Comments on: Physician costs exceed revenue http://www.kevinmd.com/blog/2008/10/physician-costs-exceed-revenue.html medical blog Sun, 22 Nov 2009 14:15:05 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Deron Schriver http://www.kevinmd.com/blog/2008/10/physician-costs-exceed-revenue.html/comment-page-1#comment-87863 Deron Schriver Fri, 31 Oct 2008 00:04:00 +0000 http://clients.emmense.com/kevinmd/2008/10/physician-costs-exceed-revenue.html#comment-87863 Thanks to the recent RVU reallocation favoring E&M visits, there's no reason that a well-run primary care practice can't do just fine. Thanks to the recent RVU reallocation favoring E&M visits, there's no reason that a well-run primary care practice can't do just fine.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/10/physician-costs-exceed-revenue.html/comment-page-1#comment-87859 Anonymous Thu, 30 Oct 2008 23:42:00 +0000 http://clients.emmense.com/kevinmd/2008/10/physician-costs-exceed-revenue.html#comment-87859 Primary care will survive but not anywhere and everywhere. You can't just take whatever payment you are given. You have to deliver value and charge for it.<br/><br/>MGMA is slanted towards the big multispecialty clinics where primary care is usually nothing like usually primary care in the community and often isn't even expected to break even. Business practices there are usually inefficient and productivity levels modest in primary care. Primary care will survive but not anywhere and everywhere. You can’t just take whatever payment you are given. You have to deliver value and charge for it.

MGMA is slanted towards the big multispecialty clinics where primary care is usually nothing like usually primary care in the community and often isn’t even expected to break even. Business practices there are usually inefficient and productivity levels modest in primary care.

]]> By: Rob http://www.kevinmd.com/blog/2008/10/physician-costs-exceed-revenue.html/comment-page-1#comment-87856 Rob Thu, 30 Oct 2008 22:04:00 +0000 http://clients.emmense.com/kevinmd/2008/10/physician-costs-exceed-revenue.html#comment-87856 Um...we are doing just fine. You just need to run a smart business. Most docs aren't willing to do what is necessary.<br/><br/>It is not magic or rocket science. You just give excellent service to your patients and do it efficiently. We are a long way from dying off. Um…we are doing just fine. You just need to run a smart business. Most docs aren’t willing to do what is necessary.

It is not magic or rocket science. You just give excellent service to your patients and do it efficiently. We are a long way from dying off.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/10/physician-costs-exceed-revenue.html/comment-page-1#comment-87851 Anonymous Thu, 30 Oct 2008 15:19:00 +0000 http://clients.emmense.com/kevinmd/2008/10/physician-costs-exceed-revenue.html#comment-87851 They can drop low paying third party plans, starting with Medicaid and gradually dropping Medicare and the worst of the commercial plans, eventually going to a cash only model if necessary. <br/><br/>They can offer better services than the hospitals are willing to fund at their loss leader clinics. If necessary, they can go as far as the concierge model and take care of the small portion of the population who's still willing to pay for quality comprehensive care.<br/><br/>The traditional model for internal and family medicine is dying rapidly. These practices will either change radically or go out of business. Most patients have no idea what's coming. They can drop low paying third party plans, starting with Medicaid and gradually dropping Medicare and the worst of the commercial plans, eventually going to a cash only model if necessary.

They can offer better services than the hospitals are willing to fund at their loss leader clinics. If necessary, they can go as far as the concierge model and take care of the small portion of the population who’s still willing to pay for quality comprehensive care.

The traditional model for internal and family medicine is dying rapidly. These practices will either change radically or go out of business. Most patients have no idea what’s coming.

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