Anesco - Broward Health

Started by Shimmy8
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Shimmy8

Shimmy8

Full Member
Verified Member
10+ Year Member
Anesthesia companies have “zero” value these days. Let that sink in for the remaining private entities who try to force non-competes. Judges will always side in the better of
The public interest

“The judge has since waived the non-compete agreements that Anesco had with the anesthesiologists, allowing Broward Health to hire them directly.
 
Number 2. The hospital needs to pay up. Private anesthesia companies operate on profit. No one wants to work for free or lose money.

Someone has to eat the cost. The private anesthesia company is not willing to eat the cost (and I don’t blame them)

So hospitals have to pay up. The market in south Florida is still pretty weak for 1099 work. Most 1099’work ranges from $250-300/hr. Some may budge at $325/hr. I gotten a few up to $350/hr but it’s like pulling teeth without anesthesia and more of a headache. The further up north you go to Palm beach and Martin county than st Lucie county
than you have more wiggle room to negotiate for 1099 pay.
 
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aneftp said:
Anesthesia companies have “zero” value these days. Let that sink in for the remaining private entities who try to force non-competes. Judges will always side in the better of
The public interest

“The judge has since waived the non-compete agreements that Anesco had with the anesthesiologists, allowing Broward Health to hire them directly.
Click to expand...
Voiding noncompetes takes time and money with less than certainty of winning. Even those who bluff (by threatening to enforce the noncompetes) sometimes win. Perception of cost and perception of risk.
 
Dr. Rude said:
Voiding noncompetes takes time and money with less than certainty of winning. Even those who bluff (by threatening to enforce the noncompetes) sometimes win. Perception of cost and perception of risk.
Click to expand...
The law has proven time and time again it will all over doctors/private practice legal rights in the “best interest of public services”

The lawyers don’t give a rat ass about medicine laws if it interferes with the public

Now the legal profession judges will do everything in their power to protect other lawyers and their legal rights.

Just the way it works.

Name me a practice where then judge lets the the private anesthesia company assert “non competes”

U wanna know what happen say with Northstar taking over northern Virginia hospital from napa (American anesthesiology/mednax buyout). Napa tried to enforce non compete. Northstar gave them the big F U and Napa didn’t enforce it.

I don’t know how they went about with the non compete with atrium /mednax/american anesthesiology non compete back in 2017. Did all 100 plus doctors and 250 crnas have to leave charlotte area? When scopes took over? Maybe? I don’t know. 2017 was a lot tighter market so maybe scopes hired all new docs and crnas (crnas were employed by hospitals anyways) or hospitals billed for crnas.
 
aneftp said:
The law has proven time and time again it will all over doctors/private practice legal rights in the “best interest of public services”

The lawyers don’t give a rat ass about medicine laws if it interferes with the public

Now the legal profession judges will do everything in their power to protect other lawyers and their legal rights.

Just the way it works.

Name me a practice where then judge lets the the private anesthesia company assert “non competes”

U wanna know what happen say with Northstar taking over northern Virginia hospital from napa (American anesthesiology/mednax buyout). Napa tried to enforce non compete. Northstar gave them the big F U and Napa didn’t enforce it.

I don’t know how they went about with the non compete with atrium /mednax/american anesthesiology non compete back in 2017. Did all 100 plus doctors and 250 crnas have to leave charlotte area? When scopes took over? Maybe? I don’t know. 2017 was a lot tighter market so maybe scopes hired all new docs and crnas (crnas were employed by hospitals anyways) or hospitals billed for crnas.
Click to expand...
noncompetes have been enforced in my corner of the world (not anesthesia and individual docs only).
 
Dr. Rude said:
noncompetes have been enforced in my corner of the world (not anesthesia and individual docs only).
Click to expand...
Yeah. It’s different when it’s an entire hospital system throwing their weight around.

Inova (the huge hospital system outside of Washington DC) gave the thumbs up to Northstar and said don’t worry about Napa if they go after Northstar for non compete to retain anesthesia. Inova was on good terms with mednax. Not on good terms with Napa when they took over mednax operations.

So when hospitals tell other companies don’t f with u. They mean it.

so if anyone who has worked with atrium circa 2017 when scopes taking over want to chime in. I’d love to know how many docs were still able to continue working for scopes. And did mednax actually enforce any non competes. We just read about news articles but no real factual news about non competes being actively enforce.
 
Many, maybe most, left the area. Some came back after 2 years to Scope.

North Carolina is not particularly friendly with non-competes. Many docs take the path of least resistance as the cost of fighting the large hospitals is not worth it.
 
Trackjunke said:
Many, maybe most, left the area. Some came back after 2 years to Scope.

North Carolina is not particularly friendly with non-competes. Many docs take the path of least resistance as the cost of fighting the large hospitals is not worth it.
Click to expand...
Two of the anesthesia docs ignored the non compete to go to my other hospital 10 min away. Definitely violating their 14 miles radius non compete). Hospital 6 miles apart. 2 miles apart if counting stand alone surgery centers wholly owned by hospitals.

The hospital threaten them but they didn’t do anything. Hospital anesthesia employed

Third doc also was switching over as well. Credentialed. Signed everything. Schedule to start in 2 months on the schedule (I make the QGenda schedule) Got more aggressively slapped with non compete. So he backed out.

Coincidentally The place losing the docs to my place ended up raising pay for the w2 docs by 40k base plus made weekends electively paid extra plus rearranged pay based on 40 hrs a week plus extra pay. Effective giving the docs around a 80-90k pay raise. General docs making close to 570-600k for effectively 45 hrs of work with no overnights and cardiac docs making another 50k (610-630k) more and 11 weeks off. Now they have no openings!

Just amazing right? Pay docs market rate or close to market rate. They won’t leave.

Non competes don’t do anything except restrict salaries. Pay the people market value and they won’t leave
 
aneftp said:
Yeah. It’s different when it’s an entire hospital system throwing their weight around.

Inova (the huge hospital system outside of Washington DC) gave the thumbs up to Northstar and said don’t worry about Napa if they go after Northstar for non compete to retain anesthesia. Inova was on good terms with mednax. Not on good terms with Napa when they took over mednax operations.

So when hospitals tell other companies don’t f with u. They mean it.

so if anyone who has worked with atrium circa 2017 when scopes taking over want to chime in. I’d love to know how many docs were still able to continue working for scopes. And did mednax actually enforce any non competes. We just read about news articles but no real factual news about non competes being actively enforce.
Click to expand...
We had a guy from that group who was mid-fellowship when it happened (he was a partner and took a year break to do cardiac fellowship) so he no longer had a job to go back to when he finished fellowship. I know he ended up moving his family and everything for another job. This was during my intern year so I didn't know him well enough to feel a need to maintain contact.
 
abolt18 said:
We had a guy from that group who was mid-fellowship when it happened (he was a partner and took a year break to do cardiac fellowship) so he no longer had a job to go back to when he finished fellowship. I know he ended up moving his family and everything for another job. This was during my intern year so I didn't know him well enough to feel a need to maintain contact.
Click to expand...
i don’t know how they can bring in 90-100 new docs back in 2018. It seems almost impossible for scope
But the job market was different back than

We never heard any further updates after 2018. Mednax probably just gave up the fight as they were slowly dying at that point.
 
That is absolutely insane they stopped paying the anesthesiologists and crnas. And still expected them to come in without being paid for weeks. It’s always under the guise of “what’s best for the patients”
 
NicholasPavona said:
Right. Screw that. The first missed paycheck means I stop working.
Click to expand...
Florida patient abandonment rules are nasty. Not showing up can be grounds for medical malpractice

Just look it up. And if you are scheduled to perform a task and don’t show up even if you feel you aren’t getting paid without advanced notice.

If you have Alvin Bragg reviewing your charts for abandonment. These are grounds for stormy Daniels trump style prosecution for patient abandonment.

I’m not joking.
 
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Shimmy8 said:
I'm just curious if anyone knows the real dirt on who was to blame here...we about to see another group go under?
Click to expand...
Probably a smaller scale of the Memphis implosion. I’m sure all the amc are doing RFPs down there as we speak. The the broward hospital ceo cluesless how to handle negotiations until it’s too late.

People think I like chaos. And this is one of the reasons chaos is needed. You don’t get people’s attention unless chaos happens or else they will keep trucking along thinking there isn’t a problem.
 
aneftp said:
Probably a smaller scale of the Memphis implosion. I’m sure all the amc are doing RFPs down there as we speak. The the broward hospital ceo cluesless how to handle negotiations until it’s too late.

People think I like chaos. And this is one of the reasons chaos is needed. You don’t get people’s attention unless chaos happens or else they will keep trucking along thinking there isn’t a problem.
Click to expand...

That is great for locums!
 
aneftp said:
Florida patient abandonment rules are nasty. Not showing up can be grounds for medical malpractice

Just look it up. And if you are scheduled to perform a task and don’t show up even if you feel you aren’t getting paid without advanced notice.

If you have Alvin Bragg reviewing your charts for abandonment. These are grounds for stormy Daniels trump style prosecution for patient abandonment.

I’m not joking.
Click to expand...
Irrelevant. First missed paycheck....adios!
 
NicholasPavona said:
Irrelevant. First missed paycheck....adios!
Click to expand...
As long as Alvin Bragg isn’t around. U are safe brother.

Some overzealous prosecutor who’s bored could go after u. All it takes is one patient complaint to the medical board.

The docs who get hit the hardest with patient abandonment in Florida are the pain docs who either terminate patients for non payment or just don’t want to deal with them any more
 
aneftp said:
Florida patient abandonment rules are nasty. Not showing up can be grounds for medical malpractice

Just look it up. And if you are scheduled to perform a task and don’t show up even if you feel you aren’t getting paid without advanced notice.

If you have Alvin Bragg reviewing your charts for abandonment. These are grounds for stormy Daniels trump style prosecution for patient abandonment.

I’m not joking.
Click to expand...
Your hyperbole is going too far.

The Florida Board of Medicine states that physicians can refuse to treat a patient.

If the anesthesia doc has never met the patient, then there is not yet any established relationship. How can you stop treating someone when you never started?

Post an example of prior cases to prove your assertion.

Source: Florida Board of Medicine » General Office Practices/Protocol FAQs- Healthcare Practitioner Licensing and Regulation
 
CopaceticOne said:
Your hyperbole is going too far.

The Florida Board of Medicine states that physicians can refuse to treat a patient.

If the anesthesia doc has never met the patient, then there is not yet any established relationship. How can you stop treating someone when you never started?

Post an example of prior cases to prove your assertion.

Source: Florida Board of Medicine » General Office Practices/Protocol FAQs- Healthcare Practitioner Licensing and Regulation
Click to expand...
You have never practiced in Florida or had a complaint about a patient towards you for abandoning them. My friends have. It’s annoying as heck.

The board takes everything seriously.
 
aneftp said:
You have never practiced in Florida or had a complaint about a patient towards you for abandoning them. My friends have. It’s annoying as heck.

The board takes everything seriously.
Click to expand...
You are correct in that I have never had a complaint towards me. And I have said no to patients.

So again, post a link medical board action like you said is so common.
 
CopaceticOne said:
You are correct in that I have never had a complaint towards me. And I have said no to patients.

So again, post a link medical board action like you said is so common.
Click to expand...
I’m not gonna to disclose or rat anyone out. Especially on a public forum. These are pain docs who terminate their patients . Patient complain to the board of medicine their doc abandoned them. . Crazy patients. Than the board starts fishing around and disclipine my friend for improper documentation of office visits. All the bs stuff Alvin Bragg would go after and Joe Biden would preemptively pardon his family members. He pays a $5000 fine. Does some bs public talks and it goes away to “satisfied the obligation”

RedandBlack7 said:
My old
Hospital with envision has people working per diem for 225 an hour. Makes me sick lol
Click to expand...
Everyone has a price they will work for.
 
aneftp said:
Florida patient abandonment rules are nasty. Not showing up can be grounds for medical malpractice

Just look it up. And if you are scheduled to perform a task and don’t show up even if you feel you aren’t getting paid without advanced notice.

If you have Alvin Bragg reviewing your charts for abandonment. These are grounds for stormy Daniels trump style prosecution for patient abandonment.

I’m not joking.
Click to expand...

aneftp said:
I’m not gonna to disclose or rat anyone out. Especially on a public forum. These are pain docs who terminate their patients . Patient complain to the board of medicine their doc abandoned them. . Crazy patients. Than the board starts fishing around and disclipine my friend for improper documentation of office visits. All the bs stuff Alvin Bragg would go after and Joe Biden would preemptively pardon his family members. He pays a $5000 fine. Does some bs public talks and it goes away to “satisfied the obligation”


Everyone has a price they will work for.
Click to expand...

I could see a patient filing a patient abandonment complaint against a pain doc with whom they have an established relationship. But that’s not what you initially said. Can a patient file a patient abandonment complaint against an anesthesiologist they have never met before? If I’m scheduled to do a case tomorrow but I call in sick, can that be patient abandonment?

This link says you can refuse to see new patients.

Frequently Asked Questions - Florida Board of Medicine

flboardofmedicine.gov flboardofmedicine.gov
 
Last edited by a moderator:
aneftp said:
I’m not gonna to disclose or rat anyone out. Especially on a public forum. These are pain docs who terminate their patients . Patient complain to the board of medicine their doc abandoned them. . Crazy patients. Than the board starts fishing around and disclipine my friend for improper documentation of office visits. All the bs stuff Alvin Bragg would go after and Joe Biden would preemptively pardon his family members. He pays a $5000 fine. Does some bs public talks and it goes away to “satisfied the obligation”


Everyone has a price they will work for.
Click to expand...
Don’t move the goalposts. Just admit that you were wrong with respect to OR anesthesiologists being forced to work without pay to provide non-emergent services to a patient they have never met.
 
nimbus said:
I could see a patient filing a patient abandonment complaint against a pain doc with whom they have an established relationship. But that’s not what you initially said. Can a patient file a patient abandonment complaint against an anesthesiologist they have never met before? If I’m scheduled to do a case tomorrow but I call in sick, can that be patient abandonment?

This link says you can refuse to see new patients.

Frequently Asked Questions - Florida Board of Medicine

flboardofmedicine.gov flboardofmedicine.gov
Click to expand...
If you are the sole anesthesia doc and don’t show up, even for elective procedure. It is abandonment.

Will they pursue charges against you? Like i said highly unlikely unless you have Alvin Bragg as the plantiffs lawyer. Read my post about you the OP is safe as long as Bragg doesn’t pursue him.

Patient complaints against the medical board get taken seriously. I posted several years ago about my anesthesia colleague (let’s call him DM) getting overcharged for his wife ivf egg retrieval where the anesthesia company (another provider) overcharged him by 15 minutes (cash pay per minute). The anesthesia company (precursor to usap) refused to delete the extra 15 minutes charge. He ends up writing to medical board about billing fraud. And that anesthesia provider (DC) who did the anesthesia got called by the board. And how do I know that. It’s because that anesthesia provider (DC) ended up working with me at another practice. It’s non sense, big egos. But DC had to explain to the board their billing practices (which was shady) but thats just how anesthesia bills. She should have just waived the what $75? Extra she got for that extra 15 minutes billed.
 
CopaceticOne said:
Don’t move the goalposts. Just admit that you were wrong with respect to OR anesthesiologists being forced to work without pay to provide non-emergent services to a patient they have never met.
Click to expand...
Not about moving the goalpost. Read my post. I make mention to Alvin Bragg. If u for a nut head prosecutor who wants to go after you by the letter of the Florida medical board not showing up for a case. They can. And read my next line I said you are safe brother.
 
CopaceticOne said:
You are being delusional.
Click to expand...
How is it being delusional? If someone wants to go after you by the strict letter of legal matters of patient abandonment and they have the power to do it. They can.

Why do you think Biden pardon his family members? Because any possibility of this happening in the hands of overzealous Alvin Bragg type of prosecutors can make life miserable for that doc

Look at all the left complaining what Elon musk and trump are doing now. Do you think they are abusing the letter of exclusive laws with their powers?
 
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NicholasPavona said:
Imma get real with you chief....until you mentioned his name 47 times, I've never heard of Alvin Bragg.
Click to expand...
Alvin Bragg is as crazy as Donald trump in terms of agenda. That’s why Biden had to pardon his entire family. For fear trump would send the entire DOJ after his family.

We all got crazies in charge in this country. And crazies don’t necessary like other crazies.
 
aneftp said:
Alvin Bragg is as crazy as Donald trump in terms of agenda. That’s why Biden had to pardon his entire family. For fear trump would send the entire DOJ after his family.

We all got crazies in charge in this country. And crazies don’t necessary like other crazies.
Click to expand...
Your theory seems unlikely to me but ok fine, I guess my back is acting up again, won’t be working for a while…
 
caligas said:
Your theory seems unlikely to me but ok fine, I guess my back is acting up again, won’t be working for a while…
Click to expand...
My point as always is if someone really wants to pursue agenda against you. They will look for any openings they can to go after like Alvin Bragg

Is it likely any board of medicine real action if the patient complains to the board the anesthesia doc wasn’t available for their gallbladder surgery? Extremely unlikely.

Just like the left thinks trump wants to become a dictator. Is there a chance he becomes a dictator ….extremely unlikely. But they will scream he’s gonna to do it.
 
aneftp said:
The law has proven time and time again it will all over doctors/private practice legal rights in the “best interest of public services”

The lawyers don’t give a rat ass about medicine laws if it interferes with the public

Now the legal profession judges will do everything in their power to protect other lawyers and their legal rights.

Just the way it works.

Name me a practice where then judge lets the the private anesthesia company assert “non competes”

U wanna know what happen say with Northstar taking over northern Virginia hospital from napa (American anesthesiology/mednax buyout). Napa tried to enforce non compete. Northstar gave them the big F U and Napa didn’t enforce it.

I don’t know how they went about with the non compete with atrium /mednax/american anesthesiology non compete back in 2017. Did all 100 plus doctors and 250 crnas have to leave charlotte area? When scopes took over? Maybe? I don’t know. 2017 was a lot tighter market so maybe scopes hired all new docs and crnas (crnas were employed by hospitals anyways) or hospitals billed for crnas.
Click to expand...
Just curious how docs there now are liking Northstar or basically the same issues as Napa/mednax?
 
AppTrail said:
Just curious how docs there now are liking Northstar or basically the same issues as Napa/mednax?
Click to expand...
My advice is just go 1099 locums around the area.

I have friends who worked at Fairfax for over 2 decades (the original big buyout) , fair oaks has been revolving door since the original 7-8 partners sold out to napa 10 plus years ago (2014 March. 2014. North American. Partners in. Anesthesia. (NAPA). Fair Oaks Anesthesia ... This transaction represents the largest acquisition NAPA has made at the time) a near 8 digit deal for each partner) makes the usap buyout look like Medicaid buyout for the usap original partners.

Alexandria (which fair oaks stole many years ago) always revolving door.

Fair oaks chief just quit (fair oaks is hospital w2 by inova)
 
CopaceticOne said:
Thank you for finally admitting to your hyperbole
Click to expand...
starting to think our friend @aneftp might actually be a just an advanced large language model who hasn’t got the chain of thought module inserted yet. Also, there should also be a fix for this model which appears to engage in frequent perseveration to the point of absurdity with no self reflection. We need to study this.
 
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