Doctor Integration

Remember how many of my readers mentioned that we physicians have been assimilated by the Borg?  Well, Moody’s Investors Service says the key to stronger hospital finances is “doctor integration”.  I just love these new phrases they come up with about our collective surrender.  Here is more of what the AMN article said:

  • But hospitals have taken positive steps that have prevented an even greater negative impact.  Among them are mergers and acquisitions of other hospitals, long-term care facilities and physician practices. 
  • These forces have meant that doctors are being drawn more closely into hospital operations and decision-making through joint ventures and hospital board memberships, especially as more doctors are employed instead of working in their own practices, she said.
  • They also don’t expect an abating of physician practice acquisitions and increased doctor employment at hospitals because those trends have grown “in part due to physician preference.” Numerous surveys have shown an increasing number of doctors employed rather than in independent practice, or willing to consider such an arrangement.

Doctors doing decision making at hospitals?  Yeah, right.  It’s like the Royal Family making any real decisions across the pond.

Doctor employment due to physician preference?  What!  The cards are stacked against putting up your own shingle.  I have known only a few who have done it.   My hat and respect (and jealousy) go out to those brave souls.

There needs to be a Vaseline version just for physicians.  You know, like they do for Ben and Jerry’s Ice Cream?   How about “Dr. Ben Dover Edition” or “Spineless Surgeon Edition”?  Got any other ideas?

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He 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. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. 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. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  5 comments for “Doctor Integration

  1. Mark O'Brien
    February 13, 2013 at 9:00 pm

    Businessmen want to boss doctors around. And are using every concievable way to do it. Mostly just wearing us down.

  2. Pat
    February 13, 2013 at 4:27 pm

    At a hospital board meeting last year, a county commissioner wanted to know what the do toes thought about all the new costs we’re battling as a result of ACHA, EHR’s, The ACA, and on and so on … I got a laugh for my delivery, but was telling them plainly that their estimation of physicians’ influence, or ability to halt or reverse any of this was sadly mistaken. Doctors have one power left – the decision whether or not to show up to work. That’s it.

  3. wil watkins md
    February 13, 2013 at 11:56 am

    reminds me of that old song”i love you so much,it hurts me!” or,”who put sand in the vaseline?”

  4. Sir Lance-a-Lot
    February 13, 2013 at 10:21 am

    I’m just an interchangeable schlub in a dead-end job. No more, no less.

    I work with a guy with 20 years more experience, who’s a great doc, and you know what? He makes the same amount I do.

    You used to be able to assume that you’d do a bit better every year throughout your career – not anymore. The hospital pays all doctors the same amount (plus a spiff once you’ve cracked your nut – oh, wait, that’s what the used car dealers say…), no matter what.
    You want more money, throw that MD degree in the toilet and go to B-school. Once you’ve got an MBA, you can really move forward in Medicine.

  5. Ken
    February 12, 2013 at 12:48 pm

    Oh, to have my own office and set my own schedule and to work with people I want to work with! Did medicine ever used to be like that?

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