Staying Independent...Together

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   RE: going direct pay - I think
 From: Jim Bloomer
 To: Member Forum
 Posted: 03-01-2018 09:24

We are a hybrid type of practice (small yearly fee requested) and mostly insurance based (although we opted out of medicare).  We are a little bigger than the usual IMP.  (2 FTE providers equivalents and 3.25 support staff)  Now starting our 11th year and have been following IMP over the years.  We feel the practice has been very successful clinically and financially....but we needed to be very 'picky' about which insurances we deal with and which programs (NCQA/PCMH etc) we choose (or more accurately choose not) to participate in.  We have outsourced many of the things that we feel we are not good at or do not want to deal payroll calculations, billing support, contracting.    

------Original Message------

Yes Elizabeth doctors are like patients-one hears the negatives.
Many  small practices are doing fine.
States vary
Peds is tough I thought becasue well here in MAine anyway soomany  kids are on medicaid which is often low paying

So keep your overhead low-- vaccines will be a huge problem  in terms of time and money; and just do the math  I am doing ok
 I make more money every yr but of course my own health insurance eats it up sadly
 I encourage others on  the list serv to write in now saying they are doing ok
If you have a working spouse you  have it made IMO   The first yrsmay be  tight

Ask us specifics.
Also do be a paying member of imp for at least  a couple of yrs It will save you lots of money  Ther eis JOhn Brady's business plan somewhere on the website and lots of other good stuff.Of course you can do this  Keep your space small and staff minimal are the biggest things Choose a functional cheap EMR  .Do not do your own billing- people will tell you to and give good reasons Those that do are unhappier.


     Jean Antonucci MD
     115 Mt Blue Circle
     Farmington ME 04938
ph 207 778 3313   fax 207 778 3544


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