Originally Posted by
cardiomd
Um, no. I think you posted some equally inflammatory nonsense awhile back. Not sure why you repeat this stuff or what kind of fantasy world you think docs live in.
I can imagine at the Aetna headquarters. "Oh, Dr. Cardiomd has a 99.99999% success rate, while other doctors have a 90% success rate. Let's pay reimbursement rates that are 4 times the standard average.. just because... he's incredible." Yeah, that happens a lot.
Typical "quality" bonuses for low complications, readmissions etc. are typically 1 to 5% of salary.
Here is a nice article to reframe your thinking:
http://www.nytimes.com/2014/05/18/su...-big-cost.html
I don't know how you perceived any slight being made in my post. I am all for professionals being paid what they deserve, and I see little basis for comparing our respective professions anyway. You're helping make the point.
I'm not familiar with insurance reimbursement rates, and frankly I don't really want to debate them on an airline pilot forum. I'll stipulate to the fact that insurances companies are a gigantic pain, and suppress wages. But I live in a very affluent area, and many providers can afford to be selective about what insurance they accept. Let's just say that if there was an oncologist, or a cardiologist, or even a GP that only lost 1 patient in 100,000,000 he wouldn't need to have any sort of a relationship with Aetna, or UHC, or BCBS. He'd set his wages. In certain specialties, people would probably pay directly, and pay a lot, for an 80%, or 90%, or 99% chance of being cured, depending on the problem and prognosis. Fair enough?
But if that example hits too close to home, set it aside completely. I'm not arguing we should compare uourselves to you, but that we shouldn't. As an alternative way of viewing my previous post, imagine an attorney that consistently won 90% of cases. Imagine what that would pay. Or not. If that example isn't suitable, ignore it as well. Comparisons across professions don't work all that well, do they?