tag:blogger.com,1999:blog-18943510.post8761651612152245695..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Are Doctors Sheeple?DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-18943510.post-70982257822526713632009-07-09T19:15:47.927-05:002009-07-09T19:15:47.927-05:00"I agree with you that the trend nationally i..."I agree with you that the trend nationally is for private practice physicians to dissolve their practices and join larger hospital systems."<br /><br />This is not necessarily the case for us in California where the IPA is alive and well and does exist to a smaller degree in other parts of the US. <br /><br />There is a national movement about called Physician Groups for Coordinated Latino Managerhttps://www.blogger.com/profile/00323390983925730408noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-49406953576142717052009-07-08T23:03:14.893-05:002009-07-08T23:03:14.893-05:00What an excellent post. I for one want to hear wha...What an excellent post. I for one want to hear what the physicians have to say and really, that's about the only group I want to hear from. It is beyond comprehension how people can condemn doctors/providers for health care costing too much. It makes me so mad - it is the best case of brainwashing I've ever seen and it would do us well to track that sentiment back to those who stand to Jessicahttps://www.blogger.com/profile/17671750945060377685noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-26377854331731685742009-07-08T21:40:47.389-05:002009-07-08T21:40:47.389-05:00IMHO, doctors are the least of the health care mes...IMHO, doctors are the least of the health care mess. Part of the problem is the private insurance industry. It takes a whole lot of call center staff, claims 'adjusters' and the like to perpetuate the unending negotiated rate/pre-authorization/network/formulary bureaucracy and preserve profit margins, exorbitant salaries, venture capital funds, and banks. Dealing with health insurance Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-64178457210125858582009-07-08T19:30:02.894-05:002009-07-08T19:30:02.894-05:00i am not sure the mindset for the ceo/mba is so wr...i am not sure the mindset for the ceo/mba is so wrong. someone needs to be the guy who balances the budget and makes sure the work gets done. it is still a business after all.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-64756180172791527262009-07-08T14:26:49.908-05:002009-07-08T14:26:49.908-05:00Keith,
You go, boy!
www.drsforamerica.org
Cheer...Keith,<br /><br />You go, boy!<br /><br />www.drsforamerica.org<br /><br />Cheers,Christopher M. Hughes, MDhttps://www.blogger.com/profile/04897385081996317145noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-40081793184007138692009-07-08T13:47:56.992-05:002009-07-08T13:47:56.992-05:00Hey Anonymous,
there will always be friction, but...Hey Anonymous,<br /><br />there will always be friction, but I would think the mindset of docs and MBAs is radically different. All are motivated by money to some degree, but MBAs are coached in growth and profit making and seem to be overly rewarded for both.Keithnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-15011380622457859182009-07-08T12:12:15.155-05:002009-07-08T12:12:15.155-05:00mayo clinic is financially strained too, despite t...mayo clinic is financially strained too, despite their unmatched fundraising.<br /><br />aren't mayo docs employed by the hospital? i recognize that you think that a board made up of doctors differs from other boards, but your point about difficulty bucking the system would still apply to them.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-50728493661255796412009-07-08T10:52:06.416-05:002009-07-08T10:52:06.416-05:00Wes,
This we agree on that the requirements that ...Wes,<br /><br />This we agree on that the requirements that are being foisted on us will require more management and concentration in larger organizations to manage. this all will kill the samll office practice. But that does not mean that physicians cannot call the tune with management working for them rather than visa versa. You get MBAs running the store, then your focus is purely on what Keithnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-77949485936721032202009-07-07T23:09:51.033-05:002009-07-07T23:09:51.033-05:00Keith-
I agree with you that the trend nationally...Keith-<br /><br />I agree with you that the trend nationally is for private practice physicians to dissolve their practices and join larger hospital systems. But why is that? Might is be government requirements to purchase expensive EMR's? Or maybe the mandate e-prescribing? Or maybe the expensive requirement to perform and monitor P4P measures, lest practices not receive Medicare DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-25316169358009018942009-07-07T19:02:21.781-05:002009-07-07T19:02:21.781-05:00Divide and Conquer is working....unfortunately.Divide and Conquer is working....unfortunately.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-39691280044093585422009-07-07T18:32:10.966-05:002009-07-07T18:32:10.966-05:00Wes,
Cardiologists have for years worked as indep...Wes,<br /><br />Cardiologists have for years worked as independent contractors and not in direct employ of hospital systems. This has seemingly changed in the Chicago area and likely is the trend nationwide. It places the hospital administration in the position of calling the tune, deciding what equipment you will or will not have, and compromises the ability of cardiologists to be critical of Keithnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-50158904914746310842009-07-07T15:58:51.518-05:002009-07-07T15:58:51.518-05:00What you as specialists need to do is quit partner...<i>What you as specialists need to do is quit partnering with hospitals to drive up the cost of medical care (because, as you point out, it isn't the doctot that costs alot, but all the fancy gizmos that he orders or installs) and start looking at ways to offer this care in a more cost effective manner.</i><br /><br />Easier said than done. Not "productive?" Sorry, pay cut for youDrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-90900950846121736842009-07-07T10:22:12.762-05:002009-07-07T10:22:12.762-05:00Wes,
Everyone stood by for years while we in prim...Wes,<br /><br />Everyone stood by for years while we in primary care sunk into the toilet. That is why you have the silo effect that you have.<br /><br />If our specialty colleugues had rallied their societies to support us in our time of need, instead of packing more procedural codes into the CPT manual and railing about the idea that anyone would dare to cut their pay (which has been happening Keithnoreply@blogger.com