance company pays.
Do Obamacare rules say that you MUST claim the difference......$80,200 as INCOME on your tax return for that year!!!???
Because ‘you received more value from your surgery than you actually paid for yourself’
If this is true, what the hell is insurance for?
I pay $800 a year for my house insurance, I have a fire which destroyes everything & the replacement value I get from STATE FARM is NOW INCOME????
How about a car insurance where someone steals my car & I get a replacement?
This is just plain nuts, IMO.
BUT-—I can see Pelosi & Obama putting just such a set of rules into those 2700 evil pages of rules, and encouraging Sebelius to enforce such rules.
Has anyone heard anything about this???
This is a bit innovative for primary care, but even five years ago many providers were beginning to decline to accept Medicare, and the number of doctors who are dropping out of the system and declining all insurance is increasing. If it were just a few of them the government might crack down on them, and indeed the government (the Center for Medicare and Medicaid Services, part of HHS) offers incentives for the doctors who comply while punishing those who don’t.
However, if you look at the lists of “best doctors” ( = most fashionable and high-priced specialists) published in the cool city magazine of every major city, they all have one thing in common: very few of them accept insurance. If you can’t afford to pay them, you don’t go see them. Some of them offer a “concierge” medical practice, in which the patient pays a flat annual fee for special, personal, on-demand care.
These are the physicians who are either very brilliant, very technology-forward, very astute about marketing, or have some other trait that makes them highly successful. They golf with legislators, make contributions, make speeches, give interviews, and perform plastic surgery on senators’ wives, so they are not going to be forced to work for a hospital or take insurance. As long as they have their autonomy, the government won’t compel doctors to join the system or take insurance. It can, of course, hold out illusory incentives and not-so-illusory penalties for a refusal to join up.
Speaking from personal experience, I can tell you that it’s very hard to transition from the typical insurance-accepting practice to cash-on-the-barrelhead or concierge care, unless one is a pediatrician, family practice provider, or internist. Unless the practice is pretty darn lucrative, it’s tough to say goodbye to half or three-quarters of one’s patients and try to gear up again with a different and untested business model, when all the expenses (medical insurance, taxes, staff salaries, taxes, office rent, taxes, equipment, taxes, utilities, taxes, supplies, and taxes) remain constant. It’s a huge gamble. My hat’s off to the doctors in this article who are making it work.
This is a lost cause... Eventually, the states will yank their licenses to practice. They are threatening the status quo. You can’t be a doctor without a license...legally.
I believe the best and brightest will head offshore and set up clinics to serve wealthy Americans who want better than the govt can provide.
And those entities will provide a lot of good jobs for support staff looking to escape from the tyranny of progressive govt.
I started going to my dentist in 1995. Back then he didn’t take insurance. A tooth extraction was $25. Now it’s more than a hundred.
Dr. Welby is back in business? Quick, call the FTC! He hasn’t made his ‘protection’ payments to the Med Mafia.
>> “I believe the best and brightest will head offshore...” <<
.
Juarez, Ensenada...
I didn’t see anything about malpractice insurance. The article was long, and I admit I did some skimming.
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.