future of cards

[bronx43]

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If we wanted to get rich, we should have joined the corrupt political system or become suave investment bankers taking advantage of the Federal Reserve policy of loose Keynesian economics!

We should be physicians for the sake of loving our craft.

Too naive? I agree.

We should all just get as much capital from being a physician as possible and then start our real business with spreading pharmaceutical power to the rest of the world. Getting Western drugs over to China can be very profitable in theory.

The "in theory" part probably doesn't include the Communist party. If you got connections within the Politburo, then you can peddle all the pharmaceuticals you want. But then again, if you got connections like that, you wouldn't need to peddle pills to make your billions.

 

[NewYorkDoctors]

The "in theory" part probably doesn't include the Communist party. If you got connections within the Politburo, then you can peddle all the pharmaceuticals you want. But then again, if you got connections like that, you wouldn't need to peddle pills to make your billions.

Agreed.

My point was that of sarcasm... that we are all human and we want as much as we can get.. but let's not bemoan our lives and always have a "woe is me" attitude.

 

[IMDoc607]

Was looking at the 2014 rates. As per the ACC, cardiology reimbursement rates will increase 2%. GI will see a large decrease in some of their endoscopy coding. Perhaps cardiology is losing the huge target on its back and GI is taking over like many have suspected?

 

[kayrish]

C

 

[IMDoc607]

Don't trust ACC.
In 2010 ACC made a big hue and cry about shortage of cardiologists and got approval for cardiology fellowship at godforsaken small places like Peoria, guthrie, lankenau....now with 800 fellows and no jobs in middle of nowhere,
ACC editors are writing blogs....about what to tell our fellows who don't find good jobs...
We need a more proactive organization with insight and fellow representation

GI will remain untouched and resistant to change for a long time

1. Proactive ness of AGA to fight cuts
2. Huge demand with small supply - 400 fellows
3. No plausible alternative to colonoscopy

Not so sure I agree but time will tell. It also said in 2015, colonoscopies will be reevaluated. How do think they will remain untouched because this was CMS's final rulings?

ACC and ASE also said there will be an increase in 20% in the technical component for echo.


http://www.gastro.org//advocacy-reg...lendar-year-2014-final-payment-rules-released

Those are the final rulings. I have to say tho that the AGA is pretty impressive.

 

[CanIMakeIt]

Not so sure I agree but time will tell. It also said in 2015, colonoscopies will be reevaluated. How do think they will remain untouched because this was CMS's final rulings?

ACC and ASE also said there will be an increase in 20% in the technical component for echo.


http://www.gastro.org//advocacy-reg...lendar-year-2014-final-payment-rules-released

Those are the final rulings. I have to say tho that the AGA is pretty impressive.

Doesn't the technical component go to hospitals? (unless the private practice owns the machines - which, the ownership, is going to be falling given the discussions here about hospitals buying the outpatient cardiology)

 

[IMDoc607]

Doesn't the technical component go to hospitals? (unless the private practice owns the machines - which, the ownership, is going to be falling given the discussions here about hospitals buying the outpatient cardiology)

Yes you are correct. The way I look at it is we as physicians have NO power with the government. However, hospitals do. If a hospital is profitable because of the physicians that work for them then the physicians will be paid well also. Two people I know joined hospitals like you mentioned. Each physician (cardiologists) saw a bump in their income due to higher hospital reimbursements. Another point I was trying to allude is at least they are not continuing to slash echo. It had to end at some point. As per the ACC, they also lobbied off a 40% drop on lower extremity stenting.

Good news in my eyes.

 

[kayrish]

Not so sure I agree but time will tell. It also said in 2015, colonoscopies will be reevaluated. How do think they will remain untouched because this was CMS's final rulings?

ACC and ASE also said there will be an increase in 20% in the technical component for echo.


http://www.gastro.org//advocacy-reg...lendar-year-2014-final-payment-rules-released

Those are the final rulings. I have to say tho that the AGA is pretty impressive.

It just shows how proactive AGA is, I agree AGA IS AWESOME, I hope ACC LEARNS SOMETHING.

Overall, for the first time, the massacre of cardiology halted with some increase in payment.
But, nuclearw as affected. However, saturation of cards is a bigger issue.

http://www.cardiosource.org//~/medi...12/2014 Top CV Codes_final.pdf?w_nav=advocate

 

[IMDoc607]

It just shows how proactive AGA is, I agree AGA IS AWESOME, I hope ACC LEARNS SOMETHING.

Overall, for the first time, the massacre of cardiology halted with some increase in payment.
But, nuclearw as affected. However, saturation of cards is a bigger issue.

http://www.cardiosource.org//~/media/Files/Advocacy/2013/12/2014 Top CV Codes_final.pdf?w_nav=advocate

Not saying your point was wrong. I'm just pointing out that at least it slowed down and we saw some increases. I mean they really slaughtered cardiology the last couple years. I know this is just an opinion but I believe/hope that cardiology is now not the target like it used to be. I think GI and ortho are up next.

Anyway, I don't wish that upon any fellow physician. I wish us all the best.

 

[CanIMakeIt]

Yes you are correct. The way I look at it is we as physicians have NO power with the government. However, hospitals do. If a hospital is profitable because of the physicians that work for them then the physicians will be paid well also. Two people I know joined hospitals like you mentioned. Each physician (cardiologists) saw a bump in their income due to higher hospital reimbursements. Another point I was trying to allude is at least they are not continuing to slash echo. It had to end at some point. As per the ACC, they also lobbied off a 40% drop on lower extremity stenting.

Good news in my eyes.

Makes sense