Another One Goes Down

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Well, we actually do have laws and it depends on whether or not the Sherman anti-trust regulations get revisited in the court system. So far they've held up based on 1984 case law in Louisiana that was not even an intrastate issue but a local issue. That was limited to a small practice where there was not felt to be infringement on ability to compete. Now we have large interstate practices that are forming relative monopolies in some regions. I've talked about this before.

Yeah. I've talked to lots of lawyers about this. None of them think there is an issue. Furthermore there are no successful lawsuits out there that have challenged this issue so it leads me to believe nobody else thinks it's an issue either.

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http://www.businesswire.com/news/ho...-Anesthesiology-Practice-Georgia#.VHu2iMm9aPq

MEDNAX Announces Acquisition of Anesthesiology Practice in Georgia

Posted a month late but another one on the march towards the oligopoly and the Walmarting of our specialty continues.
That Macon practice nexxus has been involved in a long standing legal lawsuit from previous partners from old group. Hospital in macon had long time good ole boys administration covering up for anesthesia practice.

Of course none of the good ole boys administrators who covered up for illegal billing practices in that hospital are around any more.
 
Of course none of the good ole boys administrators who covered up for illegal billing practices in that hospital are around any more.

Of course not. And they'll take the fifth if found anyway.
 
At the bedside it is an inferior product. There are a lot of hospital administrators who learn that lesson the hard way.
 
Standards are dropping. Haven't you heard? Quality is being replaced with patient perception of quality.
Correct!
As long as they think they are getting good care no one cares what the reality is!
And the sad part is that the majority of our patients are really unable to recognize issues with their medical care.
The system now is built around maintaining an illusion of good care that appeals to Joe the plumber!
Nurses with clip boards run around asking if Joe was happy, then people call Joe to make sure the illusion of great care was well injected into his simple perception of reality.
Then other nurses will make sure that Joe's happiness with his care is well documented and reported.
Then if Joe dies at least he would die happy which is not a bad outcome after all!
 
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This comes down to perception. And the perception is lower quality in the O.R. In terms of anesthesia is good enough. If the hospital can get by with an AMC using a 1:6 supervision ratio they will do so.

Anesthesia is viewed as a cost and a service. Sure, the CEO wants safe care but is he willing to accept a little less safe to save a million dollars per year? You bet.
 
Anesthesia is viewed as a cost and a service. Sure, the CEO wants safe care but is he willing to accept a little less safe to save a million dollars per year? You bet.

It's funny how the first multimillion dollar lawsuit fixes that perception, though. Of course it's never the CEO's medical license on the line.
 
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