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deleted162650
Small groups in California don’t reveal a number of facts about fee for service practice. First is how many cases are you going to be doing per day. If it is one case at 7.30, one at noon and one case at 5 pm, you won’t make enough units. Rest of the time you are sitting idle.
Second is the cases being uniformly distributed among all or just a select few get preferential treatment in getting the most productive OR line up?
Third the societal insurance, except in some locales, most of the Central Valley 90% is govt insurance, which means that unless the hospital assures a sizable subsidy, collection at end of 6 months to year will be disappointing.
The worst is some of these groups don’t pay and keep the last few months of collections as ransom.
EVERY system can be gamed. In an eat-what-you-kill model it’s by monkeying with the schedule/case distribution as stated above. That’s why it is so important to ask who makes the schedule and how it’s done if you are considering a practice like this.
The most important thing is finding a group full of high quality individuals - not douchebags, and that’s why it pays to have connections.