I agree with most of what you say. But anyone who took Econ 101 knows that if docs are in short supply they have more bargaining power. Not sure how that leads to strengthening health systems negotiating power? Dutch this must be an error. I do not follow this logic.
What has allowed health systems to have more negotiating power then? It’s doctors who are willing to work for them! Ok in more rural areas there may not be many places you can work as an ICU doc. But come on - if there aren’t enough of us to go around we can move and find other jobs pretty easily, right? Or start are own business or practice group. I say don’t work for the greedy corporations who care more about their stock price or paying their CEO 25 million a year.
I’d delete this paragraph it undermines your argument…. See below.
“By artificially limiting the supply of physicians, these caps have contributed to physician shortages and reduced competition. This strengthened large health systems' negotiating power over doctors…”
Yeah reduced competition amongst doctors so we can go into concierge care and leave the poor and middle class behind.
as someone who routinely negotiates with Insurance carriers from the position of quality care, access to care and patient volume as leverage, I assure you that Dutch-is correct. The Big insurance platers will pay a Physician for 99213 a measly $77 buck, while Medicaid publicly pays $80 for same service, and yet the company have the nerve to charge for this plan $4000 a month per family, and increase of 10% from last year. What is worse is that a large hospital system is paid at $250 for the same service 99213, and that guy used to be a private office. That is what is wrong with the system. It is not the money, it is that they want the systems to win!
I agree with most of what you say. But anyone who took Econ 101 knows that if docs are in short supply they have more bargaining power. Not sure how that leads to strengthening health systems negotiating power? Dutch this must be an error. I do not follow this logic.
What has allowed health systems to have more negotiating power then? It’s doctors who are willing to work for them! Ok in more rural areas there may not be many places you can work as an ICU doc. But come on - if there aren’t enough of us to go around we can move and find other jobs pretty easily, right? Or start are own business or practice group. I say don’t work for the greedy corporations who care more about their stock price or paying their CEO 25 million a year.
I’d delete this paragraph it undermines your argument…. See below.
“By artificially limiting the supply of physicians, these caps have contributed to physician shortages and reduced competition. This strengthened large health systems' negotiating power over doctors…”
Yeah reduced competition amongst doctors so we can go into concierge care and leave the poor and middle class behind.
This sounds like a coffee and/or cigar conversation! Let me know.
as someone who routinely negotiates with Insurance carriers from the position of quality care, access to care and patient volume as leverage, I assure you that Dutch-is correct. The Big insurance platers will pay a Physician for 99213 a measly $77 buck, while Medicaid publicly pays $80 for same service, and yet the company have the nerve to charge for this plan $4000 a month per family, and increase of 10% from last year. What is worse is that a large hospital system is paid at $250 for the same service 99213, and that guy used to be a private office. That is what is wrong with the system. It is not the money, it is that they want the systems to win!
Fight! Fight! Fight!