Politics debate
Health care is in shambles. And pharmacy more than anything will be affected by it due to factors such as saturation.
From job safety perspective, which party winning will benefit us the most?
Socialist medicine ie. Medicare for all, or Trump removing Obama care altogether?
Or either way, we are - - - -ed ??? (Source: Student Doctor Network)
Source: Student Doctor Network - August 13, 2019 Category: Universities & Medical Training Authors: Chrish Tags: Pharmacy Source Type: forums
Medicare for All + No Reduction in Tuition = Less Incentive to become physicians?
A lot of people that I’ve talked to seem to think Medicare for All / Single Payer Healthcare system will go through in the next 10-20 years. If that happens, it seems there will be a pay cut for physicians in general.
If that happens, and there’s no reduction in the amount of debt required to become doctors, wouldn’t that de incentivize people from going through this grueling process? Go into the same amount of debt while taking less home.
Money isn’t everything in the path to medicine...
Medicare for All + No Reduction in Tuition = Less Incentive to become physicians? (Source: Student Doctor Network)
Source: Student Doctor Network - August 10, 2019 Category: Universities & Medical Training Authors: DoctoOcto Tags: Pre-Medical - MD Source Type: forums
What are your thoughts on the proposed 2020 fee schedule?
Copied below from the AAO announcement. A 15% cut to phaco in one year seems brutal.
Member AlertThe Centers for Medicare & Medicaid Services today released its proposed physician fee schedule for 2020. Here are the highlights, based on the Academy's early analysis. Because this is a proposed rule, the Academy will work with CMS over the next few months to ensure a final...
What are your thoughts on the proposed 2020 fee schedule? (Source: Student Doctor Network)
Source: Student Doctor Network - July 31, 2019 Category: Universities & Medical Training Authors: OphthoApplicant04 Tags: Ophthalmology: Eye Physicians & Surgeons Source Type: forums
Public option NYT article
https://www.washingtonpost.com/opinions/a-public-option-for-health-insurance-is-a-terrible-idea/2019/07/24/fb651c1a-ae2e-11e9-8e77-03b30bc29f64_story.html?utm_term=.cf045b16278b
Verma conveniently glosses over WHY the ACA wasn't as successful as it could have been (GOP obstructionism) but she makes some good points.
I just cant see single payer or "medicare for all/public option" happening unless democrats take the senate AND the white house. pretty unlikely at...
Public option NYT article (Source: Student Doctor Network)
Source: Student Doctor Network - July 28, 2019 Category: Universities & Medical Training Authors: SSdoc33 Tags: Pain Medicine Source Type: forums
Benign Disease
Sorry if this has been discussed but in Germany they seem to treat a large number of patients with joint arthrosis/degenerative joints with what appears to be good results. Has anybody done this and is this covered by insurance or medicare? I have treated the occasional dupytren's but that seems to be a small fraction of what is done for degenerative joints. (Source: Student Doctor Network)
Source: Student Doctor Network - July 25, 2019 Category: Universities & Medical Training Authors: xrt123 Tags: Radiation Oncology Source Type: forums
Medicare for all and physician salaries
I'm not even sure what determines reimbursement rates right now, but will a single payer healthcare system drive down physician wages? With all the current hype about medicare for all it seems like it will be implemented sometime in the near future, which has me wondering how our compensation may be affected... (Source: Student Doctor Network)
Source: Student Doctor Network - June 29, 2019 Category: Universities & Medical Training Authors: wimby2016 Tags: Topics in Healthcare Source Type: forums
H.r. 2143
Contact your representatives and senators to ask them to support H.R.2143.
Reps Speier and Titus Reintroduce Bill to Prevent Wasteful and Harmful Medicare Spending (Source: Student Doctor Network)
Source: Student Doctor Network - June 29, 2019 Category: Universities & Medical Training Authors: Nilf Tags: Pathology Source Type: forums
Ect
Does any one know of ECT being performed solely in an Ambulatory Surgery Center? CMS has not placed ECT (CPT code 90870) on the list of approved procedures in an ASC, and they aren't making it a priority even with APA and ISEN-ECT requests to add it. This means medicare/medicaid are unlikely to be performed in an ASC for near future. So have any of you heard of colleagues, or are active yourself, in performing privately insured ECT in an ASC?
Further more, please educate me on how...
ECT (Source: Student Doctor Network)
Source: Student Doctor Network - June 19, 2019 Category: Universities & Medical Training Authors: Sushirolls Tags: Anesthesiology Source Type: forums
Pharmacists, we learned this in school
Ethical billing.
I understand physicians and their business needs money to fund the remodeling of their offices and their luxury homes/cars. But as a pharmacist, I have the background knowledge from pharmacy school about CPT code billing frauds to cheat the medicare system (and private insurances). With that said, I want to discuss upcoding. I was a victim of upcoding. Doctors are not allowed to charge for time visits that they didnt not spend in the room with the patient. I was in...
Pharmacists, we learned this in school (Source: Student Doctor Network)
Source: Student Doctor Network - June 6, 2019 Category: Universities & Medical Training Authors: Twentytwelve2 Tags: Pharmacy Source Type: forums
Medicare for America and DPC
“...the Medicare for America Act, first appeared as a 2018 paper by the Center for American Progress. It was a plan to expand government-run health care. It’s been called “the Democratic establishment’s alternative” to Sen. Bernie Sanders’s single-payer scheme. In March, Democratic presidential hopeful Beto O’Rourke endorsed Medicare for America in lieu of the Sanders plan.
CNN declared that Mr. O’Rourke’s endorsement of Medicare for America demonstrates his “moderate path,” but the bill is...
Medicare for America and DPC (Source: Student Doctor Network)
Source: Student Doctor Network - May 13, 2019 Category: Universities & Medical Training Authors: wamcp Tags: Family Medicine Source Type: forums
How to start a residency program?
I would appreciate some help from program directors of this forum.
We are a multi-specialty large private practice (only adult patients) but not associated with a medical school and not affiliated with a hospital.
Half of our patients are medicare patients.
IS there any way we could start an ACGME residency program?
I did look into the ACGME website institutional requirement, but it is quite difficult to figure out.
Thank you very much. (Source: Student Doctor Network)
Source: Student Doctor Network - May 11, 2019 Category: Universities & Medical Training Authors: littleemma Tags: General Residency Issues Source Type: forums
Bloody Friday
Today, my group received news from a major insurer that our reimbursement rates were going to be drastically cut, to a fraction of Medicare. Since Medicare will not pay more than what we accept from other places, we will soon have to cut their rates I am sure. Our profit margins, for those of you in business who would know, will take a greater cut, since our costs only rise and do not get cut in a similar fashion.
Our group will have to reduce our workforce, and do more work to keep the...
Bloody Friday (Source: Student Doctor Network)
Source: Student Doctor Network - April 27, 2019 Category: Universities & Medical Training Authors: Easton Ghost Tags: Pathology Source Type: forums
Anthem BCBS Cuts. Grim for several states.
From my watchdog group Vachette:
Vachette has come across an issue some states are facing with Anthem BCBS. At this time it will not affect you because it is not in your state but we wanted you to be aware just in case other Blue plans decide to do the same thing. For pathology groups listed in the below 13 states they are going to be seeing a major cut to the reimbursement rates and only be getting between 40-60% of Medicare. We are working with our groups who are going to be...
Anthem BCBS Cuts. Grim for several states. (Source: Student Doctor Network)
Source: Student Doctor Network - April 26, 2019 Category: Universities & Medical Training Authors: Torsed Tags: Pathology Source Type: forums
What is your insurance reimbursement rate?
To those of you who are solo practice or business owners. are you willing to share what your reimbursement rate is?
For private insurance I'm sitting at 80-100% of medicare with the biggest insurance payers paying the least. (Source: Student Doctor Network)
Source: Student Doctor Network - April 22, 2019 Category: Universities & Medical Training Authors: InvestingDoc Tags: Family Medicine Source Type: forums
Comprehensive
Where do you see the field headed in the next 20 years? If medicare cataract payments were drastically cut across the board 10 years from now, do you feel the field would survive? (Source: Student Doctor Network)
Source: Student Doctor Network - April 21, 2019 Category: Universities & Medical Training Authors: Etorphine Tags: Ophthalmology: Eye Physicians & Surgeons Source Type: forums
