Where's the smart money in Pain?

[drusso]

Where's the smart money going to be?

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[gaspasser127]

Hospital system RVU model with ASC ownership

 

[hyperalgesia]

People have been saying for decades that it will mostly be HMO. I still think that's likely but it's an open question of when.

 

[Status Sciaticus]

Hospital system RVU model with ASC ownership

such a rare model to find nowadays

 

[Malayil]

How much ownership would a hospital give a physician?

 

[drusso]

How much ownership would a hospital give a physician?

0%

 

[gaspasser127]

How much ownership would a hospital give a physician?

It’s not uncommon

They give shares in an ASC

Hospital usually owns 51% and that also allows for better contracts with insurance companies

It’s especially common in non-CON states

 

[drusso]

It’s not uncommon

They give shares in an ASC

Hospital usually owns 51% and that also allows for better contracts with insurance companies

It’s especially common in non-CON states

Wait...they give you shares for free? (Stark, Kickback, etc)

...and why does 51% control mean they can negotiate better contracts?

 

[gaspasser127]

Wait...they give you shares for free? (Stark, Kickback, etc)

...and why does 51% control mean they can negotiate better contracts?

No you have to buy those shares at fair market value

What I’ve been told is that since majority ownership of the ASC is under that hospital system, the contracts they have with insurance companies are valid there

 

[GatorCHOMPions]

No you have to buy those shares at fair market value

What I’ve been told is that since majority ownership of the ASC is under that hospital system, the contracts they have with insurance companies are valid there

True and true

How much ownership would a hospital give a physician?

I own 1.5% of my newly built ASC by paying fmv and am HOPD employed. That was the maximum an individual physician could own initially, but I may be able to buy more in the future.

 

[DOctorJay]

True and true

I own 1.5% of my newly built ASC by paying fmv and am HOPD employed. That was the maximum an individual physician could own initially, but I may be able to buy more in the future.

how is the hospital set up? I've been told we can't do similar investments because we're non-profit.

 

[GatorCHOMPions]

how is the hospital set up? I've been told we can't do similar investments because we're non-profit.

Nonprofit, 501(c)(3) for tax purposes

 

[Status Sciaticus]

True and true

I own 1.5% of my newly built ASC by paying fmv and am HOPD employed. That was the maximum an individual physician could own initially, but I may be able to buy more in the future.

What has your return been?

how is the hospital set up? I've been told we can't do similar investments because we're non-profit.

You definitely can. Your admins are lying to you.

 

[DOctorJay]

What has your return been?


You definitely can. Your admins are lying to you.

wouldn't be the first time

 

[GatorCHOMPions]

What has your return been?


You definitely can. Your admins are lying to you.

It's newly built. Projections are 2x investment per year by year 5 if I recall (invest 50k, get 100k per year). Supposed to get money back by year 2.

 

[Malayil]

I have a local on that makes no money for the past 5+ years

 

[Status Sciaticus]

ctions are 2x investment per year by year 5 if I recall (invest 50k, get 100k per year). Supposed to get m

50k for 1.5%?

 

[GatorCHOMPions]

50k for 1.5%?

More like a little over 40k actually