The pros and cons of being offered low cost space to see patients?

[finalpsychyear]

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Do you guys run into this? I have gotten various offers from different places that just want a psych doc in there building at minimum to no cost from a few different counseling places. They won't pay you but you essentially do your thing at the place with patients galore. Being a solo PP doc and doing telepsych i am finding it isolating a touch and the idea of just being around some others seems like it might be a good idea. I am not in a position where I lack patients but it seems like a solid business, social, and professional decision.

Is there something I am overlooking?

 

[Sushirolls]

Are these cash, insurance, or medicaid/community mental health groups?

If cash or private insurance groups, its probably as simple as convenience to tell their patients, walk down the hall, Psychiatrist is right there! And also easier to drop off records rather than mail, or even other communications. Vice versa, you would potentially see far more patients then a therapist, and could easily get to know the style of those therapists, and more likely to refer to them, and your patients are more likely to want to go to the same building. No need to learn a new travel direction. So it becomes a two way referral pattern of convenience.

If a medicaid/mental health facility that might be looking to rope in some sort of ACA health status, and probably need a prescriber on the books to up their status in some stack of bureaucratic paperwork some where.

 

[finalpsychyear]

A combo of cash and Private pay Ins. only. Thanks that was helpful.

 

[Merely]

Seems like a good option

 

[finalpsychyear]

It is now official. I will be adding 2 additional days to my already existing 1 day PP (separate location) in 2 different locations with different setups.

1) Renting space from a hospital outpatient clinic and will be on staff there in a building with a few PCPs on the same floor and current psych doesn't accept new patients. Cost about 200/mo includes all utilities, internet, and phone line.

2) Established counseling service private in/cash only with 10+ therapists and will be the only medication provider in that group.
Cost: No charge

Goals by end of 2019: I would love by the end of the year that I would be seeing 20 follow ups/wk with these 2 new locations combined so i am being extremely conservative I think. I don't really care if i don't hit this number either.

1 year goals: 20 patients at each location for a total of 40 follow ups/wk from these 2 locations combined. I'd still be content with 20.

I love keeping my overhead minimal and eventually I do plan to have my own office ideally in 1 location 4-5 days a week but the minimal cost paired with a referral base to boot makes these set ups hard to pass up at least in this early part of my career. I do see location num 1 where I will ultimately want to be settled so i think having a hospital relationship is always great.

 

[Merovinge]

Are you running into any non-compete clauses with any of this setups where you to branch off?

 

[finalpsychyear]

Are you running into any non-compete clauses with any of this setups where you to branch off?

Since neither are paying me I'm not sure if it is even legal that they could even do that. I will do my own billing 100% separate from either entity.
There is no such language in my hospital rental agreement other than not doing imaging related things without their consent. The non-compete clauses are typically in a relationship when $ is either being guaranteed or your an employee of some sort.

 

[psyguru]

I maybe considering paying rent at a psychology cash pay clinic as well and paying for admin.