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View Diary: What I Keep Not Hearing About Medicare (182 comments)

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  •  May be changing (0+ / 0-)

    Kaiser Permanente has about ten applicants for every opening, at least in NorCal. So that means there are 9 physicians who would like to be in a large group practice for every one who gets a spot in KP.

    •  MP - the 9:1 number is misleading (0+ / 0-)

      I know the Kaiser people well. Every time a physician applies for an available job they are counted as a new applicant, even if the same person has applied 25 times. That being said Kaiser is attracting top flight physicians, particularly young doctors who don't want to take the risks of private practice. Kaiser is the future healthcare model, they actually make more money if they keep you well or they can take care of you on the Internet or by phone. Every time you don't come to see them saves them money, which is the opposite of the fee for service model. The Kaiser physicians have their own corporation who provide services to Kaiser facilities. This structure gives them more autonomy than one might think.

      There is no doubt that healthcare delivery is consolidating. My primary care physician, a top internal medicine practitioner, recently joined one of the mega groups in the SF area. He is in his early 50s, has a full practice and does not take new patients. He has no Medicaid patients, and stopped taking new Medicare patients five years ago, so his payer mix is well above average. With increasing downward pressure on reimbursement he decided to accept a salary for the first time in his professional career. He based his selection of which group to join based on several factors, his autonomy, work schedule, and total compensation. As part of the change he is earning somewhat less, but has reduced his hours trading off free time for less cash. If someone told him he would be working for the US government, he would retire. And that is why the Canadian model is the only transition for us.  

      "let's talk about that"

      by VClib on Sat Oct 13, 2012 at 10:33:57 AM PDT

      [ Parent ]

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