Re: the small practice

[Guest guest]

Fear mongering!Go back to work. No one may survive anythign  anyway the country  is a mess Practices not looking at MU/ moving forward  may  need help or may not survive some of themCannot generalize to  a whole category

Gordon would say watch out for form  vs function of small practices/big teams and  look at results and who keeps people out of the ER..(Love stealing other folks' stuff)I did  MU and I am very  small (and  the  BIG government is so  wonderful huh that they  have  locked my  $18,000 payment to an employer  from11 yrs ago and I have been lost in the bowels of many pecos Nppes EHR etc etc program  bureaucracies  for weeks on the phone for hrs and hrs  trying to  get my money)

  Some changes will be needed  to move forward- communicating networking  records keeping It'll happen People will help If you are here on t his  lsit serv you  will have many tools and being here indicates you are interested in quality and in change and that  you will take it on.

 Small farms were supposed to go away too. Small grocers small shoe  manufacturers( shoes used to be made in maine alot.Lotta  retired hand sewers crafts people here put outta business mostly but New Balance is here  thriving ))

There will be some responsibilites for reporting and accountable care whatever that isand work flows will change  but it seems to this nonexpert that the big groups do not necessarily have  great track records either.SOme do well Some need work.

  Go  get a donut . don't let numbskulls upset youJean

 

2 recent things that have me feeling a little rattled. Help me make sense of it?

1. A recent article on PF noted how its base was solo and small practices . It then went on to state as a given that these practices WOULD NOT survive Obamacare. Yes, I do worry about my financial longevity, but worry more about my emotional longevity in this business. Is it that clear to everyone outside that  the small practice will NOT SURVIVE?

2. I spoke to a few busy small /solo practices that are not even contemplating MEANINGFUL USE. Is it that it is too disruptive? Will they lose more money implementing it than not? I do know that they are fairly inefficient, BUT even on those terms they are profitable.

Thoughts?Sangeetha

--      MD          ph    fax

[Guest guest]

We are true micropractice with no employees and are " frontier. " 70 miles from Denver, so I think our experience may not reflect large cities. Last May was the slowest month since I opened in 2005. This third quarter was the best on record. So we are very

up and down, like the rest of the economy, and are VERY hard hit by the shut down of building second homes here. On the other hand, we are feeling very confident that we will thrive in the future in our rural community.

If I were in a larger market, I think I would be concerned about the ACO movement and the hospitals buying up practices and the move to one owner " neighborhoods. " However, I do think that quality, personal care will always

have a place and the kind of patients you want will keep you going.

One article I read somewhere said that the patient slowdown may never return. Hard to believe if everyone has insurance.

From: [ ] On Behalf Of Sangeetha Murthy [sangeethamurthy@...]

Sent: Tuesday, November 22, 2011 8:16 AM

To:

Subject: the small practice

2 recent things that have me feeling a little rattled. Help me make sense of it?

1. A recent article on PF noted how its base was solo and small practices . It then went on to state as a given that these practices WOULD NOT survive Obamacare. Yes, I do worry about my financial longevity, but worry more about my emotional longevity

in this business. Is it that clear to everyone outside that the small practice will NOT SURVIVE?

2. I spoke to a few busy small /solo practices that are not even contemplating MEANINGFUL USE. Is it that it is too disruptive? Will they lose more money implementing it than not? I do know that they are fairly inefficient, BUT even on those terms they

are profitable.

Thoughts?

Sangeetha

[Guest guest]

Oh, WE did meaningful use and with our EHR it was a breeze. We have already gotten 18k and expect the next 18 k soon.

From: [ ] On Behalf Of Sangeetha Murthy [sangeethamurthy@...]

Sent: Tuesday, November 22, 2011 8:16 AM

To:

Subject: the small practice

2 recent things that have me feeling a little rattled. Help me make sense of it?

1. A recent article on PF noted how its base was solo and small practices . It then went on to state as a given that these practices WOULD NOT survive Obamacare. Yes, I do worry about my financial longevity, but worry more about my emotional longevity

in this business. Is it that clear to everyone outside that the small practice will NOT SURVIVE?

2. I spoke to a few busy small /solo practices that are not even contemplating MEANINGFUL USE. Is it that it is too disruptive? Will they lose more money implementing it than not? I do know that they are fairly inefficient, BUT even on those terms they

are profitable.

Thoughts?

Sangeetha

[Guest guest]

Will you survive Obamacare? First, let’s see if Obamacare survives budget constraints, a huge aversion to ACOs with a few exceptions, confusion in the marketplace, vested interest, the next presidential cycle, Congress and the Supreme Court. With folks like AMA finally coming out against ICD-10 who knows what’s next. The deck chairs on this Titanic are rearranged daily. With regard to meaningful use stage 1, what’s to lose. So far it hasn’t cost me anything, taken very little time to do the extra clicks and easily finished this year. Will I do it again in 2012, will stage 2 be harder? Why worry till the facts are in. Rumors and speculation abound. For now, stage 1 attestation is a no brainer. Neighbors, MDHuntsville, Alabama Solo using FlexMedical EMR/Billing since 2/2009 From: [mailto: ] On Behalf Of Sangeetha MurthySent: Tuesday, November 22, 2011 9:17 AMTo: Subject: the small practice 2 recent things that have me feeling a little rattled. Help me make sense of it? 1. A recent article on PF noted how its base was solo and small practices . It then went on to state as a given that these practices WOULD NOT survive Obamacare. Yes, I do worry about my financial longevity, but worry more about my emotional longevity in this business. Is it that clear to everyone outside that the small practice will NOT SURVIVE? 2. I spoke to a few busy small /solo practices that are not even contemplating MEANINGFUL USE. Is it that it is too disruptive? Will they lose more money implementing it than not? I do know that they are fairly inefficient, BUT even on those terms they are profitable. Thoughts? Sangeetha

[Guest guest]

Only the paranoid survive!Sangeetha

 

Fear mongering!Go back to work. No one may survive anythign  anyway the country  is a mess Practices not looking at MU/ moving forward  may  need help or may not survive some of themCannot generalize to  a whole category

Gordon would say watch out for form  vs function of small practices/big teams and  look at results and who keeps people out of the ER..(Love stealing other folks' stuff)I did  MU and I am very  small (and  the  BIG government is so  wonderful huh that they  have  locked my  $18,000 payment to an employer  from11 yrs ago and I have been lost in the bowels of many pecos Nppes EHR etc etc program  bureaucracies  for weeks on the phone for hrs and hrs  trying to  get my money)

  Some changes will be needed  to move forward- communicating networking  records keeping It'll happen People will help If you are here on t his  lsit serv you  will have many tools and being here indicates you are interested in quality and in change and that  you will take it on.

 Small farms were supposed to go away too. Small grocers small shoe  manufacturers( shoes used to be made in maine alot.Lotta  retired hand sewers crafts people here put outta business mostly but New Balance is here  thriving ))

There will be some responsibilites for reporting and accountable care whatever that isand work flows will change  but it seems to this nonexpert that the big groups do not necessarily have  great track records either.SOme do well Some need work.

  Go  get a donut . don't let numbskulls upset youJean

 

2 recent things that have me feeling a little rattled. Help me make sense of it?

1. A recent article on PF noted how its base was solo and small practices . It then went on to state as a given that these practices WOULD NOT survive Obamacare. Yes, I do worry about my financial longevity, but worry more about my emotional longevity in this business. Is it that clear to everyone outside that  the small practice will NOT SURVIVE?

2. I spoke to a few busy small /solo practices that are not even contemplating MEANINGFUL USE. Is it that it is too disruptive? Will they lose more money implementing it than not? I do know that they are fairly inefficient, BUT even on those terms they are profitable.

Thoughts?Sangeetha

--      MD          ph    fax

[Guest guest]

well then, I'm in.

 

Only the paranoid survive!Sangeetha

 

Fear mongering!Go back to work. No one may survive anythign  anyway the country  is a mess Practices not looking at MU/ moving forward  may  need help or may not survive some of themCannot generalize to  a whole category

Gordon would say watch out for form  vs function of small practices/big teams and  look at results and who keeps people out of the ER..(Love stealing other folks' stuff)I did  MU and I am very  small (and  the  BIG government is so  wonderful huh that they  have  locked my  $18,000 payment to an employer  from11 yrs ago and I have been lost in the bowels of many pecos Nppes EHR etc etc program  bureaucracies  for weeks on the phone for hrs and hrs  trying to  get my money)

  Some changes will be needed  to move forward- communicating networking  records keeping It'll happen People will help If you are here on t his  lsit serv you  will have many tools and being here indicates you are interested in quality and in change and that  you will take it on.

 Small farms were supposed to go away too. Small grocers small shoe  manufacturers( shoes used to be made in maine alot.Lotta  retired hand sewers crafts people here put outta business mostly but New Balance is here  thriving ))

There will be some responsibilites for reporting and accountable care whatever that isand work flows will change  but it seems to this nonexpert that the big groups do not necessarily have  great track records either.SOme do well Some need work.

  Go  get a donut . don't let numbskulls upset youJean

 

2 recent things that have me feeling a little rattled. Help me make sense of it?

1. A recent article on PF noted how its base was solo and small practices . It then went on to state as a given that these practices WOULD NOT survive Obamacare. Yes, I do worry about my financial longevity, but worry more about my emotional longevity in this business. Is it that clear to everyone outside that  the small practice will NOT SURVIVE?

2. I spoke to a few busy small /solo practices that are not even contemplating MEANINGFUL USE. Is it that it is too disruptive? Will they lose more money implementing it than not? I do know that they are fairly inefficient, BUT even on those terms they are profitable.

Thoughts?Sangeetha

--      MD          ph    fax

--      MD          ph    fax

[Guest guest]

Oh I  was googling another physicain to send some pt info.  I got to one page , which turned out to eb a pdf  of minutes of a large multispecialty group meeting. The report was all about how they hired this fancy schmancy consulting group that then told them that their pcp to scp ratio was outside of national norms. So then, they went out and hired a pcp.

 My husband works in a large tech company. And from what I can see they hire when they need more manpower. no  national norm comparing stuff for them...   I dont see why this  group should survice, if their decision making is so far removed from ground realities.

Sangeetha

 

Fear mongering!Go back to work. No one may survive anythign  anyway the country  is a mess Practices not looking at MU/ moving forward  may  need help or may not survive some of themCannot generalize to  a whole category

Gordon would say watch out for form  vs function of small practices/big teams and  look at results and who keeps people out of the ER..(Love stealing other folks' stuff)I did  MU and I am very  small (and  the  BIG government is so  wonderful huh that they  have  locked my  $18,000 payment to an employer  from11 yrs ago and I have been lost in the bowels of many pecos Nppes EHR etc etc program  bureaucracies  for weeks on the phone for hrs and hrs  trying to  get my money)

  Some changes will be needed  to move forward- communicating networking  records keeping It'll happen People will help If you are here on t his  lsit serv you  will have many tools and being here indicates you are interested in quality and in change and that  you will take it on.

 Small farms were supposed to go away too. Small grocers small shoe  manufacturers( shoes used to be made in maine alot.Lotta  retired hand sewers crafts people here put outta business mostly but New Balance is here  thriving ))

There will be some responsibilites for reporting and accountable care whatever that isand work flows will change  but it seems to this nonexpert that the big groups do not necessarily have  great track records either.SOme do well Some need work.

  Go  get a donut . don't let numbskulls upset youJean

 

2 recent things that have me feeling a little rattled. Help me make sense of it?

1. A recent article on PF noted how its base was solo and small practices . It then went on to state as a given that these practices WOULD NOT survive Obamacare. Yes, I do worry about my financial longevity, but worry more about my emotional longevity in this business. Is it that clear to everyone outside that  the small practice will NOT SURVIVE?

2. I spoke to a few busy small /solo practices that are not even contemplating MEANINGFUL USE. Is it that it is too disruptive? Will they lose more money implementing it than not? I do know that they are fairly inefficient, BUT even on those terms they are profitable.

Thoughts?Sangeetha

--      MD          ph    fax

[Guest guest]

I worry about this too. I am making efforts to move my practice more toward direct pay and total wellness, etc. I did not do MU, I don't take govt contracts so what's the point. If I have to take govt contracts to stay in business, ie because everything is government, I'll quit medicine first and do the IT job or make jewelry to sell at craft fairs. Worked for IHS all govt/tribal, worked for hospitals seeing 40-75% govt payors, my mental health couldn't take it and I won't go back. I do think the patients want what we (IMP's) or concierge provide. More time, a real human relationship, more oversight. I do not see ANY govt program getting that right in my lifetime, I'm 51, should have another 15 yr to work, maybe more!.

is right, people will say what they want you to believe, they have no more predictive value than you or I, all you can do is do your work how you want to, and prepare in a way that you think is right for you and your practice.

Cote'

To: Sent: Tuesday, November 22, 2011 7:33:51 AMSubject: Re: the small practice

Fear mongering!Go back to work. No one may survive anythign anyway the country is a mess Practices not looking at MU/ moving forward may need help or may not survive some of themCannot generalize to a whole categoryGordon would say watch out for form vs function of small practices/big teams and look at results and who keeps people out of the ER..(Love stealing other folks' stuff)I did MU and I am very small (and the BIG government is so wonderful huh that they have locked my $18,000 payment to an employer from11 yrs ago and I have been lost in the bowels of many pecos Nppes EHR etc etc program bureaucracies for weeks on the phone for hrs and hrs trying to get my money) Some changes will be needed to move forward- communicating networking records keeping It'll happen People will help If you are here on t his lsit serv you will have many tools and being here indicates you are interested in quality and in change and that you will take it on. Small farms were supposed to go away too. Small grocers small shoe manufacturers( shoes used to be made in maine alot.Lotta retired hand sewers crafts people here put outta business mostly but New Balance is here thriving ))There will be some responsibilites for reporting and accountable care whatever that isand work flows will change but it seems to this nonexpert that the big groups do not necessarily have great track records either.SOme do well Some need work. Go get a donut . don't let numbskulls upset youJean

2 recent things that have me feeling a little rattled. Help me make sense of it?

1. A recent article on PF noted how its base was solo and small practices . It then went on to state as a given that these practices WOULD NOT survive Obamacare. Yes, I do worry about my financial longevity, but worry more about my emotional longevity in this business. Is it that clear to everyone outside that the small practice will NOT SURVIVE?

2. I spoke to a few busy small /solo practices that are not even contemplating MEANINGFUL USE. Is it that it is too disruptive? Will they lose more money implementing it than not? I do know that they are fairly inefficient, BUT even on those terms they are profitable.

Thoughts?

Sangeetha

-- MD ph fax

[Guest guest]

&

Here, Here!!! Absolutely I agree and I love your statement about:

"is right, people will say what they want you to believe, they have no more predictive value than you or I, all you can do is do your work how you want to, and prepare in a way that you think is right for you and your practice."

This lack of predictive value to other peoples' opinions or worse yet intentional manipulations to get others to follow their concepts or ideas for far less than honest and well intended reasons is all too true. and I are just about the same age as you are , just celebrating the Big Five-Oh myself this past July... But went back to school in her early 30's to start this entire thru the looking glass journey in becoming a primary care family doctor. She was promised the Sky and the Moon, and how PCP's were going to be at the center of the new healthcare universe as the main important traffic cop role of "Gate Keeper" for the new system envisioned Managed Care in some backwards attempt to control costs while some how keeping quality there via this Primary Care oversight and filtering system.... It was all a bunch of Bogus B.S. as she was sold a wooden nickle and a bill of goods.... So we never got the chance to

make some money or start a nest egg, pay down any of her debts prior to the spigout being cut off for office visits and other then accepted as the norm perks of the job... Instead today we struggle under a super large as compared to our income mound of debt that we can not dig our way out from underneth and as we have all learned is NOT dischargable no matter what.... as is the SBA loan program loans we took out to start the place as well.... Our gov't programs for these things protected and insured the BANKS but not the students or the small Mom and Pop business owners.... "They got Bailed Out, While We ALL Got Sold Out"....

So its Starve and slave for the system your entire life serving your corporate masters.... Just yesterday I was day dreaming and considering WHO exactly is responsible for the spread and the buy-in, promotion of these lies that had our Primary Care Residency programs filling up to the brim in the late 90's and early 2000's with students frontloaded in, co-opted, lied to, Manipulated, Gaslite, Mislead in the late '80's thru the 90's with this complete lie of whale tale to sucker them in???? Who is responsible for promoting this, the press releases, the misleading data and studies, charts and graphs, predicitve of absolutely Nothing. And yet guidenance counselors, and other job career advisors, including Medical Societies, the AMA, the Primary Care Specialties, the Gov't via CMS and the GME folks and the Dept of Labor too.... No less the Medical Schools who clearly

profit too from suckering well intended bright eyed and bushy tailed new recruits, only to leave them later on High and Dry wondering "where exactly is this other side of the rainbow that they were all talking about and promised??"

It's not there, especially in the US of A thats for sure..... There are laws about misleading consumers and false advertising and doing the old "Bait and Switch" on customers once you get them there in your shop ready to purchase exactly beacuse it does put the seller in an unfair position of control and power is so many ways both real and well as psychological.... Someone should fill a Class Action against the entire lot of them for the very well intended, wanted to make a diffference in primary care and were promised a completely hollow and non-existent set of desirable paths and outcomes that never were going to materialize. And now that all of them are here after all they have invested in time, energy and mental and emotional efforts, life delayed and gratification likewise delayed as well.... Someone should be held accountable to Pay the Bill for all of this

Fruad hoisted upon these all too nice and caring well intended, professionals of a very high level of intelligence who very well might have chosen to do otherwise had the truth be shown, or at least this false and misleading set of lies were not promoted to serve other people's needs, such intelligent and logical people might not have wasted the time and energy and would have chosen to do something with more reward both personal as well as financial too....

The thought of a class action here is very appealing and IMHO I wonder if it might not have actual legal standing and merit too. Lastly, as much as I know so many of you are Pumped Up and hope that IMP like models might and could be the answer, I do believe that we presently inside our side of this dysfunctional industry have an enthical obligation to tell the new and next generations to RUN AWAY, stay away if and until something radical changes in a positive fashion for us as well as for our patients and the nation.... To do otherwise and encourage them to get into this side of the field is very wrong and makes one no better than those that I named above.... Tell the truth, the whole truth and nothing but the truth. Personally, I could not live with myself if I did not do so..... This enslavement..... This "Matriculation" of more unknowning souls into the entrapment of

this Matrix that is "The Medical Industrial Complex" as to stop as one of a number of forms of Pressure to be leveraged back against it...

So today I sit and I wonder other than my wife and kids and other very personal human connection like things do I have to be thankful for with Thanksgiving now upon us???? I love my kids and my wife so very much and I sure am glad and thankful that at 83 years young my mom seems to be doing reasonably well and enjoying her time in retirement with fairly decent health for someone of her years. She is still independent with good corrected vision and fairly sharp mind to drive herself and care for herself for the most part and have her dignity because of such. So I certainly am grateful for that.... I am grateful that my son finally landed on a Pee Wee Youth Hockey team with a very nice, ethical, supportive character building man with an open mind to allow others the chance to sink or swim on their own merits, allowing me at least

half a chance to be involved and help out the team and work with our son as the goalie coach. Thank You Tony!

But in the end, in the final analysis, post game, post mortum breakdown and review, IMHO and that of many others as well, such outcomes were predictable and viseable. Today we sit on the edge of the next round of similar kinds of selfish, intentionally planned by certain "stakeholders" whose corporate connections and influence are so much more entrenched and established than any medical specialty organization can be, a baited TRAP with enough strings attached to it to tie us all up in knots for years to come is being set and too many of us are running towards it like a blind group think, pack mentality group of lemmings.... to B.S. went far too shallow and left all the greediest of the stakeholders with their mouths clamped on tight to the mothers breast stealing the patients' and the

physicians' nurishment, to screw us all some more, patients and primaries if not all providers for that matter.... I know that many well to do or at least would like to view themselves as above the day to day fray, doctors like to think of themselves as part of some subset of better off with different political and social needs and agendas....

But I look at my wife and our insane debt load and the rules and regs, the traps and "Gotchas", the imbalance of Mom's and Pop's having two hands tied behind their backs by the FTC and the Justice Dept all while they are supposed engage in some sort of a fair and balanced fight against what is perhaps the second largest industry in the country after the banks, The Insurance Industry which has both hands free to defend and attack with in perfect boxer ready position.... Because of the Insurance Industry's Anti-Trust Waiver.... It is so insane that when I tell average out of the loop normal working and middle class folks about it, their eyes either glase over or the steam starts to burst thru their ears over the injustice of it all... This entire set-up

is something that bums me out and brings me down, and makes it real hard to be "grateful" at such a time when otherwise I should be.... I thank my GI and PCP, Drs. Buniac and Hamilton, for working together and thru me, inspite of the barriers to care the system has continued to throw up at us in diagnosising and starting to help me treat and deal effectively with my Colitis... Thank you both. But something here has got to change and someone needs to be held accountable while PCP's get some sort of real and meaningfully large "Bail-Out", increase in respect and payment with similar decreases in barriers, disrespect and intrusive paperwork Bull... This I am not grateful or thankful for....

"PCP's are the 99%. They got bailed out while we got sold out...." "Occupy the Medical Industrial Complex"

Happy Thanksgiving One and All,

Be Safe and Stay Well,

To: Sent: Tuesday, November 22, 2011 4:17 PMSubject: Re: the small practice

I worry about this too. I am making efforts to move my practice more toward direct pay and total wellness, etc. I did not do MU, I don't take govt contracts so what's the point. If I have to take govt contracts to stay in business, ie because everything is government, I'll quit medicine first and do the IT job or make jewelry to sell at craft fairs. Worked for IHS all govt/tribal, worked for hospitals seeing 40-75% govt payors, my mental health couldn't take it and I won't go back. I do think the patients want what we (IMP's) or concierge provide. More time, a real human relationship, more oversight. I do not see ANY govt program getting that right in my lifetime, I'm 51, should have another 15 yr to work, maybe more!.

is right, people will say what they want you to believe, they have no more predictive value than you or I, all you can do is do your work how you want to, and prepare in a way that you think is right for you and your practice.

Cote'

To: Sent: Tuesday, November 22, 2011 7:33:51 AMSubject: Re: the small practice

Fear mongering!Go back to work. No one may survive anythign anyway the country is a mess Practices not looking at MU/ moving forward may need help or may not survive some of themCannot generalize to a whole categoryGordon would say watch out for form vs function of small practices/big teams and look at results and who keeps people out of the ER..(Love stealing other folks' stuff)I did MU and I am very small (and the BIG government is so wonderful huh that they have locked my $18,000 payment to an employer from11 yrs ago and I have been lost in the bowels of many pecos Nppes EHR etc etc program bureaucracies for weeks on the phone for hrs and hrs trying to get my money) Some changes will be needed to move forward- communicating networking records keeping

It'll happen People will help If you are here on t his lsit serv you will have many tools and being here indicates you are interested in quality and in change and that you will take it on. Small farms were supposed to go away too. Small grocers small shoe manufacturers( shoes used to be made in maine alot.Lotta retired hand sewers crafts people here put outta business mostly but New Balance is here thriving ))There will be some responsibilites for reporting and accountable care whatever that isand work flows will change but it seems to this nonexpert that the big groups do not necessarily have great track records either.SOme do well Some need work. Go get a donut . don't let numbskulls upset youJean

2 recent things that have me feeling a little rattled. Help me make sense of it?

1. A recent article on PF noted how its base was solo and small practices . It then went on to state as a given that these practices WOULD NOT survive Obamacare. Yes, I do worry about my financial longevity, but worry more about my emotional longevity in this business. Is it that clear to everyone outside that the small practice will NOT SURVIVE?

2. I spoke to a few busy small /solo practices that are not even contemplating MEANINGFUL USE. Is it that it is too disruptive? Will they lose more money implementing it than not? I do know that they are fairly inefficient, BUT even on those terms they are profitable.

Thoughts?

Sangeetha

-- MD ph fax

[Guest guest]

Sangeetha - These are intimidation tactics that are used to create

fear in solo docs to shove us back into the box. Solo docs have

always been under attack by large medical corporations (and our

fear-filled colleagues). What weakens docs is fear tactics more

than anything else. DO NOT SUCCUMB. My mom decided to go solo

in the 1970s as a psychiatrist and all the docs in town warned her

that she would never make it cause ya gotta work at a big group -

that's where things are heading " and " Bob tried going solo and he

didn't last, Jim tried going out on his own and he quit. . yada, yada,

yada. . . " My mom made twice the income of the salaried docs,

retired early and was (most importantly) happy throughout her career.

And I am not contemplating meaningful use either. I love my patients.

They love me. And it's happily ever after regardless of whatever outside

forces try to whittle their way in between us.

" Those who say it can not be done should not interrupt the people

doing it. " ~ Chinese proverb

~ Pamela

Pamela Wible, MD

3575 St. #220 

Eugene, OR 97405

www.idealmedicalcare.org

" (S)He is the best physician who is the most ingenious inspirer of hope. "

~ Coleridge

>

> 2 recent things that have me feeling a little rattled. Help me make sense

> of it?

>

> 1. A recent article on PF noted how its base was solo and small practices .

> It then went on to state* as a given* that these practices WOULD NOT

> survive Obamacare. Yes, I do worry about my financial longevity, but worry

> more about my emotional longevity in this business. Is it that clear to

> everyone outside that the small practice will NOT SURVIVE?

>

> 2. I spoke to a few busy small /solo practices that are not even

> contemplating MEANINGFUL USE. Is it that it is too disruptive? Will they

> lose more money implementing it than not? I do know that they are fairly

> inefficient, BUT even on those terms they are profitable.

>

> Thoughts?

>

> Sangeetha

>

[Guest guest]

Completely agree with .

>

>

>

>  

>

>

>

>

>

>

> 2 recent things that have me feeling a little rattled. Help me make sense

of it?

>

>

> 1. A recent article on PF noted how its base was solo and small practices .

It then went on to state as a given that these practices WOULD NOT survive

Obamacare. Yes, I do worry about my financial longevity, but worry more about my

emotional longevity in this business. Is it that clear to everyone outside that

 the small practice will NOT SURVIVE?

>

>

> 2. I spoke to a few busy small /solo practices that are not even contemplating

MEANINGFUL USE. Is it that it is too disruptive? Will they lose more money

implementing it than not? I do know that they are fairly inefficient, BUT even

on those terms they are profitable.

>

>

> Thoughts?

>

>

> Sangeetha

>

>

>

>

>

> --

>

>

>

>      MD

>     

>     

> ph    fax

>

>