Doctor Discontent

Physician’s Foundation Survey Results

Staff Reporters

According to the Wall Street Journal, November 18, 2008, doctors reported a variety of professional discontents in a survey conducted by the Physicians’ Foundation, to which 11,950 primary care physicians and specialists responded.

Legal Origins

The Physicians’ Foundation, began in 2003 through the settlement of a class-action lawsuit brought by doctors and medical associations against private insurers, says it seeks to “advance the work of practicing physicians and to improve the quality of health care for all Americans,” And, its most recent survey found that:

Survey Results:

  • 94 percent of respondents said the time they’ve devote to non-clinical paperwork in the past three years has increased, while 63 percent said the paperwork has meant they spend less time per patient.
  • 82 percent said their practices would be “unsustainable” if proposed Medicare pay cuts were made.
  • 78 percent believe there is a shortage of primary care docs in the U.S.
  • 49 percent said that over the next three years they plan to reduce the number of patients they see or stop practicing entirely.
  • 60 percent would not recommend medicine as a career to young people.
  • 42 percent said professional morale is either “poor” or “very low.”
  • 17 percent rated the financial position of their practices as “healthy and profitable.”

Assessment

Perhaps the most unpleasant finding was that only 06 percent described the morale of their colleagues as “positive.”

Conclusion

And so, your thoughts and comments on this Executive-Post are appreciated. Do you essentially agree, or disagree, with these results?

Related Information Sources:

Practice Management: http://www.springerpub.com/prod.aspx?prod_id=23759

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Health Administration Terms: www.HealthDictionarySeries.com

Physician Advisors: www.CertifiedMedicalPlanner.com

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com  or Bio: www.stpub.com/pubs/authors/MARCINKO.htm

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Medicare Payment Reform for 2009-2017

AMA House of Delegates Push for SGR Changes

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[Staff Reporters]

According to the American Medical News, November 24, 2008, the AMA House of Delegates is setting the groundwork for a major push to reform Medicare physician payment next year.

AMA Lobby

The AMA will continue to lobby Congress for changes in the sustainable growth rate [SGR] formula to better reflect practice costs, to improve the accuracy of the index that gauges increases in those costs and to investigate geographic pay disparities; among other issues.

AMA Council on Medical Service

The AMA Council on Medical Service also requested physician input on payment systems that could replace or improve the current one. These newer compensation models might include:

  • bundled payments, under which physicians are paid flat rates per episode of care, rather than per service;
  • gainsharing, under which hospitals and doctors agree to share incentive pay and savings from quality improvement;
  • medical homes, under which doctors are paid for coordinating care; and,
  • pay-for-performance, under which doctors are paid based on quality measures.

Assessment

To date, it is unclear which new compensation model[s] will prevail; if any?

Conclusion

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