Could have come from their fat profits. Idk.
Those fat profits comes out of the pay check as well... but there's a reason that "admin profit" isn't a line item deduction.
Who Is this post pointed to? If me please let me know what I said wrong.
It does to a degree. Hospital subsidizes the SDG/CMG. Physicians pay the salaries of the APPs. Reading from that Reddit thread, it appears that the APPs in triage ordering stuff has increased throughput and physician productivity causing the docs to make more money.
So this wasn't a corporate decision but the facility medical director's decision instead of asking the group to vote on it?
Correct. At least that was the impression when the FMD explained everything. We def were not informed or asked to vote on the issue. I was the AFMD and didn’t even know about it. I think the reason it flew so easily is that COVID introduced so many unknowns into everything and we were very new into the pandemic and nobody knew what to expect. None of us wanted to mass fire the MLPs because of sudden volume loss 2/2 COVID. I don’t have a moral problem with what went down but I’m still very pissed that the decision was made without our input.
I think the fact that per the post none of the docs knew this was happening is the issue. Also, you are real smart. You can’t compare the 2. Apollomd could take a smaller profit or they could shove it in the doctors face.
Not sure, is this even a serious question? Your starting to sound like a variable life salesman trying to justify his high commission that was never told to the buyer.
The magic unicorn is the fact that as a SDG, we know/voted/discussed before having the unicorn show up as a surprise on my paycheck.
In some ways this is just the business of medicine and capitalism in general. On the Pain Med side of things in private practice where it's purely money in and money out via collections the typical offers in desirable areas are something like 30-35% collections (with a base salary the first couple of years) with no mention of eventual partnership. Some especially "aggressive" owners were offering even lower than that. In less desirable areas you get 40-50% collections and maybe a promise of partnership down the road. It's all supply and demand. The overhead I hear quoted for most practices is something like 40% on average, maybe even 35% if you are super lean. Sometimes it is higher if you're marketing hard or special circumstances like part of an orthopedic group.
You can do contracts, admin, scheduling, coding/billing / legal, HR, and admin your retirement accounts for 15% or less. Probably 12%.
Janders was agreeing with the general cost being 15% or less, NOT including malpractice. As he said, in some parts of the country it's 30k/doc/yr. In that scenario, assume you bring in 600k raw revenue a year. You pay your 15% for costs, and then pay your 30k malpractice, which at 600k revenue amounts to another 5% for a grand total of 20% in costs.
