So this is not necessarily California specific...but CA is our market. I am sure others are eager to hear some responses based on different locations of everyone's practice.
Backstory: I practice in NorCal within a large group...I'm in the process of branching off to start my own private practice (launch Feb/Mar) in an in-demand area. Focus to be on Interventional Pain and some alternative treatment options (PRP, Bio Hormone, etc.).
So my business partner and I had a lengthy discussion about overall practice strategy and implementation of Obamacare going forward. We just so happened to be at dinner with friends and one of them was one of the 4 main consulting persons that is helping implement California's transition into Obamacare. We discussed at length the changes and it was, quite honestly, not the news we wanted to hear. He said that the overall plan is that there will be major consolidation among the big entities and the smaller private practices (and groups) - specialties included. The overall strategy is that there will be, over time, a move away from private into the "cog in the wheel" due to decrease in rates and need for consistent patient base (filtering through the bigger system) - This was not news to us, but the degree to which he was saying this is going to happen was quite disturbing - It was almost a "practices really have no idea what is coming their way" kind of message delivery. Keep in mind this was a consultant...not a government employee - he really had no agenda or bias, just stating the facts.
We were taken aback given this news plus the current, California specific, Kaiser institution competition. Can anyone provide any insight into what you are hearing in your area and if so, address how this might affect our private practice/your private practice given these supposed changes coming in the pipeline? We were obviously a little dissapointed to hear this and we are seriously trying to figure out if this is a good move without paying much more attention to forecasting these "planned" implementations by the state.
I know many of you are in the private and group setting, so I would be interested to hear what you all are hearing/planning for.
Backstory: I practice in NorCal within a large group...I'm in the process of branching off to start my own private practice (launch Feb/Mar) in an in-demand area. Focus to be on Interventional Pain and some alternative treatment options (PRP, Bio Hormone, etc.).
So my business partner and I had a lengthy discussion about overall practice strategy and implementation of Obamacare going forward. We just so happened to be at dinner with friends and one of them was one of the 4 main consulting persons that is helping implement California's transition into Obamacare. We discussed at length the changes and it was, quite honestly, not the news we wanted to hear. He said that the overall plan is that there will be major consolidation among the big entities and the smaller private practices (and groups) - specialties included. The overall strategy is that there will be, over time, a move away from private into the "cog in the wheel" due to decrease in rates and need for consistent patient base (filtering through the bigger system) - This was not news to us, but the degree to which he was saying this is going to happen was quite disturbing - It was almost a "practices really have no idea what is coming their way" kind of message delivery. Keep in mind this was a consultant...not a government employee - he really had no agenda or bias, just stating the facts.
We were taken aback given this news plus the current, California specific, Kaiser institution competition. Can anyone provide any insight into what you are hearing in your area and if so, address how this might affect our private practice/your private practice given these supposed changes coming in the pipeline? We were obviously a little dissapointed to hear this and we are seriously trying to figure out if this is a good move without paying much more attention to forecasting these "planned" implementations by the state.
I know many of you are in the private and group setting, so I would be interested to hear what you all are hearing/planning for.