Hey, Bert --
Stop taking new Medicaid
yesterday. In the future, as established Medicaid patients leave your practice, replace them with insured patients.
Medicaid patients take the same amount of time and often
more, due to a combination of socio-economic factors and increased government red tape. Replacing them with insured patients gives you an instant pay raise without increasing your work hours.
Closing the practice is a tougher issue -- it can have unintended consequences. There is also a difference between the number of patient files you possess vs. the number of true active patients. There was an excellent article on this topic in FPM magazine last year:
http://www.aafp.org/fpm/20070400/44pane.htmlHTH.
