Lots of banks fail over the years. There’s nothing wrong with getting unhealthy banks out of the game. The Fed is stuck. They can’t go lower. They could stay the same but will likely have to go higher. Rates will be elevated much longer than they admit. There will be pain no matter what the Fed says.
This is probably more likely.
Die Hard speaks to us, always. We just have to listen.
“Hey guys, quit asking for money for working because it goes against our business plan.”
Name and shame time.
It amazes me that no matter thoroughly leadership screws the pooch, they instinctively blame the laborers for the ensuing disaster.
Yeah man just work for less $$. Do it for the PE owners.
Yeah when volume goes down, they sure won't hesitate to cut hours and send docs home.
You'd be surprised. Envision got here for a reason. They have a ton of contracts that aren't profitable. I don't foresee companies wanting to take on more debt to gain non-profitable contracts.
It depends. There's clearly a market for bundling a lot of bad investments from an otherwise solid market sector together to give the appearance of respectability. That seems to be APPs current strategy. Of course no one's telling the docs they're joining on to be part of what boils down to a "pump and dump" scheme.
I don’t think it’s quite that simple. Profitability depends on operations, staffing, charting, billing, among other things. Hospital subsidies matter but it’s a small piece of the pie except in areas with exceptionally poor payer mix.
Good luck ever having knuckle dragging admins ever think the ED is anything more than a money pit. They’re salivating every time a new residency opens.
Hospitals dont want to pay a subsidy but be clear this envision bankruptcy is about their ED, hospitalist and radiology business. They already split off amsurg which is their ASC business.
Billing companies will front you the dough. But yes it would be hard to do for an SDG. In some places other SDGs have scooped up the contracts. I know this happened in california.
Die a hero or live long enough to become the villain.
Envision can't service its (leveraged buyout acquired) debt and pay its people. Take away either COVID/insurer pushback on billing or the debt from the buyout and Envision doesn't make as much profit as expected but is still viable. Both together spells doom.
Wonder if that means you were paid below market for a while? Locally its been pay cuts but i know another group out west who got a pay raise. Of course they got nothing for 5 years. So in a work of 9% inflation, and the CPI-U up 14% since 2019 getting a less than 5% pay raise isnt even keeping up with inflation.
Maybe but i know their MO more.
High-revenue ortho/cards/neurosurgeons can't operate without an anesthesiologist, but the caveman meatgrinder "life savers" are just pushin' pills and admittin' slugs for nursing home placement.
PLus Noctors plus non EM docs working as EM replacements. ACEP finally decided to join the rest of the house of medicine and tell folks we aren’t paid enough..
That's because the anesthesiologists have been willing to walk if they didn't get paid better. The hospital system I work in has contracts with 2 different anesthesia groups and both of them have negotiated better contracts because they also both said they'd just walk away from them if they didn't get what they wanted.
Unless you're 1099. Then you actually are a creditors.
