Yesterday we attended Attended Gathering in Nashville and met Dr. Carson. What a great guy !!
I believe time is short and we the physicians need to come up with a short, to the point and precise plan the general public can understand and other fellow physicians can support.
This is what I propose
Number one ::
Kill the CPT-based payment system and get the AMA dictatorship out of Our lives. Each society, ACS, ACP , ACC, ACCP ,ACOS, etc should get together and come up with the payment schedule for their members. RVU can be used as base unit. For Example, as a pulmonologist, I would be happy with one RVU for basic visit, 2 RVU for moderate visit, 3 RVU for High-level visit. 2.5 RVU for bronchoscopy, 1.5 RVU for pulmonary functions. 1/2 RVU for chest x-ray. And so on… Continue reading →
My personal family business HDP w HSA policy was canceled as a direct result of PPACA/Obamacare. It was replaced with a plan that was double the cost. So, if we do the math, $800 plus $800 equals $1600, that’s a 100% increase. Others have had similar experience. Our states Blue Cross affiliate used to sell over 140 different plans, but now due to the unaffordable careless act, now only sells a dozen or so. Perhaps, we can also discuss the fact that we tax payers, through this government fascist program, pay over $1 million per policy. #ACA #EpicFail
The PQRS CMS Medicare program is fatally flawed. Any program that is run by third parties, insurance companies or big government cannot possibly take into account all the necessary variables and patient value systems that exist. Physicians are held to that gold standard, while the other parties are held to no standard at all.
Patients deserve a time-honored, unique, private relationship with their physician that values their individual value system and is unfettered by government, insurance and other third party entities.
“Forcing ICD 10 on American healthcare after forcing the unaffordable careless act and electronic health records, the government and insurance industry expects not to play claims accurately for quite some time.”
This profession is too used to abuse . It begins in pre-med, medical school and our training as “students” where our US labor rights are violated. Even college athletes have won a Federal case to get classified as employees of the colleges that were using them as “students”.
We have to influence our colleagues to stop swallowing each cup of poison they want us to drink. The costs of MOC for Int Med exceeds what I get paid from any contract I have with United, Aetna or Cigna, making the MOC a huge loss anyway you look at it. The summer months are supposed to be slow for medical care but I was seeing 23 patients a day with another 90 minutes of computer work at night to just do the documentation, MU, PQRS etc.
The only way I could do MOC is to not sleep or sacrifice my family time which my wife says will never happen again as she has seen hundreds of hours lost in the past due to the re-certification exams. I have lost entire weeks of my life for this certification scam.
The human cost of MOC is not fully exposed and must be. The hundreds of hours of our scarce free time is lost for trivial pursuit that we all know does NOT improve patient care ( 2 JAMA studies 2014 prove this ) . The psychological toll of fear , potential loss of income and actual loss of money on this coercion is glossed over, as if we were all CEOs making $4million a year at a non-profit hospital.
I never see written interviews of the families who suffer the absence of a parent who is hostage to recertification /MOC; what does it do to them? This abuse has to end now . People call us doctor which seems to elevate us but in reality we have become almost slaves. One of my long times friends finally got his BA degree and he runs a hospital physician system that employs 22 MD/DOs ; they have to answer to him . So much for the doctor title.
A new study has set out to quantify the time and cost many internists and internal medicine (IM) subspecialists will spend to meet the American Board of Internal Medicine (ABIM) maintenance of certification (MOC) requirements. Over the course of 10 years, a 35% increase in fees and 26% increase in hours spent was found.
The study also found when the dollar value of physician time is added to MOC fees, internists and IM subspecialists will spend $23,607.
ABIM President Richard Baron, MD, disputed the study’s assumption that continuing medical education (CME) credits will only amount to 25% of the requirements. Baron said that CME could easily satisfy 100%, not 25%, of the requirements.
Medical Economics asks: Do these numbers accurately reflect an increase in the time and money you expect to spend on MOC over the next 10 years?