No matter what any of its proponents say, Medicare still pays by procedures, and by how many patients you see.
Quantity.

The "quality" part is and adjustment to the "quantity" -- not the other way around.

Not participating might cost 10 - 15% off the top (before taxes)
Participating is very expensive in terms of additional staff, inability to see patients efficiently and untold frustration.

I believe the tradeoff for small offices remains is negative either way -- and is clearly designed to destroy independent practice.


Tom Duncan
Family Practice
Astoria OR