Do you have chest pain yet?
How will you survive?
Well, you may not. This may reresent the perfect storm, the trifecta of bad luck that has befallen the American doctor: rising liaility inurance rates, falling reimbursements, a severe recession.
Or you could try some of the following:
- Stop seeing Medicare patients. Not out of protest, but because these patients are too sick and labor intensive to care for and still make money.
- Increase volume.
- Go ou of network with some private plans. This works better if you are a primary care doctor or a specialist that sees emegency room patients.
- Re-negotiate your contractswith the private payers. Good luck with this one, but you never know.
- Merge, merge, merge. If the other strategies don't work, this drastic move may be the only viable approach.