Chris--
The medical profession is dying, and corporate "healthcare" is the apparent winner.
Its the independent medical practices that are dying and here are a few of the reasons
1. I think there higher payments for the same billing code for hospital owned practices compared to independent practices
2. Insurance companies can drop physicians at their discretion from their plan and it is mostly the independent practices.
3. Accountable care organizations mandate patients to change their pcp if you do not join them and thereby causing a lot of distress to our long term patients and also financially impact independent practices.
4. The meaningless rules and regulations imposed on medical practices primarily affect the independent practices.
5. Independent practices do not have the clout or the finances to fight the insurance companies or the bureaucracy.
6. Lastly independent practices have no one to fight for our cause to remain independent
Inspite of all the burdens and obstacles placed on independent practices.. I am happy to independent as long as I can.
Grenville
