As long as physicians don’t unite, the 💩💩💩 will continue.

Medicare Advantage plans got a 5 % raise today. Yet the Doctors, who are the ones who actually care for the patients GET CUT every year. This is RIDICULOUS. cms.gov/newsroom/fact-…

UnitedHealth, Humana and other health-insurance stocks are surging after this ‘big win’ trib.al/TdOjLRw

C’mon… the doctors actually doing the work took a -5.1% (NOT 2.83%) cut. Why?

The party in power just declared war on physicians, patients, and taxpayers with this move. The party is punishing the following: • Cut the pay of physicians this will force them into employment as they can't afford to run their practice • Many physicians will be employed

Every time an academic health system doctor says, “Private practices don’t do what we do,” I nod. They’re right. Private practices don’t get: $5B in tax-deductible donations Free land deals and bond financing Facility fee differentials 340B drug margins GME payments IME

Stephen Wassinger, MD We need an umbrella organization that is focused on the well-being of physician members and focuses on issues such as: • Eliminating Stark Laws • Eliminating the prohibition on physician ownership of hospitals • Site-neutral payments • Eliminate the corporate practice of

The Illusion of Fairness in Healthcare Ever wonder why independent physicians are fighting to stay afloat while health systems are swimming in cash? It’s not because they deliver better care. It’s because they’ve stacked the deck in their favor. Health systems have engineered

This morning I have a client hospital call: UnitedHealthcare trying to pay them 73% less than the local market average for EACH of seven particular DRGs related to inpatient surgical admissions for breast cancer. It was 2.2X less than the lowest MCO offer currently under negotiation.

I’m no revenue cycle expert, but I know a little bit about how physicians are paid. They don’t just submit an invoice from Quickbooks. They have to submit a CMS1500, or in certain circumstances, a UB-04 form. The 1500 claim has 33 mandatory fields. It’s purposefully designed

When I was in undergrad, I worked nights in a local emergency department as a tech (basically a nurse’s assistant). I’d do laundry and catheters and enemas and transport patients and chest compressions until I was sweating like some rabid farm animal. There were only two

jamanetwork.com/journals/jaman… An excellent study questioning the ongoing existence of TF-CAS.

For those wondering why a simple doctor’s visit takes so long… Or why medical offices can seem so inefficient… Here’s the journey of a single patient chart… and remember only 1/3 of the quality metrics have any clinical relevance… before we’ve even had a chance to talk

𝐌𝐞𝐝𝐢𝐜𝐚𝐫𝐞 𝐢𝐬 𝐩𝐚𝐲𝐢𝐧𝐠 𝐃𝐨𝐜𝐭𝐨𝐫𝐬 𝟏𝟗𝟗𝟖 𝐰𝐚𝐠𝐞𝐬 𝐭𝐨 𝐩𝐫𝐚𝐜𝐭𝐢𝐜𝐞 𝟐𝟎𝟐𝟓 𝐦𝐞𝐝𝐢𝐜𝐢𝐧𝐞. 𝐒𝐢𝐧𝐜𝐞 𝟏𝟗𝟗𝟖, 𝐢𝐧𝐟𝐥𝐚𝐭𝐢𝐨𝐧 𝐡𝐚𝐬 𝐫𝐢𝐬𝐞𝐧 𝟖𝟐.𝟏%. Medicare’s physician payment formula (the Conversion Factor)? Down 9.9%. That’s not

Republicans Will Cut Off Student Loan Forgiveness For Medical Residents Under New Plan via Forbes forbes.com/sites/adammins… This seems wrong. Residents are already underpaid and under appreciated.

Some younger employed physicians don’t fully grasp the root issue: Physician compensation and reimbursement is the problem. As Medicare/Medicaid rates drop, independent docs get crushed—forced to close, sell, or consolidate. Your salary feels stable—but it’s subsidized by your

Everyone talks about physician compensation. Almost no one talks about overhead. We debate how much CMS pays. Why procedural specialties are paid more. How physicians are reimbursed. But that misses the real driver of dysfunction: The single most expensive, least addressed

The Medicaid Grift Nobody Wants to Talk About It starts in Westwood. A patient walks into UCLA Health for a routine checkup—CPT 99213. Fifteen minutes. Maybe less. The patient thinks she’s seeing a doctor. What she doesn’t know? She’s stepping into one of the most profitable

“Notice of Nonpayment” from insurance companies: another insurance grift that should be addressed, particularly when secondary to Medicare? Real Doc Speaks Dutch Rojas @jahangirashga10

Why do health insurance premiums go up annually? A great question to start with: Why Health Systems Get Paid More Than Independent Doctors for the Same Exact Surgery? Ever heard of an HOPD or an ASC? If not, you’re not alone. But if you’re a patient, taxpayer, or