this post was submitted on 11 Mar 2024
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How many other businesses would we be fine with operating like this? (lemmy.world)
submitted 6 months ago by [email protected] to c/[email protected]
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[–] [email protected] 25 points 6 months ago* (last edited 6 months ago) (7 children)

Our patient visits are set as 15 minute slots standard.

This isn’t enough time to practice good medicine for anything much more than something like a flu or strep throat. How does one squeeze in an entire rooming process followed by a solid HPI, physical, poc testing and then plan review with pt in 15 minutes?

They don’t.

But with how medicine works (in the US) it’s the how clinics make enough money to stay open.

For clarity: I work at a Federally Qualified Health Center, not a for profit clinic.

[–] [email protected] 9 points 6 months ago (1 children)

But with how medicine works (in the US) it’s the how clinics make enough money to stay open.

This is the truth. PCP offices in particular have razor-thin margins and insurance reimbursement goes down every year while supply, fixed, and staff costs go up every year. This is an insurance industry and healthcare system problem. Your doctors' offices are just doing everything they can to stay open.

[–] [email protected] 4 points 6 months ago

Fortunately CMS is rethinking the role of primary care and realizing we can save money if we're able to provide high quality preventive care like we're supposed to. PCP service payments (RVUs) are up 18% since 2020 which has been a long time coming. Unfortunately physician pay is down vs inflation over the last few decades but thank Christ administration salaries are way, way up over the same timeframe.

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