Free Republic
Browse · Search
News/Activism
Topics · Post Article

To: Innovative

As a doctor working for a hospital system, I think you miss the important points. We work on commission, so we are incentivized to be productive.

With Obamacare, we will have a dramatic increase in Medicaid patients. They have no skin in the game (co-pays) and are far more likely to no show for appointments. The hospital loses money treating Medicaid patients, because the reimbursement is so low. I make almost nothing seeing these patients and they don’t listen anyway.

What is likely to happen, aside from early retirement (which I am considering), is that doctors form private groups that refuse to take Medicaid. A friend works for a group that takes only private pay and Blue Cross. It makes the paperwork easier as well.


39 posted on 03/17/2013 6:10:25 AM PDT by neocon1984
[ Post Reply | Private Reply | To 1 | View Replies ]


To: neocon1984

“doctors form private groups that refuse to take Medicaid.”

If it isn’t already in the bill, Obama will have Congress pass a law that all practicing physicians will have to follow the rules of Obamacare.


42 posted on 03/17/2013 6:30:17 AM PDT by Innovative ("Winning isn't everything, it's the only thing." -- Vince Lombardi)
[ Post Reply | Private Reply | To 39 | View Replies ]

To: neocon1984
What is likely to happen...is that doctors form private groups that refuse to take Medicaid

That has been illegal in Massachusetts since 1986, and it soon will be coming to a Legislature near you.

44 posted on 03/17/2013 6:35:46 AM PDT by Jim Noble (When strong, avoid them. Attack their weaknesses. Emerge to their surprise.)
[ Post Reply | Private Reply | To 39 | View Replies ]

To: neocon1984

Doctors fleeing to private concierge / indemnity-only practices are in for rude shock. Obamacare rules are very hard on indemnity insurance, its viability is questionable. Moreover, the minute that capacity becomes strained or people start to perceive a two-class system, expect that Obamacare or its successors will adopt to an all-or-none principle — accept government set rates (possibility including expanded Medicaid or even Medicare too) from all patients as payment in full - or be ineligible to accept any government-covered or -subsidized patients at all, maybe even be denied privileges at any hospital that accepts them for any patients.


55 posted on 03/17/2013 10:48:05 AM PDT by only1percent
[ Post Reply | Private Reply | To 39 | View Replies ]

Free Republic
Browse · Search
News/Activism
Topics · Post Article


FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson