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	<title>Comments on: Why your primary care practice is failing</title>
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	<description>medical blog</description>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/11/why-your-primary-care-practice-is.html/comment-page-1#comment-88288</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sun, 23 Nov 2008 01:51:00 +0000</pubDate>
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		<description>I agree.  The failure to mention that is a symptom of the biggest reasons, other than expenses out of control that primary care practices fail to thrive:  A failure to have a robust sense of entitlement to be paid by your patients for the value of your service.  Many primary care docs have a martyr complex, others simply believe that healthcare is a right.  If they harbor the latter beliefs, they either need to get in touch with the inner hypocrite or go to work for a public clinic--they will not keep a private practice operating on that principle.</description>
		<content:encoded><![CDATA[<p>I agree.  The failure to mention that is a symptom of the biggest reasons, other than expenses out of control that primary care practices fail to thrive:  A failure to have a robust sense of entitlement to be paid by your patients for the value of your service.  Many primary care docs have a martyr complex, others simply believe that healthcare is a right.  If they harbor the latter beliefs, they either need to get in touch with the inner hypocrite or go to work for a public clinic&#8211;they will not keep a private practice operating on that principle.</p>
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		<title>By: Throckmorton</title>
		<link>http://www.kevinmd.com/blog/2008/11/why-your-primary-care-practice-is.html/comment-page-1#comment-88285</link>
		<dc:creator>Throckmorton</dc:creator>
		<pubDate>Sat, 22 Nov 2008 21:29:00 +0000</pubDate>
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		<description>The article completely fails to manage payor mix where you are seeing Medicaid that pays 60% of Medicare and that your practice is more than 50% government payors.  Further that your managed care contracts reimbursement has continually falling so that no your Medicare patients pay better than you Blue Cross, Cigna, Aetna, Humana, and always UHC.</description>
		<content:encoded><![CDATA[<p>The article completely fails to manage payor mix where you are seeing Medicaid that pays 60% of Medicare and that your practice is more than 50% government payors.  Further that your managed care contracts reimbursement has continually falling so that no your Medicare patients pay better than you Blue Cross, Cigna, Aetna, Humana, and always UHC.</p>
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