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dixiegrrrrl

(60,010 posts)
Thu Jan 5, 2012, 10:05 PM Jan 2012

Doctors going broke ( and how imminent Medicare cuts are making it worse) [View all]

I just read 2 articles that deserve attention for all of us who rely on small practice doctors.

First article:
"Half of all doctors in the nation operate a private practice. So if a cash crunch forces the death of an independent practice, it robs a community of a vital health care resource.

"A lot of independent practices are starting to see serious financial issues," said Marc Lion, CEO of Lion & Company CPAs, LLC, which advises independent doctor practices about their finances.

Doctors list shrinking insurance reimbursements, changing regulations, rising business and drug costs among the factors preventing them from keeping their practices afloat. But some experts counter that doctors' lack of business acumen is also to blame."
http://money.cnn.com/2012/01/05/smallbusiness/doctors_broke/index.htm

and what is adding to that cash crunch? Decreasing Medicare payments, set to go into effect this month.

"The payroll tax impasse in Congress has put Medicare doctors on edge over the likelihood that their pay could be slashed 27.4% in two weeks time.

Under current law, health care providers to the nation's 45 million Medicare beneficiaries -- including physicians, nurse practitioners, physical therapists and podiatrists -- face reduced government reimbursement payments on Jan. 1."

and this part:
"Federal law requires that Medicare reimbursement rates be adjusted annually based on a formula tied to the health of the economy. That law says rates should be cut every year to keep Medicare financially sound.

Although Congress has blocked those cuts from happening 13 times over the past decade, most recently on Dec. 23 with a two-month temporary "patch," this dilemma continues to haunt doctors every year."
http://money.cnn.com/2011/12/21/smallbusiness/medicare_cuts/index.htm?iid=EL

Now, look at the growing number of over 65 people who have reduced income, depend on Medicare, and depend on small dr. practices for their health services., especially those of us who live in rural/small town areas.

Not a rosy picture. Already one of the 3 dr. offices in town here is reducing staff.


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Here I'm running across more drs. that don't take Medicare anymore. RKP5637 Jan 2012 #1
My primary care still is, for her old patients, not new ones. Cleita Jan 2012 #5
It's done deliberately to crash Medicare. Cleita Jan 2012 #2
IMO there is a body of individuals in this country that views the deaths of seniors, handicapped, RKP5637 Jan 2012 #3
Wait until it's their turn. Cleita Jan 2012 #4
I've never made it through the entire movie "Idiocracy." It was just too factual. RKP5637 Jan 2012 #6
I know. Those movies are depressing and hard to watch. n/t Cleita Jan 2012 #8
Idiocracy (2006) accidentally nailed a few things with tremendous accuracy.... xocet Jan 2012 #23
Thanks for sending these. I can't look at them right now, but will later tonight. Thanks!!! RKP5637 Jan 2012 #24
I'm not sure it's really accurate to SheilaT Jan 2012 #20
Medicare has a fee schedule that doctors must accept. Even if you have supplemental insurance, it Cleita Jan 2012 #21
Thanks for the clarification. SheilaT Jan 2012 #25
First-rate practitioners often lack business skills .... Scuba Jan 2012 #7
It's not just the Medicare payments hurting them, it's also dflprincess Jan 2012 #9
Your last sentence speaks volumes ... slipslidingaway Jan 2012 #10
Can things get any more bollocksed up? marmar Jan 2012 #11
Probably. dixiegrrrrl Jan 2012 #12
I was just thinking earlier tonight, this is a really F'ed up country, and no this RKP5637 Jan 2012 #13
Yes. DeSwiss Jan 2012 #18
This "news" is way out of date. JDPriestly Jan 2012 #14
Actually, your comments are off the mark. dixiegrrrrl Jan 2012 #15
Thanks For Posting, k and r..nt Stuart G Jan 2012 #16
I immediately thought of my excellent podiatrist who performed my foot surgeries.... tpsbmam Jan 2012 #17
45 min. in our local ER is billed at 793.00 dixiegrrrrl Jan 2012 #19
Sorry, but I just cannot get all worked up about feeling sorry for someone that averages MindMover Jan 2012 #22
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