rj

Husband, father, family doc. For BHM

[rj @slammadega]

@STzorfas @BrentAWilliams2 same here.....i'd face about a 3% cut for 2027. one can only absorb so much in reimbursement cuts plus face ongoing upward pressure on employee/supply costs, and yet cannot see more patients in a day. pvt practice physicians aren't valued by cms

[Practical Patriot 🇺🇸 @InternetCPA]

Cut independent lab payments hard enough and the small labs disappear. Hospitals absorb the volume, the $45 blood test becomes a $700 hospital bill, and your doctor has nowhere cheaper to send you.

That's how a reimbursement cut becomes a healthcare monopoly.

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

I honestly don’t get how doctors could support Medicare for all.

Since 1992, Medicare has cut physician payment every year. We now make half of what we would if payments just kept up with inflation.

Medicare also created a massive disparity in payment between specialists and primary care.

Now they’re attempting to fix that. And I applaud the effort. Primary care deserves more money.

Yet this is hardly a win. Physicians are still facing yet another pay cut.

Specialty care is taking a huge hit. It’s going to be impossible for independent physicians to care for Medicare beneficiaries without running in the red. If they weren’t already.

These are all symptoms of the bigger disease: central planning.

Medicare is designed so physicians would get paid less every year. Medicare is designed so CMS can set relative physician payment.

Medicare decides if primary care makes more than specialists or if hospital based services get paid more than independent doctors. It banned doctors from owning hospitals. I implemented mountains of paperwork and conditions of participation.

It has the power to extinguish independent physician practice.

I love that Dr Oz is trying to correct the pay disparity with primary care. But let’s remember, CMS created that disparity to begin with.

Medicare for all would just give CMS even more power to control physicians.

[rj @slammadega]

@sdixitmd Exactly. Imagine if there were racial quotas in the SEC or Big 10 for football players: a certain percentage of the starters on the team have to be Asian or Indians or Japanese. Please…..leave it merit based…..keep it simple in academics

[Jerome from B'ham 🥋 @JeromeFromBham]

I hope they’re on the verge of whooping some azz this year that’s the issue 👀period

[Powerhouse Sports @PowerHSports]

Powerhouse Sports was all across the state today!🔥

Our analyst/correspondent Wayne Johnson was in attendance at the Pell City Football Golf Tournament, showing support for the Panthers and their football program.

A huge thank you to SLS for serving as the Gold Sponsor and helping make the tournament possible, and a special thank you to Jake Ganus for everything you do for Pell City Football and the community.

We appreciate the hospitality and look forward to being back.😎@MrWayneJohnson @Stan1HoustonAlt @PellCityFTBL @jakeganus

[rj @slammadega]

@sdixitmd @nickmmark Sounds an awful lot like going into politics

[rj @slammadega]

@sdixitmd

[rj @slammadega]

@DrDiGiorgio @sdixitmd Yes sir......physicians' offices (independent ones) have to hire quality people, coders/billers, etc to be in compliance with m'care reporting rules. And these people I employ add significant expense to monthly ledger

[rj @slammadega]

@DutchRojas @nocorporatemed Pvt practice……that’s where it’s at. Plain and simple

[Amit Dusane @theamitdusane]

45 to 55 patients on paper, 22 to 23 after EMR. That is not a marginal difference, that is the software cutting your clinical capacity in half.

And the quality held on paper. That is the part that gets ignored every time someone argues that digital is automatically better.

Digital is only better if it was designed around how you actually work. Most EMRs were designed around billing, compliance and hospital administration.

The doctor's workflow was an afterthought.

[Michael Rauch @Michael_L_Rauch]

@TechOperator Roll Tide! 🐘🐘💪💪🇺🇸🇺🇸

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

Federal policies purposefully exterminated the financial viability of this type of practice.

[rj @slammadega]

@DrDiGiorgio No doubt. My first couple years in Pvt practice I was routinely able to see 45-55 pts a day via paper charting. Without a drop off in quality if I’m being honest. Then EMR came out…..downhill since. Nowadays seeing 22-23 pts max per day, any more than that and it feels like 50

[Wholesome Side of 𝕏 @itsme_urstruly]

when Carl Jung said, “No matter how isolated you are and how lonely you feel, if you do your work truly and conscientiously, unknown allies will seek you out.”
He was saying that real work has a frequency. When you commit to your path with truth, discipline, and solitude, the people meant for your journey eventually find you. So don’t fear the lonely season. Sometimes God removes the noise so your real allies can hear you clearly.

[rj @slammadega]

@kevinmd Had mine without any sedation/pain meds. The gastroenterologist thought I was nuts. Pain was around 5-6/10 couple times. O/w not major for me.

[Sanat Dixit MD FACS @sdixitmd]

One of my prized possessions - American combat flag gifted to me by a patient. (Her husband was a Blackhawk pilot.) Flown in combat on July 4th, 2013 - confirmed “bad guys were neutralized” during the mission. Means a great deal to me on so many levels.

God bless the US Military and all our service men and women.

[rj @slammadega]

@sdixitmd Jai Hind! God bless the USA brother

[Sanat Dixit MD FACS @sdixitmd]

America- Come get some.