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re: General PSA from patients to healthcare providers: What we want you to know

Posted on 1/20/17 at 7:39 am to
Posted by yellowfin
Coastal Bar
Member since May 2006
98748 posts
Posted on 1/20/17 at 7:39 am to
quote:

Here is what I also think. Office management practice for most doctors is poor. I think most doctors can do far, far better at making wait times shorter.


The biggest problem is that the doctors own and try to run the clinics. If you're a doctor stick to what you know and let business people run the business.

This is why walk in clinics are usually so much more efficient. Most are owned by business people and the doctors are just employees. It allows them to do what they know best.

I don't go around diagnosing people's illnesses but for some reason doctors think they can run a business. It's why they get robbed by their office managers so often.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 7:39 am to
quote:

Nasty man.


You just hate lawyers.
Posted by BugAC
St. George
Member since Oct 2007
56882 posts
Posted on 1/20/17 at 7:40 am to
quote:

Tiger Vision


Stop making assumptions based on your feelings.
Posted by Jake88
Member since Apr 2005
78034 posts
Posted on 1/20/17 at 7:40 am to
quote:

End troll.


So that's what this was?
quote:

I think patients are difficult and whiny.


This is basically all I've been trying to impute. I don't think patients are "whiny", I do think that they are unpredictable as far as the illness goes. shite, bad shite, happens. Those complications have no set schedule but require immediate and careful attention. One day it'll be you that the doctor has to focus urgently on, and delay the remainder of his schedule. Hopefully not anytime soon, though.
Posted by Jake88
Member since Apr 2005
78034 posts
Posted on 1/20/17 at 7:41 am to
I didn't know you were a lawyer.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 7:42 am to
quote:

End troll.


Sort of. I really would like, just once, for doctors to admit that the patient's schedule is not a factor in how they run their practices. It just is not that important to them. If it were, they could do better.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 7:43 am to
quote:

I didn't know you were a lawyer.


"Courtroom."
"Judge."
"My clients."
"My paralegal."

That and the wanton hubris should have tipped you off.

It's all good, brah.
This post was edited on 1/20/17 at 7:45 am
Posted by Jake88
Member since Apr 2005
78034 posts
Posted on 1/20/17 at 7:49 am to
But that all came later in the discussion.

And, yes, patients' time is an important factor. Nobody I know wants to face someone who has been waiting two hours. But, it's not because doctors are playing golf or screwing around in the back. It really is because things happen. Especially when an internist walks in to a routine wellness check and finds psychiatric issues going on and a need for the patient to talk about depression, suicidal thoughts, etc.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 7:52 am to
All BS aside, and truly no trolling, why can't you get some software that texts patients when you are running late?
Posted by KG6
Member since Aug 2009
10920 posts
Posted on 1/20/17 at 7:56 am to
quote:

If docs made their schedules to accommodate everyone on time, they'd be seeing significantly fewer patients and then people would be screaming about a lack of access and increased time before an appointment could be scheduled


there are doctors around me that basically do see fewer patients. I've tried to get appointments and get told they aren't taking new patients. It's frustrating for me as a new person in town, but has to be nice for the people already established there. To know your doc is trying to keep his appointment book reasonable.

I understand waiting. I get a little frustrated by appointments pushing early in the day, but still. What I can't stand is getting placed in a room and waiting more than 15 minutes. Figure that shite out. Yeah, a room opened up, but the doc still has to see 20 other people. Assign that room to me, but let me sit in the room with ESPN, magazines, and Windows. Don't shove me in a room by myself getting my hopes up only to wait 45 more minutes.

Medical costs are f**ked due to insurance, but that's a a back and forth street. I'm no expert, but I know a doctor can't charge 500 bucks for some of the things they do if it weren't for the fact that a person has insurance. But at the same time, the insurance is going to lowball the doc. Don't know how to fix it, but I bet fixing that relationship would fix Healthcare costs before anything else.
Posted by Jake88
Member since Apr 2005
78034 posts
Posted on 1/20/17 at 7:59 am to
How does texting patients help? You know that most have reserved the day for the appointment or at least a block of time. The text won't speed things up and it might cause further delays because people wander off into other activities that could make them late for the reschedule, backing others up once again. Sorry, really, but the damnedest things pop up.

Again though, I rarely have much of a wait for my doctors. Maybe it's your guy or something about his caseload.
Posted by Panny Crickets
Fort Worth, TX
Member since Sep 2008
5596 posts
Posted on 1/20/17 at 8:01 am to
quote:

But at the same time, the insurance is going to lowball the doc


Oh, yes they are.

Always remember: insurance companies are in the business of making money. Never, ever forget that.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 8:02 am to
A day for an appointment!?!

You're trolling now.
Posted by Jake88
Member since Apr 2005
78034 posts
Posted on 1/20/17 at 8:03 am to
quote:

Medical costs are f**ked due to insurance, but that's a a back and forth street. I'm no expert, but I know a doctor can't charge 500 bucks for some of the things they do if it weren't for the fact that a person has insurance. But at the same time, the insurance is going to lowball the doc. Don't know how to fix it, but I bet fixing that relationship would fix Healthcare costs before anything else.


They are odd. I had a procedure a few years ago that the hospital billed $52,000, but took the insurance's and my combined payment of $5,600. This seems to happen with all of the tests I have had. The bill is X number of dollars but what really gets paid is about 10-15%. I suspect what's trumpeted as healthcare costs is really those inflated numbers, not what actually got paid.
Posted by Jake88
Member since Apr 2005
78034 posts
Posted on 1/20/17 at 8:04 am to
quote:

A day for an appointment!?!


I know people where I work who take the day off for an appointment with their doctor. I don't but they do. I'm not saying you are supposed to do that.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 8:06 am to
Do you work for the gubmint?
Posted by Jake88
Member since Apr 2005
78034 posts
Posted on 1/20/17 at 8:06 am to
No. But government employees do that too.
This post was edited on 1/20/17 at 8:07 am
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 8:10 am to
I cannot conceive of someone taking off a full day for a doctor's appointment. But say that's true.

A doc sees what, forty patients a day? So if every one takes a day off, that's a YEAR of lost man hours per month of a doctor's practice. Sweet baby Jesus.
Posted by Panny Crickets
Fort Worth, TX
Member since Sep 2008
5596 posts
Posted on 1/20/17 at 8:10 am to
quote:

I had a procedure a few years ago that the hospital billed $52,000, but took the insurance's and my combined payment of $5,600. This seems to happen with all of the tests I have had


Yep, that's how it works. Fee schedules, managed care contracts, in v out of network.

Good times
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 8:12 am to
quote:

Always remember: insurance companies are in the business of making money. Never, ever forget that.




Are you in the business of losing money? Then why should insurance companies?
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