AMC's

[etomidator3]

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Which AMC do you recommend in FL? Sheridan, American Anesthesiology, or another one????

 

[etomidator3]

Anyone?????

 

[sevoflurane]

None. Go to Pansecola and join the PP group there.

 

[cincincyreds]

The truth of the matter is whoever you work for, they will be making money off of you. So just pick an area you like, with people you like, in an environment that is safe to work in. Just make sure you are happy, because you can make 500,000 per year and be really unhappy or make half of that and be content.

There is no perfect job.

 

[Consigliere]

Avoid ALL AMCs if you know what's good for you.

 

[etomidator3]

So why avoid? Details please. There seem to be a very few PP jobs in Southern FL for a highly trained cardiac/regional attending.

 

[G0S2]

Avoid ALL AMCs if you know what's good for you.

Soon we will not be able to.

 

[aneftp]

South Florida is a different beast.

Whatever Sheridan or American Anesthesiology is offering, remember to take in account malpractice premiums.

Sheridan is self insured. American Anesthesiology is also a huge sub entity of MedNax and am sure they are probably self insured as well (gotta ask my friend who works for American Anesthesiology up north).

Anyways, a self insured or occurrence 1/3 million dollar malpractice policy down in South Florida (Palm, Broward, Miami-Dade) is worth upwards to $40K a year alone.

Factor in the 6-7 weeks of paid vacation also.

If you are strictly fee for service (assuming at least 50% private insurance payer mix...that's saying a lot considering it's Florida with lots of medicare). You will be lucky to hit 500K income doing your own billing with no middle man taking a cut and taking about 6 weeks off. 400K if your payer mix is worst.

That income is the max you can expect in a fee for service practice. A couple of my friends left their fee for service hospital down in the Florida Keys because the payer mix was so bad. They could barely hit $300K in billing with no middle guy/AMC involved taking about 10 weeks of vacation. That's all 1099, no benefits, you pay for your own insurance etc.

So the W2 numbers have to be re calculated against the potential 1099 numbers. The guarantee W2 income have to be weighed against any potential payer mix that shifts towards medicare patients.

 

[BIS40]

Florida sucks................trust me, I wanted to stay there.
Most jobs offer 250/750 malpractice coverage which is offensive to say least. Reason is surgeons go bare with a bond, due to high litigation, especially south Fl. So naturally, if they don't have, and anesthesia carrying 1/3M or higher, you become huge target. Most practices cut back to this, the state minimum I think. There are few exceptions in more rural areas. If you work for state, UM or UF, you are protected by sovereign immunity (basically cant be sued personally except with criminal intent) but look at pay 🙁
good luck!

 

[Planktonmd]

South Florida is going to be 100% AMCs soon.
The rest of the country will follow!
Hospitals are bundeling anesthesia with ER to avoid paying a stipend for anesthesia and this is attracting AMCs.
It's over for the small private groups.
We are now in the era of disruptive innovation !

http://hbr.org/web/extras/insight-center/health-care/will-disruptive-innovations-cure-health-care

 

[Consigliere]

South Florida is going to be 100% AMCs soon.
The rest of the country will follow!
Hospitals are bundeling anesthesia with ER to avoid paying a stipend for anesthesia and this is attracting AMCs.
It's over for the small private groups.
We are now in the era of disruptive innovation !

http://hbr.org/web/extras/insight-center/health-care/will-disruptive-innovations-cure-health-care

I couldn't agree more. Those folks in the "this-has-all-happened-before-and-we-did-just-fine" camp are in for a rude awakening.

 

[aneftp]

South Florida is going to be 100% AMCs soon.
The rest of the country will follow!
Hospitals are bundeling anesthesia with ER to avoid paying a stipend for anesthesia and this is attracting AMCs.
It's over for the small private groups.
We are now in the era of disruptive innovation !

http://hbr.org/web/extras/insight-center/health-care/will-disruptive-innovations-cure-health-care

Huh? Absolutely stupid article. Why?

1. Computers and software are for the most part exempt from lawsuits for "faulty design" thanks to some 1982 law. Author doesn't mention that

2. NPs have been trying to legislate more independent practice just like CRNAs. That means under the ACA. NPs with independent practice bill the same as primary care docs.

So ask those Harvard fools where the cost savings come from? They don't. And that's why health care is a mess in this country.

 

[deleted126335]

Huh? Absolutely stupid article. Why?

1. Computers and software are for the most part exempt from lawsuits for "faulty design" thanks to some 1982 law. Author doesn't mention that

2. NPs have been trying to legislate more independent practice just like CRNAs. That means under the ACA. NPs with independent practice bill the same as primary care docs.

So ask those Harvard fools where the cost savings come from? They don't. And that's why health care is a mess in this country.

Professional service fees from third party payors are becoming far less relevant with the increasing employment of MDs and Nurse Practitioners. That is where the savings will come from. Payors (governmental and nongovernmental) are going to write one check to a health care system to take care of a population of patients. The system then figures out how to get the work done and divide that check. That is how they save money (assuming equivalent care and productivity 🙄)