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

I don’t get it?

Dr. Horvitz writes ACOFP President Carol Henwood, D.O.:

I just read your email blast of August 19, 2014 promoting another ACOFP course, this time in patient centered medical homes, PCMH. It’s funny how patients are sort of mentioned, but it seems the real intent is third party payments, following third party rules and physicians paying for another course and taking time away from patient care.

I don’t get it?

“Creating team-based care improves efficiencies and decreases waste, which is exactly what payors like”
…..
I thought our mission as physicians was to help patients and keep their needs first and foremost.

I don’t get it?

Continue reading