I've actually been looking to cut the size of my practice down, so I welcome the patients who want to switch out without me having to cut them. If they try to come back, I tell them simply that I already closed my panel to new patients and can't take anyone back in now.
I'm still waiting to see if the Medicaid Expansion plans to bring the rates up to Medicare rates in NJ actually happens. Although I'm already looking to add in a part time doc on board, if the expansion opens I'll re-open the practice to new patients and may let back in the respectful patients who want to come back to the practice.
Shankar
Family Med
Lawrenceville, NJ