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	<title>Comments on: Volume is key</title>
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		<title>By: Manalive</title>
		<link>http://www.kevinmd.com/blog/2008/09/volume-is-key.html/comment-page-1#comment-87210</link>
		<dc:creator>Manalive</dc:creator>
		<pubDate>Fri, 05 Sep 2008 01:10:00 +0000</pubDate>
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		<description>There are geographic differences on this point. In my lower-middle-class area, most patients have HMO insurance (if they have any insurance at all).&lt;br/&gt;For these HMO patients, it&#039;s a $10 co-pay no matter when I see them. Ten dollars does not even cover the overhead of their presence in the office.&lt;br/&gt;In such a practice, the most lucrative patients are the patients who sign-up with a doctor, but never go.</description>
		<content:encoded><![CDATA[<p>There are geographic differences on this point. In my lower-middle-class area, most patients have HMO insurance (if they have any insurance at all).<br />For these HMO patients, it&#8217;s a $10 co-pay no matter when I see them. Ten dollars does not even cover the overhead of their presence in the office.<br />In such a practice, the most lucrative patients are the patients who sign-up with a doctor, but never go.</p>
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