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12/05/2013 Jim Shipley, DPM
Time for a Universal Insurance Form (Robert Kornfeld, DPM)
Dr. Kornfeld, I in no way fault your inaccurate assessment of me. I have given you no information about myself except for the income of the county I live in. I had honestly hoped that you would give some other advice besides uprooting my family to move to a different area. The fact that you didn't is not a big deal, I'm glad it has turned out so well for you.
I, however, can offer PM News readers another suggestion that was given to me two years ago.
If you're not a part of one already, it is time to form a super group in your state. It is time to find like-minded individuals in your area and band together to increase your bottom line. Like all group formations there is a loss of autonomy, but the minor loss of autonomy is nothing compared to the benefits.
As of January 1, 2014 the North Carolina Podiatric Physicians and Surgeons Group (NCPPSG) will have been incorporated and fully functioning for one year. I can sum up my experience with this group using one word: awesome.
What have we accomplished in this formation? 1) We have successfully negotiated higher rates from multiple insurance companies. A mutually beneficial agreement on our side because we get paid more, and on their side because of our quality control and treatment protocols. 2) We have successfully negotiated lower malpractice insurance. 3) We have successfully negotiated greater vendor rates and services including, but not limited to, DME products, office supplies, orthotic manufacturing, pathology services, HIPAA and OSHA training services etc. 4) We now have approximately one-third of the podiatrists in our state within NCPPSG, including members in state society positions. We also cover every area of our state which is beneficial to large, self-insured corporations and hospital systems looking to refer patients. 5) With over 350 employees in NCPPSG we've been able to negotiate private health insurance rates for our group. 6) Because we are such a large group we have our own lawyer, accountant, insurance negotiator, etc...
So what's the bottom line?
Doctors looking to better their position as podiatrists have a few options. One, you can pack up your family and move to a more affluent area. Two, you can negotiate being bought out by a hospital system. (I was given this option and turned it down.) Three, find like-minded individuals, learn as much as you can from current state super groups, and help form one in your state.
Regardless of what you readers choose, I certainly feel no woe-is-me mentality about the position I am in, and I'm excited for the future of podiatry in my state.
Jim Shipley, DPM, Mt. Airy, NC, jimshipley@mtairyfoot.com
Other messages in this thread:
11/29/2013 Jim Shipley, DPM
Time for a Universal Insurance Form (Robert Kornfeld, DPM)
Dr. Kornfeld, you recently posted a thread in PM online that once again stated the need for all podiatrists to move toward a cash payment situation. Even though I don't disagree with your assessment of our nationwide current standings in the medical community, with insurance companies, and with our scope of practice, I do believe some things need to be put into perspective. Assuming that not all podiatrists will convert to your cash model in one unified motion, what do you think will happen in my situation?
(I took the liberty of researching the demographics of the area in which you practice compared to mine.)
Manhasset, NY According to a 2009 estimate,[4] the median income for a household in the CDP was $105,938, and the median income for a family was $130,909. The per capita income in the CDP was $51,698. 5.7% of the population and 3.9% of families were below the poverty line. Out of the total people living in poverty, 5.4% are under the age of 18 and 6.9% are 65 or older. (per wikipedia.com)
Surry County, NC The median income for a household in the county was $33,046, and the median income for a family was $38,902. Males had a median income of $27,854 versus $20,556 for females. The per capita income for the county was $17,722. About 9.10% of families and 12.40% of the population were below the poverty line, including 15.00% of those under age 18 and 17.40% of those age 65 or over. (per wikipedia.com)
People in my community barely have enough money to pay their co-pays and most are very grateful just to have a job that provides some insurance coverage. I'm sure you wouldn't suggest that I pack up and move my family (we all can't practice in Manhasset, NY).
Jim Shipley, DPM, Mount Airy, NC, jimshipley@gmail.com
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