Stop taking new patients, drop Mainecare (or whatever your Medicaid there is) and their patients and/or go to cash only. Stop taking low paying insurances (blame the insurance company rather than yourself for having to turn patients away). You would lose a lot of patients but the ones you keep are the ones you would want and need. They want and need you. And, come to Tahoe. smile

Leslie
Hospital Employed Physician Who Misses The Old AC

"It's a good thing for a doctor to have prematurely grey hair and itching piles. It makes him appear to know more than he does and gives him an expression of concern which the patient interprets as being on his behalf. "