Re: anyone know about this ?COngressional hearings re private practice

[Guest guest]

Searching google, I found this on linkedin. http://www.linkedin.com/groups/CONGRESS-HOLDS-HEARING-7-19-150914.S.135871935?qid=1a0ee93b-f2b1-4fae-ac54-c4b3d57741b8 & goback=.gmp_150914Apparently a marketing executive from Merritt Hawkins, a medical staffing company will be testifying at the hearing. And his expertise in the advantages and problems of solo/small medical practice, is exactly what?

CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE

Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.” -- MD ph fax

[Guest guest]

The cmte has already posted the testimony from it: http://smallbusiness.house.gov/Calendar/EventSingle.aspx?EventID=302953 To: < > Sent: Thursday, July 19, 2012 8:42 AM Subject: anyone know about

this ?COngressional hearings re private practice

CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE

Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.†-- MD ph fax

[Guest guest]

Here is the direct link :http://smallbusiness.house.gov/Legislation/live.htmOn Jul 19, 2012, at 10:42 AM, wrote:

CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE

Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.” -- MD ph fax

[Guest guest]

WOW

 

The cmte has already posted the testimony from it:  http://smallbusiness.house.gov/Calendar/EventSingle.aspx?EventID=302953

To: < >

Sent: Thursday, July 19, 2012 8:42 AM Subject: anyone know about

this ?COngressional hearings re private practice

 

CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE

Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.” --      MD          ph    fax

[Guest guest]

Here is the link where you can read all of the witness testimonies:http://smallbusiness.house.gov/Calendar/EventSingle.aspx?EventID=302953

3 physician testimonies and the one from Merritt Hawkins.  I just read through all of the testimonies this morning.  Not much new - fix SGR, doctors can't afford to be in private practice any more, etc.  One new item that I hadn't heard (or thought of) before was the reduction in tax revenue when a practice transitions from being physician-owned (and having to pay income tax) to being owned by a non-profit hospital, and thus not having to pay income tax.

Pratt

 

Searching google, I found this on linkedin.  http://www.linkedin.com/groups/CONGRESS-HOLDS-HEARING-7-19-150914.S.135871935?qid=1a0ee93b-f2b1-4fae-ac54-c4b3d57741b8 & goback=.gmp_150914

Apparently a marketing executive from Merritt Hawkins, a medical staffing company will be testifying at the hearing.  And his expertise in the advantages and problems of solo/small medical practice, is exactly what?  

 

CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE

Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.” --      MD          ph    fax

-- Pratt

[Guest guest]

Interesting. No internists, No FPs and no pediatricians. From: [mailto: ] On Behalf Of Debra KarinskiSent: Thursday, July 19, 2012 11:14 AMTo: Subject: Re: anyone know about this ?COngressional hearings re private practice WOW The cmte has already posted the testimony from it: http://smallbusiness.house.gov/Calendar/EventSingle.aspx?EventID=302953 From: To: < > Sent: Thursday, July 19, 2012 8:42 AMSubject: anyone know about this ?COngressional hearings re private practice CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.” -- MD ph fax

[Guest guest]

we have disappeared, which is what they were talking about, they cant find us..Sangeetha

 

Interesting. No internists, No FPs and no pediatricians.  

From: [mailto: ] On Behalf Of Debra Karinski

Sent: Thursday, July 19, 2012 11:14 AMTo: Subject: Re: anyone know about this ?COngressional hearings re private practice

   WOW

  The cmte has already posted the testimony from it:  http://smallbusiness.house.gov/Calendar/EventSingle.aspx?EventID=302953

   

To: < >

Sent: Thursday, July 19, 2012 8:42 AMSubject: anyone know about this ?COngressional hearings re private practice 

  CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.”

--      MD          ph    fax

 

 

[Guest guest]

ah we are now  the  desaparecidos!though unfair  comparison as that refers to the  politically disappeared murdered and tortured  in argentile and chile the AOA tesitifed yes- represents fps?I have not read the testimony yet

I wonder why it was posted by 11 15 if the mtg began at 10 they give us  a whole hr? wowwell it' s something.....The AOA is strongly pro FP  that is good AOA was there at  the residency here the slots fill mainly with DO s and FMGs

 this year only 2- 3  American MD school grads will do FP. The Merritt hawkins guy probably has a pretty good handle on things actually...that is how I heard, form that  guy on linked in  via the maine medical assocaition

 

we have disappeared, which is what they were talking about, they cant find us..Sangeetha

 

Interesting. No internists, No FPs and no pediatricians.  

From: [mailto: ] On Behalf Of Debra Karinski

Sent: Thursday, July 19, 2012 11:14 AMTo: Subject: Re: anyone know about this ?COngressional hearings re private practice

   WOW

  The cmte has already posted the testimony from it:  http://smallbusiness.house.gov/Calendar/EventSingle.aspx?EventID=302953

   

To: < >

Sent: Thursday, July 19, 2012 8:42 AMSubject: anyone know about this ?COngressional hearings re private practice 

  CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.”

--      MD          ph    fax

 

 

--      MD          ph    fax

[Guest guest]

That's exactly what I was thinking!!

Interesting. No internists, No FPs and no pediatricians. From: [mailto: ] On Behalf Of Debra KarinskiSent: Thursday, July 19, 2012 11:14 AMTo: Subject: Re: anyone know about this ?COngressional hearings re private practice WOW The cmte has already posted the testimony from it: http://smallbusiness.house.gov/Calendar/EventSingle.aspx?EventID=302953 From: To: < > Sent: Thursday, July 19, 2012 8:42 AMSubject: anyone know about this ?COngressional hearings re private practice CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.†-- MD ph fax

[Guest guest]

well shoot I'd settle for th e news outlets.fine with meOn Thu, Jul 19, 2012 at 1:44 PM, Dr. Izquierdo-Porrera MD PhD wrote:

 

This is election year politics. I doubt it will go any further than the news outlets 

Izquierdo-Porrera MD PhDExecutive Director & Co-founder

Care for Your Health, IncPhone

Fax www.care4yourhealth.org

  " Don't ever let injustice go by unchallenged. "

 Help us make our community healthy -> http://www.care4yourhealth.org/wanttohelp.php

 

 From: [mailto: ] On Behalf Of Kathleen

Sent: Thursday, July 19, 2012 11:10 AMTo: Subject: Re: anyone know about this ?COngressional hearings re private practice

   Searching google, I found this on linkedin.  http://www.linkedin.com/groups/CONGRESS-HOLDS-HEARING-7-19-150914.S.135871935?qid=1a0ee93b-f2b1-4fae-ac54-c4b3d57741b8 & goback=.gmp_150914

 Apparently a marketing executive from Merritt Hawkins, a medical staffing company will be testifying at the hearing.  And his expertise in the advantages and problems of solo/small medical practice, is exactly what?  

 

   CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE

Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.”

--      MD          ph    fax

  

No virus found in this message.Checked by AVG - www.avg.com

Version: 2012.0.2197 / Virus Database: 2437/5141 - Release Date: 07/19/12

--      MD          ph    fax

[Guest guest]

Not if it is the ACA killed small practices Izquierdo-Porrera MD PhDExecutive Director & Co-founderCare for Your Health, IncPhone Fax www.care4yourhealth.org " Don't ever let injustice go by unchallenged. " Help us make our community healthy -> http://www.care4yourhealth.org/wanttohelp.php From: [mailto: ] On Behalf Of Sent: Thursday, July 19, 2012 2:53 PMTo: Subject: Re: anyone know about this ?COngressional hearings re private practice well shoot I'd settle for th e news outlets.fine with meOn Thu, Jul 19, 2012 at 1:44 PM, Dr. Izquierdo-Porrera MD PhD wrote: This is election year politics. I doubt it will go any further than the news outlets Izquierdo-Porrera MD PhDExecutive Director & Co-founderCare for Your Health, IncPhone Fax www.care4yourhealth.org " Don't ever let injustice go by unchallenged. " Help us make our community healthy -> http://www.care4yourhealth.org/wanttohelp.php From: [mailto: ] On Behalf Of KathleenSent: Thursday, July 19, 2012 11:10 AMTo: Subject: Re: anyone know about this ?COngressional hearings re private practice Searching google, I found this on linkedin. http://www.linkedin.com/groups/CONGRESS-HOLDS-HEARING-7-19-150914.S.135871935?qid=1a0ee93b-f2b1-4fae-ac54-c4b3d57741b8 & goback=.gmp_150914 Apparently a marketing executive from Merritt Hawkins, a medical staffing company will be testifying at the hearing. And his expertise in the advantages and problems of solo/small medical practice, is exactly what? CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.” -- MD ph fax No virus found in this message.Checked by AVG - www.avg.comVersion: 2012.0.2197 / Virus Database: 2437/5141 - Release Date: 07/19/12-- MD ph fax No virus found in this message.Checked by AVG - www.avg.comVersion: 2012.0.2197 / Virus Database: 2437/5141 - Release Date: 07/19/12

[Guest guest]

Indeed. Where were the internists/ FP/peds/primary care people? Such late notice. Maybe we were not included in the hearing because we are invisible? Invitations lost in the mail? True, the AOA seems to be pro primary care. Thank goodness. Interesting. Are they also somehow being shut out of or competing mightily with the big hospital / mega center mill machine? you're right, the guy from Merritt Hawkins does have a handle on quite a bit of the situation, including what positions the pcps in the marketplace are and are not interested in. As he says, "In short, virtually no one wants to be Marcus Welby anymore." (My italics.)But I say, when people are sick most want a 'Marcus Welby' who knows them and cares about them. Me too.

ah we are now the desaparecidos!though unfair comparison as that refers to the politically disappeared murdered and tortured in argentile and chile the AOA tesitifed yes- represents fps?I have not read the testimony yet

I wonder why it was posted by 11 15 if the mtg began at 10 they give us a whole hr? wowwell it' s something.....The AOA is strongly pro FP that is good AOA was there at the residency here the slots fill mainly with DO s and FMGs

this year only 2- 3 American MD school grads will do FP. The Merritt hawkins guy probably has a pretty good handle on things actually...that is how I heard, form that guy on linked in via the maine medical assocaition

we have disappeared, which is what they were talking about, they cant find us..Sangeetha

Interesting. No internists, No FPs and no pediatricians.

From: [mailto: ] On Behalf Of Debra Karinski

Sent: Thursday, July 19, 2012 11:14 AMTo: Subject: Re: anyone know about this ?COngressional hearings re private practice

WOW

The cmte has already posted the testimony from it: http://smallbusiness.house.gov/Calendar/EventSingle.aspx?EventID=302953

To: < >

Sent: Thursday, July 19, 2012 8:42 AMSubject: anyone know about this ?COngressional hearings re private practice

CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.”

-- MD ph fax

-- MD ph fax

[Guest guest]

 I figured it was politics that they held  this testimony to say they listened s'okI am not sure a why  ACA or ARRA or whatever it is will ruin small pracitces? 

Wasson doesn; t   think so. That man is so optimist it is depressing    But on the other hand he sees a  big picture and talks to CMS and so on.... it is about  how we all work together  , not who we work FOR. Of course  we have few ways to work together and  no  one really is gathering us up   noticing...looking for all possible PCPs..I am left out of or excluded  deliberaltey from so many things--well except the ones people ask ME to pay for.

 Some organizational work is needed. To gather us up  The state medical association and state FP acedmy are not taking this onI admit to feeling fairly frantic this week in particular with  things swirling around about NCQA PCMH and Cigna and Aetna and ACOs .. and...

 every state is different ....who to talk to??

it is taking me alot of energy I  sure do not have to stay on top of what is going and and try to be visibleIs this true for others?I am supposed to be a cool PCP doing  good work but instead my existence is threatened  ugh

Ideas?

 

Group,I have it on good authority that the AAFP was invited to the meeting but the representative had to cancel at the last minute. The AAFP will be submitting its thoughts to the Congressional committee shortly.

 

From: [mailto: ] On Behalf Of Kathleen

Sent: Thursday, July 19, 2012 10:04 PMTo: Subject: Re: anyone know about this ?COngressional hearings re private practice

   Indeed.  Where were the internists/ FP/peds/primary care people?  Such late notice. Maybe we were not included in the hearing because  we are invisible?  Invitations lost in the mail?  

True, the AOA seems to be pro primary care.  Thank goodness.  Interesting.  Are they also somehow being shut out of or competing mightily with  the big hospital / mega center mill machine?  

  you're right, the guy from Merritt Hawkins does have a handle on quite a bit of the situation, including what positions the pcps in the marketplace are and are not interested in.  As he says, " In short, virtually no one wants to be Marcus Welby anymore. " (My italics.)

But I say, when people are sick most want a 'Marcus Welby' who knows them and cares about them.  Me too.  

 

ah we are now  the  desaparecidos!though unfair  comparison as that refers to the  politically disappeared murdered and tortured  in argentile and chile the AOA tesitifed yes- represents fps?

I have not read the testimony yetI wonder why it was posted by 11 15 if the mtg began at 10 they give us  a whole hr? wowwell it' s something.....The AOA is strongly pro FP  that is good AOA was there

 at  the residency here the slots fill mainly with DO s and FMGs this year only 2- 3  American MD school grads will do FP. The Merritt hawkins guy probably has a pretty good handle on things actually...that is how I heard, form that  guy on linked in  via the maine medical assocaition

  we have disappeared, which is what they were talking about, they cant find us..

Sangeetha

   Interesting. No internists, No FPs and no pediatricians.

 From: [mailto: ] On Behalf Of Debra Karinski

Sent: Thursday, July 19, 2012 11:14 AMTo: Subject: Re: anyone know about this ?COngressional hearings re private practice

   WOW

 

The cmte has already posted the testimony from it:  http://smallbusiness.house.gov/Calendar/EventSingle.aspx?EventID=302953

   

To: < > Sent: Thursday, July 19, 2012 8:42 AMSubject: anyone know about this ?COngressional hearings re private practice

   CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE

Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.”

--      MD          ph    fax

 

  

  --

     MD

          ph    fax

  

--      MD          ph    fax

[Guest guest]

JEAN, WHAT I READ IN THE TESTIMONY, WAS THEY CANNOT MAKE IT ON THERE OWN. THEY ARE PAID TOO LITTLE AND WE MUST HELP THEM WITH OUR BUSINESS SKILLS. THEY CAN WORK FOR US AN WE WILL MAKE IT BETTER WITH ADMINISTRATION, IT, AND BUSINESS "SNAKE OIL!" WHAT WE NEED TO DO IS TO AGGREGATE THOSE OF US LEFT, AND FORM A COOPERATIVE. BUT HOW??? AND WHEN?? I JUST READ UNTITED HEALTH'S QUARTERLY REPORT. THEY PAID APOUT 81% FOR MEDICAL CARE OF SOME 27 BILLION REVENUE FOR THE QUARTER. ON 35 MILLION COVERED LIVES. THAT IS $771 DOLLARS/MEMBER OVER

THREE MONTHS IN PREMIUMS. $624/MEMBER IN MEDICAL COSTS. $147/MEMBER AS OPERATING COSTS TO ADMINISTRATE THE INSURANCE PAYMENTS OR ABOUT $1.63/DAY FOR ADMINISTRATION. I AM SURE THE $250 PER YEAR I COLLECT PER PATIENT ROUGHLY REPRESENTS $ 0.22 PER DAY FROM THE PATIENT, $0.22 PER DAY FROM MEDICARE, AND $0.22 FROM PRIVATE PAYORS LIKE UNITED. BUSINESS PROFESSIONALS WOULD NOT CONTEMPLATE THIS DEAL. UNITED COLLECTS $3,000,000 A YEAR PER 1000 COVERED LIVES. CAN YOU IMAGINE WHAT KIND OF HEALTHCARE WE COULD PROVIDE FOR OUR PATIENTS. WE NEED TO FORM A COOPERATIVE AND CUT OUT THE INSURANCE. WE NEED TO DO THIS IN EVERY TOWN FROM COAST TO COAST. THEN WE NEED TO TAKE OVER THE HOSPITALS

TOO. ANYONE WANT TO GET STARTED? WISHING I WAS KING FOR THE DAY! KEVIN To: Sent:

Saturday, July 21, 2012 10:49 AM Subject: Re: anyone know about this ?COngressional hearings re private practice

I figured it was politics that they held this testimony to say they listened s'okI am not sure a why ACA or ARRA or whatever it is will ruin small pracitces?

Wasson doesn; t think so. That man is so optimist it is depressing But on the other hand he sees a big picture and talks to CMS and so on.... it is about how we all work together , not who we work FOR. Of course we have few ways to work together and no one really is gathering us up noticing...looking for all possible PCPs..I am left out of or excluded deliberaltey from so many things--well except the ones people ask ME to pay for.

Some organizational work is needed. To gather us up The state medical association and state FP acedmy are not taking this onI admit to feeling fairly frantic this week in particular with things swirling around about NCQA PCMH and Cigna and Aetna and ACOs .. and...

every state is different ....who to talk to??

it is taking me alot of energy I sure do not have to stay on top of what is going and and try to be visibleIs this true for others?I am supposed to be a cool PCP doing good work but instead my existence is threatened ugh

Ideas?

Group,I have it on good authority that the AAFP was invited to the meeting but the representative had to cancel at the last minute. The AAFP will be submitting its thoughts to the Congressional committee shortly.

From: [mailto: ] On Behalf Of Kathleen

Sent: Thursday, July 19, 2012 10:04 PMTo: Subject: Re: anyone know about this ?COngressional hearings re private practice

Indeed. Where were the internists/ FP/peds/primary care people? Such late notice. Maybe we were not included in the hearing because we are invisible? Invitations lost in the mail?

True, the AOA seems to be pro primary care. Thank goodness. Interesting. Are they also somehow being shut out of or competing mightily with the big hospital / mega center mill machine?

you're right, the guy from Merritt Hawkins does have a handle on quite a bit of the situation, including what positions the pcps in the marketplace are and are not interested in. As he says, "In short, virtually no one wants to be Marcus Welby anymore." (My italics.)

But I say, when people are sick most want a 'Marcus Welby' who knows them and cares about them. Me too.

ah we are now the desaparecidos!though unfair comparison as that refers to the politically disappeared murdered and tortured in argentile and chile the AOA tesitifed yes- represents fps?

I have not read the testimony yetI wonder why it was posted by 11 15 if the mtg began at 10 they give us a whole hr? wowwell it' s something.....The AOA is strongly pro FP that is good AOA was there

at the residency here the slots fill mainly with DO s and FMGs this year only 2- 3 American MD school grads will do FP. The Merritt hawkins guy probably has a pretty good handle on things actually...that is how I heard, form that guy on linked in via the maine medical assocaition

we have disappeared, which is what they were talking about, they cant find us..

Sangeetha

Interesting. No internists, No FPs and no pediatricians.

From: [mailto: ] On Behalf Of Debra Karinski

Sent: Thursday, July 19, 2012 11:14 AMTo: Subject: Re: anyone know about this ?COngressional hearings re private practice

WOW

The cmte has already posted the testimony from it: http://smallbusiness.house.gov/Calendar/EventSingle.aspx?EventID=302953

To: < > Sent: Thursday, July 19, 2012 8:42 AMSubject: anyone know about this ?COngressional hearings re private practice

CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE ENVIRONMENT ON PRIVATE PRACTICE

Congress, through the House Committee on Small Business, is holding a hearing on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical Practices.â€

-- MD ph fax

http:///

--

MD

ph fax

http:///

-- MD ph fax

http:///

[Guest guest]

A cooperative--- it would be good to hear more conversation on this idea...

> > 

> >The cmte has already posted the testimony from it: 

http://smallbusiness.house.gov/Calendar/EventSingle.aspx?EventID=302953

> > 

> > 

> > 

> >

> >________________________________

> >

> >

> >To: < >

> >Sent: Thursday, July 19, 2012 8:42 AM

> >Subject: anyone know about this ?COngressional

hearings re private practice

> > 

> > 

> >CONGRESS HOLDS HEARING 7/19 TO EXPLORE THE IMPACT OF THE CURRENT HEALTHCARE

ENVIRONMENT ON PRIVATE PRACTICE

> >Congress, through the House Committee on Small Business, is holding a hearing

on July 19 at 10 a.m. ET to examine “The Decline of Solo and Small Medical

Practices.â€

> >

> >--

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