2. Your area is changing and pt are changing to Medicare advantage.
3. By becoming the "Crazy Eddie" of the area, you feel that you will make up the 40 % loss with the volume.
4. You feel that you will lose your patient base.
5. You have a "bean counter" making the decisions.
6. You have to survive.
I did this in the beginning and was lured in initially at 105% of Medicare. But as this carrier became a major potion of the practice, they kept cutting the reimbursement and threatening to take "their patients" elsewhere. Today, I keep my Medicare advantage/HMO portion of the practice limited.
The "Crazy Eddie" reference was a bit worse than just volume.
Frank J. Paiano, DO, FACOI Internal Medicine of Central Florida, PA The Villages, FL
