Evidently, there are still a few M.D.s and D.O.s in private practice. Most patients don’t realize that the vast majority of their doctors are salaried employees of the local hospital system. They’ve given up their autonomy for the sake of increased medicare and medicaid payments.
But a few diehards out there are still trying to do it on their own without an organization to manage all the necessary paperwork. This may be coming to an end in the next few years.
According to our government, all practitioners taking medicaid or medicare will need to be electronic or face fines in the future. There is an incentive program for individual doctors to do this, $44,000 per office.
It sounds like a really good deal, until you start doing the long term math. Even huge organizations like the Mayo clinic are having trouble being 100% compliant with what Medicare and Medicaid want available to them as feedback about patients.
So individual doctors will get the initial money and be on the hook for life to be compliant when even the big boys can’t make the cut. Of course, there’s always an alternative: give up your private practice and let another level of bureaucracy within the hospital system take care of you.
Either way, it’s the end of the last private practitioners.
As an N.D., I’ve been left out of the medicare/medicaid insurance pie. So I have a feeling when they come grumbling at my door, I can point them on down the road. I don’t get the payout, so I don’t need to follow the compliance rules. Government insurance is a big dog. It pulls you a long way, but when it turns on you, lights out.
- The way Medicare & Medicaid is being run is completely inefficient (healthoptionsworldwide.wordpress.com)
- HHS Proposes Accountable Care Organization Rules (informationweek.com)
- Health IT Industry Comments On The Proposed Rules For Accountable Care Organizations Released By The Centers For Medicare & Medicaid Services (medicalnewstoday.com)
- Accountable Care Organizations part of cost-cutting CMS proposal (medcitynews.com)
- House budget chairman to propose Medicare, Medicaid changes (via CNN Political Ticker) (richardemanuel.wordpress.com)
- House budget chairman to propose Medicare, Medicaid changes (politicalticker.blogs.cnn.com)
- The Difference Between Medicare And Medicaid (medicareplans.wordpress.com)
- News Release: Affordable Care Act to improve quality of care for people with Medicare; Proposal for Accountable Care Organizations will help better coordinate care, lower costs (fredericacade.wordpress.com)
- ObamaCare: Bureauwonks to the Rescue! (reason.com)
- Expanded Private Sector Comparative Effective Research Could Reduce Health Care Spending, According to Kauffman Study (kauffman.org)
- The Republican Plan Is To Privatize Medicare (oliverwillis.com)
- “Revamping” Medicare (mydd.com)
- Beyond Insurance: Financial Aid for Psoriatic Arthritis Treatment (everydayhealth.com)
- How the Affordable Care Act Paved the Way for GOP Medicare Reform (swampland.blogs.time.com)
- More for the Pentagon; Less for Children, the Poor, and the Elderly (themoderatevoice.com)
- AP, NYT again show how ObamaCare backfires as reform (hotair.com)
- High-end medical option prompts Medicare worries (seattlepi.com)
- Rep. Ryan’s Plan: $2.2 Trillion in Savings from Health Care (blogs.wsj.com)
- Curbside Consult with Dr. Jayne 4/4/11 (histalk2.com)
- Will Increasing Concierge Medical Practices Cause Medicare Decline? (asourparentsage.net)
- AMA push against Medicare recovery audit overreach (kevinmd.com)
- Concierge Medicine – A Potential Threat for Low and Middle Income Medicare Recipients (woodgatesview.wordpress.com)
- Republican budget proposal privatizes Medicare (americablog.com)
- Audra McDonald Leaving “Private Practice” At End Of Season (popcrunch.com)
- Private Insurance vs Medicare: Who Controls Costs (aleksandreia.wordpress.com)
- Audra McDonald to Exit Private Practice (seattlepi.com)