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Hey doc,

here's some info from HMO ridden California.

The capitation rates given to doctors are only the tip of the ice berg.

If you compare the RBRVS fee schedule to the reimbursement you get from an HMO, it's a joke. Instead of being paid for your time, you get $20.00 for the entire month. It's a financial disaster to work with an HMO.

However, the bigger issue is the politics behind the risk pool dollars that go to the IPA and to the Hospital.

There appears to be about $100.00 per patient per month that goes to the hospital risk pool.

This is the reason that the hospitals begin to attempt to destroy any independent physicians in the community.

If the hospitals lose control of the physicians in the community, the doctors can choose to realign the hospital risk pool dollars per their design (rather than the manipulations of the hospital executives).

Do you see this type of activity in Florida?