A Physician Overcomes His Addiction to Third-Party Money

Guest post from Steven Horvitz, DO

I am solo Family practice in southern New Jersey.

Back in 2006 I saw the writing on the wall that solo docs were in trouble. Revenues were stagnant due to insurer fee schedule reduction, yet expenses kept rising. My practice style does not fare well with quick visits so adjusting my practice to a treat-em and street-em quickly was not in my plans.

In 2005 United Healthcare and First Health insurers were creating issues with referrals and formularies and since I did not have a large percentage of those patients I dropped those plans. Most of those patients either switched insurance to remain with me or paid me my cash fee. Continue reading

Thirteen Steps to Save American Medicine – Time Is Short!

Via Dr. Parvez Dara:

  1. Time Is Short!
  2. Opt out CMS & MOC
  3. Simultaneously educate our patients
  4. Bring in like-minded business people and thinkers
  5. Go Concierge or similar FFS.
  6. Treat Indigent patients 10%
  7. Back to black bag, stethoscope doctoring with New Tools.
  8. Build a base that can rise up against the CMS empire when NPI numbers control prescriptions.
  9. Provide Care for 5%-7% of the population in each state (might mean 200-2000 like minded docs in each state) – start proselytizing.
  10. Forget the loonies in DC – they are lobbyist controlled embedded clowns – both sides
  11. Join forces with AAPS, D4PC & all other entities instead of fragmenting – power in numbers
  12. Real care with limited monetary gain in the short term will lead to long term loyalty – passion brings monetary rewards if passion is the driving force.
  13. As Judith says let’s formalize the process.

These Barons are not sitting idle but they are happy in their stupor for now. Use it to our advantage. Time for checking the peeling paint is over. Substance over form. New forces will gather to self-enrich from MACRA.. & time is short!

Revolutions are never easy. Get ready to take the hits!