TMA President Bradford Holland, MD, explains physicians’ frustration over the recently released 2027 Medicare Physician Fee Schedule, which will result in another overall decrease in payment to physicians. If finalized, the cuts will further threaten physicians' practice viability.
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There’s a sentence circulating through healthcare right now that sounds reasonable, and yet it is so wrong.
“Independent physicians are unsustainable.”
Not unsustainable!
Unsupported.
Because what actually pushed physicians to sell wasn’t medicine.
It was the machinery around it.
Dear @CMSGov
I was looking through some Medicare expenditure data, which I assume is not how most people spend their evenings, but I do…
And something jumped out at me.
Across five specialties, independent physicians had the lowest total Medicare expenditures:
$26,377 per beneficiary per year.
Okay. So that’s the baseline.
Now let’s look at the other models.
Private equity–affiliated practices: $26,824.
Corporate practices: $27,769.
Hospital-affiliated physicians: $30,416.
So just to make sure I understand this correctly…
The most expensive model in the system is the one where doctors are employed by hospitals.
And the least expensive model is the one where doctors run independent practices.
That’s a $4,039 difference per Medicare beneficiary every year.
Which would seem like the sort of thing policymakers might want to pay attention to.
But it gets better.
When physicians transition from independent practice to private equity, Medicare spending decreases by about $963 per beneficiary per year.
Okay. Interesting.
But when physicians transition to hospital employment, spending increases by $1,327 per beneficiary per year.
Corporate affiliation?
Also increases costs, by about $1,140.
So the pattern here seems… fairly consistent.
The model everyone keeps saying is “unsustainable” actually produces the lowest costs in the system.
Meanwhile, the model that keeps absorbing those practices is also the one that drives spending up.
And every time an independent physician disappears into a health system…
Costs go up.
Every time.
Which raises a small question:
If the goal is controlling healthcare costs…
why is the United States Government steadily replacing the least expensive model with the most expensive one?
Just asking….
-Rojas out
LET’S SEE IF THE MEDIA GIVES THIS THE ATTENTION THEY GAVE 5 WHITE MISSING BILLIONAIRES IN A SUBMARINE
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Carlee is about 5’5 and 150-160lbs.
Her red Mercedes was left on the side of the interstate with all of her belongings, purse, cell phone and other items.
She stopped because she saw a baby or child on the side of the interstate. She called 911 and family members to let them know. The last person she was on the phone with heard screams.
If you have any information about her whereabouts please contact law enforcement- the Hoover Police Department.
Information posted below are from the family:
“Friends and family whatever city or state you’re in I would like to have someone spearhead search parties.
Please contact me Talitha at 1-205-401-3365 or Carlos at 205-396-6160.
Thank you and we are not receiving any negative thoughts. God is faithful and Carlee will be found safe and free from all hurt, harm and danger🙏🏾🙏🏾Lord I’m trusting you with my whole heart!!🙏🏾🙏🏾”
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