Can Your Practice Break Through The Lowering Glass Ceiling in Healthcare?

Insurance Reimbursements have fallen 30% (adjusted for inflation) from 2000 to 2020, while inflation has gone NUTS!
Insurance Reimbursements have fallen 30% (adjusted for inflation) from 2000 to 2020, while inflation has gone NUTS!

Imagine this: you’re a fantastic doctor, and you want to deliver the best possible care to your patients. But there’s a giant, looming obstacle in your way – insurance companies. Their declining reimbursements, skyrocketing costs, and endless administrative hoops are creating a glass ceiling that prevents you from reaching the pinnacle of medical care.

Here’s the Math

Insurance Reimbursements have fallen 30% (adjusted for inflation) from 2000 to 2020, while inflation has gone NUTS!
Insurance Reimbursements have fallen 30% (adjusted for inflation) from 2000 to 2020, while inflation has gone NUTS!

Let’s break it down. Since 2000, insurance reimbursements have plummeted 30% (adjusted for inflation!), while the cost of living has shot up 70%. Bread that cost $1 in 2000 now costs a whopping $1.70! Medical supplies have nearly doubled in price, and essential medications like lidocaine and dexamethasone are caught in a supply chain hyperinflation.

Feeling the squeeze? You’re not alone. Doctors are spending more and more time wrestling with administrative burdens – claims denials, prior authorizations, and the never-ending saga of Meaningful Use (EMR/EHR) – all while having less and less time for their patients. It’s a frustrating vortex that saps your energy and resources.

Here’s the thing: medical training conditions you to be an endurance athlete. You push through hardship, working longer hours and squeezing in more patients. But this “work harder, not smarter” mentality backfires in the world of insurance-based practices. There’s no reward for burnout, just a mountain of paperwork and a constant feeling of being underwater.

Does This Story Feel Too Close to Home?

There is a way out! Let me tell you a story that perfectly illustrates why breaking free from insurance can be the breath of fresh air your practice needs.

Our team used to collaborate with a fantastic internist who accepted insurance, including Medicare. We’d tackle complex cases together. But then, one day, his office phone went dead. Turns out, Medicare had slashed his payments, leaving him struggling financially. By Spring, he wasn’t taking a salary, and by late Summer, his savings were drained. He had to close his practice and take a hospitalist job, all because the insurance system wouldn’t allow him to deliver the care his patients deserved.

Looking Forward

Weaning yourself off insurance might seem scary. Patients love their benefits, and the whole process feels familiar. But here’s the truth: insurance companies simply don’t pay enough to cover the ever-increasing costs and administrative burdens of primary care. Eva was designed specifically for cash practices and doctors who make the switch are thriving within months. Here’s why:

  • Focus on Patient Care: Without insurance dictates, you can tailor treatment plans to your patients’ needs, not arbitrary coverage limitations.
  • Transparent Pricing: Fees reflect the true cost of care, and patients pay upfront, eliminating the hassle of accounts receivable.
  • Smarter Work: You can finally ditch the administrative black hole and dedicate your time to what matters most – your patients.

Ready to break free? Here’s a helpful resource on opting out of Medicare: AAPS Opting Out of Medicare Guide.

Bonus Fact: Did you know that insurance-based practices provide 25% less charity care than those operating under Fee-For-Service, Direct Primary Care, or Concierge models?

There’s a whole world of possibilities beyond the insurance glass ceiling. Take the leap, and watch your practice – and your patients – flourish.

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