Sat. May 4th, 2024

You left the system!!

Here’s what’s going on in the Medicare world:

Provider groups and congressional allies are lobbying vigorously to prevent a wave of Medicare payment cuts in the face of inflationary price hikes, The Washington Post reported Dec. 9.

“I am not here to negotiate,” AMA President Jack Resneck, MD, told the outlet of his recent visits to Capitol Hill. “I’m here to be very clear that no cuts are acceptable at this time.”

The reductions in question include a nearly 4.5 percent Medicare reimbursement cut for some providers and an across-the-board cut of up to 4 percent for hospital and physician Medicare payments, the report said. Also on the chopping block: a 5 percent bonus provision that incentivizes providers to enroll in a Medicare payment innovation program.

Those cutbacks would kick in next year.

Imagine having to negotiate every single year to not get a cut in your payment. Forget inflation. Forget that you should get incremental raises each year. No, doctors left in the system are now begging not to get cuts again.

It doesn’t matter that the world thought you were heroes during COVID-19. The bottom line is people think physicians are the weak link and are making too much money in the system when in reality, it’s the third parties gouging us all.

This is the beauty of Direct Primary Care. People have to pay us or they don’t. It’s a free market system and you have to prove yourself to the patient and no one else. There are no cuts. You can raise your rates if you need to.

And the doctors and the patients are all happy.

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By Douglas Farrago, MD

Douglas Farrago MD is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Douglas Farrago, MD received his Bachelor of Science from the University of Virginia in 1987, his Masters of Education degree in the area of Exercise Science from the University of Houston in 1990, and his Medical Degree from the University of Texas at Houston in 1994. His residency training occurred way up north at the Eastern Maine Medical Center in Bangor, Maine. In his final year, he was elected Chief Resident by his peers. Dr. Farrago has practiced family medicine for twenty-three years, first in Auburn, Maine and now in Forest, Virginia. He founded Forest Direct Primary Care in 2014, which quickly filled in 18 months. Dr. Farrago still blogs every day on his website Authenticmedicine.com and lectures worldwide about the present crisis in our healthcare system and the effect it has on the doctor-patient relationship. Dr. Farrago’s has written three books on direct primary care: The Official Guide to Starting Your Own Direct Primary Care Practice, The Direct Primary Care Doctor’s Daily Motivational Journal and Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) are all best sellers in this genre. He is a leading expert in direct primary care model and lectures medical students, residents, and doctors on how to start their own DPC practice. He retired from clinical medicine in October, 2020.

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