Quote:
Originally posted by GothingNC
I have two cousins who run a Fertility clinic and are doing very, very well and take the entire summer off for R&R.
They just purchased a few beach houses on the north north of eastern Long Island for their parents and siblings with their "spare" cash.
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and are being paid cash by well heeled patients desperate for children.
Has a great deal to do with area of country and particular situation. Gross income and net are worlds apart. OB/Gyn is dead in certain areas, as malpractice insurance is too high to afford, and there is a glut of nice gentleman like the esteemed presidential candidate Mr Edwards who are happy to convince "victims" that everything that ever happens is someone's "fault"
In January, one of my managed care contracts changed the reimbursement for an office visit to $20, regardless of level of complexity or time spent. That is allowed, not copay, so the total of the patient and insurance payment is $20, and that is not even an HMO. The vast majority of plans base their reimbursement on what medicare allows for a particular service. Things like this are why your doctor does not seem to take time to talk to you anymore, has to make up loss in per patient $ with volume.
Reimbursements are steadily going down, expenses up. Most doctors that tell you they make say $100K annually, work 60-70 hours a week, does not work out to much hourly, if that is how you look at it. The insurance companies are all trying to cash in now, because when healthcare is nationalized, they will be all done.
BTW, I thought accounting was easy, but boring, so went to medicine rather than business.