How is Emcare

[deleted682700]

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There is a hospital in losangeles that had a contract with a single cardiothoracic anesthesiologist. This physician did not pay anesthesiologists and held their collections holding them ransom to deteriorating working conditions. Several anesthesiologists came and left and every time they left this CT anesthesiologist would not pay the last few months of collections.
The surgeons were frustrated with the anesthesia services. He ran out of anesthesiologists to cover all the rooms. Lesser ranking Surgeons were waiting and missed their offices. He even had loyal nurses at the front desk who would cover all this up, saying that rooms were not ready because of scrub tech , no nurses etc. Anesthesiologist was being scheduled for 2 rooms hoping that one would start late.
Gi services had to do without anesthesia. Then cardiologists would not get anesthesia service.
Administration had had enough when they couldnt find anesthesia for stat csection.
The administration has decided they are going to hire a national anesthesia company. Can you blame the administration?

 

[aneftp]

Emcare is subsidiary of Envision Healthcare (which just purchased Amsurg (which owned Sheridan healthcare)

Just another AMC.

 

[da8s0859q]

New EM attending here, just passing through --

In our world, EMCare is the evil empire in the minds of some, a big CMG to be used for high locum and shortage area rates for others.

Can't say I've heard anyone say they love them (or any of the big companies). Curious how this compares to anesthesiology.

 

[deleted682700]

New EM attending here, just passing through --

In our world, EMCare is the evil empire in the minds of some, a big CMG to be used for high locum and shortage area rates for others.

Can't say I've heard anyone say they love them (or any of the big companies). Curious how this compares to anesthesiology.

I suspected that these are predatory companies set up to create more problems for doctors. I should be really naive to expect any better from administration

 

[deleted171991]

A bit off-topic, but pertinent: http://www.aaem.org/UserFiles/file/The_Rape_of_Emergency_Medicine.pdf

On-topic: hospital administration people who are stupid enough to not be able to hire their own anesthesiologists will be happy to pay some middlemen to do it for them. By the time the **** hits the fan (because it does, many times, and the AMC loses the contract a few years later), the hospital executive has already moved on to greener pastures. One parasite hires another parasite company, nothing unusual or unexpected.

 

[aneftp]

A bit off-topic, but pertinent: http://www.aaem.org/UserFiles/file/The_Rape_of_Emergency_Medicine.pdf

On-topic: hospital administration people who are stupid enough to not be able to hire their own anesthesiologists will be happy to pay some middlemen to do it for them. By the time the **** hits the fan (because it does, many times, and the AMC loses the contract a few years later), the hospital executive has already moved on to greener pastures. One parasite hires another parasite company, nothing unusual or unexpected.

I talked to CEO of one of the big hospitals (kids in same pre schools)

The way hospital executives think. They think anesthesia as more of an "expense". While they would love to have more "in house medical and surgical specialities cause of "revenue that they bring in". They have to tow the Stark laws bribing those specialties in house.

Rads/EM/Anes are considered expenses. They rather not deal with the headaches and let someone else handle the backend (salaries/staffing).

 

[deleted682700]

A bit off-topic, but pertinent: http://www.aaem.org/UserFiles/file/The_Rape_of_Emergency_Medicine.pdf

On-topic: hospital administration people who are stupid enough to not be able to hire their own anesthesiologists will be happy to pay some middlemen to do it for them. By the time the **** hits the fan (because it does, many times, and the AMC loses the contract a few years later), the hospital executive has already moved on to greener pastures. One parasite hires another parasite company, nothing unusual or unexpected.

Read the whole thing, took me a few hours. Easy read. It looks like gaddafis green book for emergency care.
Like enron anderson accounting, there are 2 sets of books. One set when Hospitals were getting paid in full and everything was peachy, 1960-2000, you would marvel at this kind of medical care.
Now they have a different set its called creative destruction. Planned take down of hospitals so they can be bought out by the right suits and bankrupt all previous nurses pension obligations. The stupid nurses are going along with it playing against doctors.

 

[EmergDoc]

New EM attending here, just passing through --

In our world, EMCare is the evil empire in the minds of some, a big CMG to be used for high locum and shortage area rates for others.

Can't say I've heard anyone say they love them (or any of the big companies). Curious how this compares to anesthesiology.

I worked for EmCare for a few years. They were OK to work for, although it sometimes took a lot of calls and emails to get paid for the correct number of hours worked. When they lost the hospital contract, however, they said that they would be unable to purchase the tail malpractice coverage promised in our contract. That kind of soured me on them as an employer....

 

[Consigliere]

I worked for EmCare for a few years. They were OK to work for, although it sometimes took a lot of calls and emails to get paid for the correct number of hours worked. When they lost the hospital contract, however, they said that they would be unable to purchase the tail malpractice coverage promised in our contract. That kind of soured me on them as an employer....

Typical

 

[aneftp]

I worked for EmCare for a few years. They were OK to work for, although it sometimes took a lot of calls and emails to get paid for the correct number of hours worked. When they lost the hospital contract, however, they said that they would be unable to purchase the tail malpractice coverage promised in our contract. That kind of soured me on them as an employer....

Were u 1099 or W2

More rights was W2 depending on state.

Of course if u were "employed as 1099" where they dictate ur hours. Than that's a very gray area in terms of "independent contractor"

 

[EmergDoc]

Were u 1099 or W2

More rights was W2 depending on state.

Of course if u were "employed as 1099" where they dictate ur hours. Than that's a very gray area in terms of "independent contractor"

1099, although they dictated the hours. As you note, that makes it harder to compel them to honor the employment agreement.