I am confused. Almost all your "no" are my "yes". Medicare reimbursment just went up, about $6-7 on average - I am just getting EOBs. Commercial insurances operate on percentage of medicare so its plus here too. Overhead is less because I am able to get stuff making suppliers to butt their heads. Especially vaccines. MAs are working better because jobs are scarce and they appreciate when they treated well. Patients are more loyal, especially ones who already tried obamacare big hospital chain approach when pcp has 10 minutes per pt, and got screwed up when hospital charges $300 for chest x ray "because you have high deductible". Consultants are much more responsive and appreciative because they are scared to death about shrinking referral base. Taxes went up, but then deductions become more efficient. Thanks to AC I got certified twice now for MU. I am actually ready for step 2 as well. Pqrs is on a back burner for me but I will catch up. I am in solo family practice, north of atlanta.
