Small medical offices are in a bind. What can they do when they depend on Medicare reimbursements that usually don't trickle in until let's say March for the beginning of the year? It has taken a toll on those who are employed in these offices because rent, usually as much as a mortgage on a house per month is quite expensive. Then there's the overhead or workers who seem to be over their heads when it comes to this. And of course supplies which includes everything from paper, toner, vaccinations and practically everything else you can think of. When things get old and worn they have to be replaced and this happens. Even discount supplies still cost money. Then there's the workers comp, federal tax and other taxes, electronic health record software, bills, bills and more bills all over the place. I have no answer for this as many physicians do merge to offset the cost of rent and malpractice which usually creates a hostile working environment. Why? You should know me by now, if the money ain't right then I'm usually upset. My question is: should merging a medical office into a larger one be the answer? What if a physician wants to keep their medical identity, haha and really does not want to blend it into a larger practice and invite other problems of people and differences into it? Yes, my job is filled with many a task enough and when things don't add up you strongly consider not coming in. I don't make those decisions about what to open and close except for the ones about myself, just saying! But you cannot work, if you don't get paid by way of currency. If that should happen then it may be time to look for another livelihood. I do feel however that small business especially medical offices should be allowed to practice as is but be given a government stipend to allow them finances to pay for things like rent, utilities and other necessities. Medicaid, which many physicians do not like should be an insurance or health insurance that should offer such a stipend to small medical offices so that the physician's can continue to stay in practice. For example: Brokedown Medical just could not make it in the big world of medicine. This was due to high rent, supplies,the medical staff and the cost of running a medical office. A Medicaid representative informed the physician's that if they began to accept Medicaid patient's along with all of the other health insurances they would automatically receive up to a $3,000 a month stipend or incentive per provider. This was a lot of cheddar for a small office that could at least now not have to worry about rent and other supplies and necessities and the use of equipment to keep the office functioning. They enrolled in the Medicaid reimbursement program and received the stipend each and every month. It was great knowing that by participating in a government program that they could keep their office as they wanted it without the huge worrisome merger of other establishments. Government reimbursement stipends through Medicaid for small medical offices, saved the day or rather patients from having to find another physician!
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