Drs firing patients

[Anonymous]

Anonymous wrote:

Anonymous wrote:I agree with everything the other doc on here is saying about insurance companies. People are paying a ton for insurance. Insurance companies are making a ton. We have been getting reimbursed something like 90 dollars per level 3 sick visit since 2008. No increase. Think of how much inflation we have had since 2008.

People just dont understand it. In dentistry we are getting $46 from delta dental for cleaning teeth, 15 years ago the hygienist was making $35-40/hour for a $46 cleaning appt. Now they are at $70/hour and its $46 for a cleaning!!!! LOL Has anyone ate our recently?? Something that you poop out in 24 hours is more expensive than a dental cleaning that should last 6 months????? Its broken, its the insurance companies and the politicians like obama (aka obama care) who made you feel all warm inside but forgot to mention that it will turn into a shit show. You're welcome! Blame your doctor! No wonder the thread's title is "Dr firing patients"

How many cleanings can you do in an hour? It's not 1 cleaning per hour is it? I know my hygienist doesn't spend an hour on my teeth.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Just a reminder that the American Medical Association spent 19.2 Million Dollars on lobbying in 2022. This number doesn’t include all the specialty groups that also contribute deep pockets to politicians.

AMA is the 7th highest spending lobbying group in the country, passed only by Facebook, Blue Cross, American Hospital Association, Pharmaceutical Research, US chamber of commerce and real estate agents.

If physicians wanted to change the system, they could. The reality is most physicians probably aren’t involved in their professional organizations and take no actual efforts to fix a broken system, because overall it is working the way it was designed in their favor.

https://blog.petrieflom.law.harvard.edu/2022/03/15/ama-scope-of-practice-lobbying/

HAHA what a bunch of BS. An opinion from a STUDENT??? who has not had the pleasure of working in the real world and that challenges that come with it? keep at it and posting nonsense opinions all you want. broken system created by insurance companies and politicians. very simple.

What a weird dismissive take on someone who has a PhD from Harvard school of Public Health and will graduate as an MD from Harvard. Your misogyny is showing.

I’m not the PP but I clicked on the article and read most of it. I don’t see what bearing it has really on the question of doctors firing patients from their practice. It discusses things that most doctors and NPs are well aware of and have nuanced opinions of. It’s not anything new or groundbreaking to someone working in the field already.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I agree with everything the other doc on here is saying about insurance companies. People are paying a ton for insurance. Insurance companies are making a ton. We have been getting reimbursed something like 90 dollars per level 3 sick visit since 2008. No increase. Think of how much inflation we have had since 2008.

People just dont understand it. In dentistry we are getting $46 from delta dental for cleaning teeth, 15 years ago the hygienist was making $35-40/hour for a $46 cleaning appt. Now they are at $70/hour and its $46 for a cleaning!!!! LOL Has anyone ate our recently?? Something that you poop out in 24 hours is more expensive than a dental cleaning that should last 6 months????? Its broken, its the insurance companies and the politicians like obama (aka obama care) who made you feel all warm inside but forgot to mention that it will turn into a shit show. You're welcome! Blame your doctor! No wonder the thread's title is "Dr firing patients"

How many cleanings can you do in an hour? It's not 1 cleaning per hour is it? I know my hygienist doesn't spend an hour on my teeth.

New poster, but let’s say the hygienist does 3 patients an hour. He or she then takes home more than half of that. The receptionist still has to get paid, along with the building rent, the equipment, and oh yeah the actual dentist.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I agree with everything the other doc on here is saying about insurance companies. People are paying a ton for insurance. Insurance companies are making a ton. We have been getting reimbursed something like 90 dollars per level 3 sick visit since 2008. No increase. Think of how much inflation we have had since 2008.

People just dont understand it. In dentistry we are getting $46 from delta dental for cleaning teeth, 15 years ago the hygienist was making $35-40/hour for a $46 cleaning appt. Now they are at $70/hour and its $46 for a cleaning!!!! LOL Has anyone ate our recently?? Something that you poop out in 24 hours is more expensive than a dental cleaning that should last 6 months????? Its broken, its the insurance companies and the politicians like obama (aka obama care) who made you feel all warm inside but forgot to mention that it will turn into a shit show. You're welcome! Blame your doctor! No wonder the thread's title is "Dr firing patients"

How many cleanings can you do in an hour? It's not 1 cleaning per hour is it? I know my hygienist doesn't spend an hour on my teeth.

New poster, but let’s say the hygienist does 3 patients an hour. He or she then takes home more than half of that. The receptionist still has to get paid, along with the building rent, the equipment, and oh yeah the actual dentist.

Ok, now how much do you charge for fillings, crowns, root canals, extractions, X-rays, fluoride treatments, cosmetic dentistry, Invisalign, etc? Or does your office only do cleanings all day long?

[Anonymous]

Anonymous wrote:Funny that in the same thread, people complaining about doctors firing patients with 30 days written notice also say that doctors should just strike.

It's not about reason, facts, or logic. It's about emotion.

Many people -- rightfully so! -- are angry, and scared, and feel betrayed by a system they feel should be there to take care of them in crisis. This is compounded -- rightfully so -- by watching the growing disparity between what they have and what is provided to people with more wealth through concierge medicine. The gap widens. Unfairness is the salt rubbed deep in that wound.

I'm a doctor. I HATE this. I'm a patient as well, with multiple critical surgeries behind me. I did an additional degree in philosophy (medical ethics) and went to work in Canada for several years to understand how that system works from the inside.

I don't know how to fix this. I've tried -- the best I could do is find a salaried position where I can give the best care I can and be supported when needed for my own medical issues. It's an f'n mess, guys. The only ones cheering for this are the insurance companies with their record profits, and their shareholders.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I agree with everything the other doc on here is saying about insurance companies. People are paying a ton for insurance. Insurance companies are making a ton. We have been getting reimbursed something like 90 dollars per level 3 sick visit since 2008. No increase. Think of how much inflation we have had since 2008.

People just dont understand it. In dentistry we are getting $46 from delta dental for cleaning teeth, 15 years ago the hygienist was making $35-40/hour for a $46 cleaning appt. Now they are at $70/hour and its $46 for a cleaning!!!! LOL Has anyone ate our recently?? Something that you poop out in 24 hours is more expensive than a dental cleaning that should last 6 months????? Its broken, its the insurance companies and the politicians like obama (aka obama care) who made you feel all warm inside but forgot to mention that it will turn into a shit show. You're welcome! Blame your doctor! No wonder the thread's title is "Dr firing patients"

How many cleanings can you do in an hour? It's not 1 cleaning per hour is it? I know my hygienist doesn't spend an hour on my teeth.

The entire appt is one hour long and the hygienist refuse less time, if you give less time they demand their own assistant and they call it assisted hygiene. Honestly if you see an in network dentist with delta or care first insurance, its a loss for the practice and you are literally being seen with the hopes of finding something to do on you like a filling etc. We are out of network and I have been at this game for a long time and there's no way a cleaning appointment is profitable by even $1 if insurance involved, anyone that tells you different I would love to get an explanation.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I agree with everything the other doc on here is saying about insurance companies. People are paying a ton for insurance. Insurance companies are making a ton. We have been getting reimbursed something like 90 dollars per level 3 sick visit since 2008. No increase. Think of how much inflation we have had since 2008.

People just dont understand it. In dentistry we are getting $46 from delta dental for cleaning teeth, 15 years ago the hygienist was making $35-40/hour for a $46 cleaning appt. Now they are at $70/hour and its $46 for a cleaning!!!! LOL Has anyone ate our recently?? Something that you poop out in 24 hours is more expensive than a dental cleaning that should last 6 months????? Its broken, its the insurance companies and the politicians like obama (aka obama care) who made you feel all warm inside but forgot to mention that it will turn into a shit show. You're welcome! Blame your doctor! No wonder the thread's title is "Dr firing patients"

How many cleanings can you do in an hour? It's not 1 cleaning per hour is it? I know my hygienist doesn't spend an hour on my teeth.

New poster, but let’s say the hygienist does 3 patients an hour. He or she then takes home more than half of that. The receptionist still has to get paid, along with the building rent, the equipment, and oh yeah the actual dentist.

You forgot supplies!!! Everything is 3x more expensive today but STOP!!! YOURE NOT ALLOWED TO CHARGE EXTRA TO ADJUST FOR INFLATION!!! SO SUCK IT UP!!! SMH AT THIS THREAD AND WHAT PEOPLE ARE SAYING ABOUT THEIR DOCS, ONLY IF THEY KNEW THE TRUTH!!!

[Anonymous]

Our practice no longer performs any rapid viral testing (flu, covid, rsv, mono) because the cost of the in house testing is exorbitant and insurances do not reimburse for them. You’d think we could make money hand over fist during flu season but it’s the opposite when the expectation is for rapid viral testing. Which is a real shame.

[Anonymous]

Anonymous wrote:

Anonymous wrote:This area is special imo. I have practiced all over the country including nyc, boston and the Midwest and the patients in this area are the most suspicious, antagonistic, litigious, entitled, know-better, and at times nastiest I have ever met. I don’t know whether it’s the high number of lawyers or what but it’s really noticeable.

This area is populated by people that actually did all their homework in high school and never developed any interests outside of that. That’s your answer. I did not any of my homework.

But I am a patent lawyer. I don’t have crazy questioning practices when working with my health care providers. I also don’t bring a pile of pubmed citations. I do have a lot of generic and branded pharmaceutical litigation experience, so I already know the limits of what medicine can do anyways.

You think NYC and Boston don’t have affluent educated people who did their homework and know what time it is? There’s something about the DCA, combo of education in one area coupled with ignorance (but hostility and arrogance) in another (ie science) that is a special toxic brew around here.

[Anonymous]

Anonymous wrote:Our practice no longer performs any rapid viral testing (flu, covid, rsv, mono) because the cost of the in house testing is exorbitant and insurances do not reimburse for them. You’d think we could make money hand over fist during flu season but it’s the opposite when the expectation is for rapid viral testing. Which is a real shame.

its a shame and the public takes out on you...

all while cigna ceo for example:
David Cordani’s $20.9 million in total pay last year was an increase from his $19.9 million in overall earnings in 2021. He received $1.5 million in base salary and $3.6 million in non-equity incentives. He also made around $12.6 million and $2.9 million in stock and option awards, respectively. Cordani earns 277 times more than Cigna’s average employee.

[Anonymous]

Delta CEO of CA (14.4 million) makes more than apple CEO. Anthem (13.6 million (care first) also makes more than apple CEO (8.7 million) and these stats are from 2016.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I agree with everything the other doc on here is saying about insurance companies. People are paying a ton for insurance. Insurance companies are making a ton. We have been getting reimbursed something like 90 dollars per level 3 sick visit since 2008. No increase. Think of how much inflation we have had since 2008.

People just dont understand it. In dentistry we are getting $46 from delta dental for cleaning teeth, 15 years ago the hygienist was making $35-40/hour for a $46 cleaning appt. Now they are at $70/hour and its $46 for a cleaning!!!! LOL Has anyone ate our recently?? Something that you poop out in 24 hours is more expensive than a dental cleaning that should last 6 months????? Its broken, its the insurance companies and the politicians like obama (aka obama care) who made you feel all warm inside but forgot to mention that it will turn into a shit show. You're welcome! Blame your doctor! No wonder the thread's title is "Dr firing patients"

How many cleanings can you do in an hour? It's not 1 cleaning per hour is it? I know my hygienist doesn't spend an hour on my teeth.

The entire appt is one hour long and the hygienist refuse less time, if you give less time they demand their own assistant and they call it assisted hygiene. Honestly if you see an in network dentist with delta or care first insurance, its a loss for the practice and you are literally being seen with the hopes of finding something to do on you like a filling etc. We are out of network and I have been at this game for a long time and there's no way a cleaning appointment is profitable by even $1 if insurance involved, anyone that tells you different I would love to get an explanation.

Look, my dentist has a special office dedicated to financing discussions. Cleanings are a loss leader to get you in the door to find a bunch of other problems that are profitable to fix.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I agree with everything the other doc on here is saying about insurance companies. People are paying a ton for insurance. Insurance companies are making a ton. We have been getting reimbursed something like 90 dollars per level 3 sick visit since 2008. No increase. Think of how much inflation we have had since 2008.

People just dont understand it. In dentistry we are getting $46 from delta dental for cleaning teeth, 15 years ago the hygienist was making $35-40/hour for a $46 cleaning appt. Now they are at $70/hour and its $46 for a cleaning!!!! LOL Has anyone ate our recently?? Something that you poop out in 24 hours is more expensive than a dental cleaning that should last 6 months????? Its broken, its the insurance companies and the politicians like obama (aka obama care) who made you feel all warm inside but forgot to mention that it will turn into a shit show. You're welcome! Blame your doctor! No wonder the thread's title is "Dr firing patients"

How many cleanings can you do in an hour? It's not 1 cleaning per hour is it? I know my hygienist doesn't spend an hour on my teeth.

The entire appt is one hour long and the hygienist refuse less time, if you give less time they demand their own assistant and they call it assisted hygiene. Honestly if you see an in network dentist with delta or care first insurance, its a loss for the practice and you are literally being seen with the hopes of finding something to do on you like a filling etc. We are out of network and I have been at this game for a long time and there's no way a cleaning appointment is profitable by even $1 if insurance involved, anyone that tells you different I would love to get an explanation.

It the same thing for wellness visits with PCPs. Fortunately for dentists, they preform high value procedures. Unfortunately for PCPs, high value procedures are usually performed by specialists. As a patient, I prefer concierge. I know what I'm paying for and my doctor actually spends time addressing concerns. My only regular medication is a statin. Before concierge, it was this is the drug. Now, there is actually a discussion about the plusses and the minuses of different statins, not just a prescription for the generic that the HMO requires as an initial prescription

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I agree with everything the other doc on here is saying about insurance companies. People are paying a ton for insurance. Insurance companies are making a ton. We have been getting reimbursed something like 90 dollars per level 3 sick visit since 2008. No increase. Think of how much inflation we have had since 2008.

People just dont understand it. In dentistry we are getting $46 from delta dental for cleaning teeth, 15 years ago the hygienist was making $35-40/hour for a $46 cleaning appt. Now they are at $70/hour and its $46 for a cleaning!!!! LOL Has anyone ate our recently?? Something that you poop out in 24 hours is more expensive than a dental cleaning that should last 6 months????? Its broken, its the insurance companies and the politicians like obama (aka obama care) who made you feel all warm inside but forgot to mention that it will turn into a shit show. You're welcome! Blame your doctor! No wonder the thread's title is "Dr firing patients"

How many cleanings can you do in an hour? It's not 1 cleaning per hour is it? I know my hygienist doesn't spend an hour on my teeth.

New poster, but let’s say the hygienist does 3 patients an hour. He or she then takes home more than half of that. The receptionist still has to get paid, along with the building rent, the equipment, and oh yeah the actual dentist.

You forgot supplies!!! Everything is 3x more expensive today but STOP!!! YOURE NOT ALLOWED TO CHARGE EXTRA TO ADJUST FOR INFLATION!!! SO SUCK IT UP!!! SMH AT THIS THREAD AND WHAT PEOPLE ARE SAYING ABOUT THEIR DOCS, ONLY IF THEY KNEW THE TRUTH!!!

If you've got the time to all-caps scream here, write a blog. You're probably right; people who aren't MDs don't understand the behind the scenes goings on of the medical community. So tell that story, and tell your MD friends to do the same.

Screaming at anons on this board doesn't do anything but make doctors look less credible, overly emotional, and bad at managing their own business.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:everyone needs to push back on insurance companies and politicians. they refused to increase reimbursement for services for the last 10-15 yrs. when reimbursements stay flat, the system needs to churn more patients which leads to all these complaints.

this is the start of socialist healthcare. when everyone is covered and they all need to be seen, quality of care goes down.

wake up to the realities of what socialism.

socialism? I am not advocating for universal health care but the status quo isn't working. For profit healthcare is not working. You want to talk about quality of care going down? How about hospitals cutting corners to make money? How about terrible nurse to patient ratios to cut costs? And in order for insurance companies to survive, they deny patients (who pay for their services) necessary care. The whole thing is a freaking mess.

Everything you just said is done because the providers and offices are getting squeezed by insurance companies so the admin staff who are not providers and have full control over the operations pass it on down to you guys as patients. This is purely an insurance issue.

in order for insurance companies to survive --> gotta be a joke, they are at RECORD profits!!!!

The insurance companies have gone as far as planting former employees in places like the ADA and AMA!!! just last week a report came out where there was negotiations with ADA and insurance companies to decide on the level of reimbursements and the amount of $$ that has to go towards providing care from the profits...guess what?? it was later discovered that the person sitting at the table for the ADA was a former delta dental employee!!! and obviously the negotiations didnt solve anything because thats not what the insurance companies want. This sort of thing is happening all the time but we just dont know.

Stand up to insurance, tell your politician enough is enough. The system is the problem and the system is insurance companies!!

I’m not arguing with you. I agree with you that the issue is all profit driven.