IRT: contracts and reimbursement
The reason so many PP have poor contracts is that:
1) they don't negotiate
2) they don't offer a service that others can't/don't cover as many lives etc
Our contracts are excellent but it didn't come without being proactive, renegotiating and showing the private payers that they need us. Surgery is still open to PP.
However, I will concede that a SOLO practice is hard to do. I know some that do it but why not have a partner? The fixed costs (electricity, mortgage/lease, employee salaries, etc. are cheaper when divided by 2 or more). Plus call/vacation is a nightmare by yourself.