The Employed Doctor Bill

I have mentioned this trend before but I wanted to point out this editorial from a doctor in Kentucky.   All doctors, unless direct care models get more popular, will be working for hospitals.    It used to be that hospitals hired doctors for market share.   Now that bigger systems are swallowing up more and more hospitals, that isn’t the case anymore.  So, why are hospitals employing doctors?   As the author states, “according to a 2012 MedPAC Advisory Report, including hospital facility fees increases reimbursement for a 15-minute office visit by 80 percent.”  It’s a good read but he really doesn’t give a solution. The key would be to create an incentive for doctors to be on their own again.   To me, that marriage between and doctors has too many conflict of interests.  Did I ever mention the email from my past hospital CEO complaining that there were not enough patients being admitted?  True story.

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] 

  4 comments for “The Employed Doctor Bill

  1. Jim
    April 24, 2013 at 10:55 pm

    This is bizarre! Why should anyone pay so much more for facility fees? There should just be one reimbursement price for the procedure, no matter where it is done, or by whom – as long as it is done appropriately and well. Other countries seem to cope very well by doing it this way, for example Canada or Australia. It forces clinics and hospitals to think through what procedures really cost, and find ways to do it efficiently, not necessarily with all the gold-plated accessories. .

  2. April 24, 2013 at 11:37 am

    The problem is that the hospitals have the money. What hospitals don’t realize is that in reality they are a cost center; not a revenue generator. They can’t do anything without a doctor’s order. Organized medicine requires doctors to put aside their petty differences and work together to improve the healthcare system as a whole.

  3. S. Fitzgibbons MD
    April 24, 2013 at 10:49 am

    Thank God for Texas and California, where it’s illegal for physicians to be employed by non-physicians. Yeah, there are ways around it–hospitalist contract with radiology & ER groups, etc and can get a doctor canned if they make enough trouble–but at least my performance review is done by somebody who is licensed to practice medicine and usually is doing so regularly.

  4. Mark OBrien
    April 24, 2013 at 10:28 am

    I think that the underlying move is to have the business world/administraters be our boss. They have never liked the independance and power that physicians excercise. It’s control. They want to tell us how to practice medicine their way. It’s happing already. Pre auth, formalaries, tiers, radiology blessings to oredr tests. It’s “Mother may I” medicine. Fly fishing is looking better all the time.

Comments are closed.