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Message
Why do doctors practice in so many offices? Isn't it just easier to stick to one?
Posted on 12/17/25 at 11:54 am
Posted on 12/17/25 at 11:54 am
I don't get it. Trying to set something up (nothing of concern, minor skin annoyance) and every Doc seems to be working out of four offices and has admitting privileges at like six hospitals.
Meanwhile the one doc who seems to fit the best doesn't take the right (very major plan, big group) insurance. Why wouldn't every doctor take every insurance plan they possibly could, aren't they just saying "that money is no good here". Why do it, makes no sense.
Meanwhile the one doc who seems to fit the best doesn't take the right (very major plan, big group) insurance. Why wouldn't every doctor take every insurance plan they possibly could, aren't they just saying "that money is no good here". Why do it, makes no sense.
26
Posted on 12/17/25 at 11:56 am to Eurocat
Accessibility for patients
Posted on 12/17/25 at 11:56 am to Eurocat
quote:
every Doc seems to be working out of four offices and has admitting privileges at like six hospitals.
more nurses and office staff they can bang, baw
Posted on 12/17/25 at 11:57 am to Eurocat
Unlike shitty Europe, our doctors are talented and many can work out of more than one location to see patients.
Posted on 12/17/25 at 11:58 am to Eurocat
$$$
Posted on 12/17/25 at 12:00 pm to blueridgeTiger
quote:
$$$
is always the answer.
Posted on 12/17/25 at 12:01 pm to blueridgeTiger
Not convinced it is cash, can't they make the same amount of money working in the same place four days a week instead of four different ones? It's not like I am talking rural America here, they are just jumping from practice to practice sometimes 10 miles from one another.
Posted on 12/17/25 at 12:02 pm to Eurocat
It’s all about patient access because people don’t want to travel
Posted on 12/17/25 at 12:03 pm to Eurocat
quote:
I don't get it. Trying to set something up (nothing of concern, minor skin annoyance) and every Doc seems to be working out of four offices and has admitting privileges at like six hospitals.
$$$
quote:
Meanwhile the one doc who seems to fit the best doesn't take the right (very major plan, big group) insurance. Why wouldn't every doctor take every insurance plan they possibly could, aren't they just saying "that money is no good here". Why do it, makes no sense.
Also $$$. Either that plan refuses to pay more than a certain amount while the doctor wants to charge more, of they require a stupid amount of documentation for them to pay it out. Doctor likely decided the juice wasn't worth the squeeze.
Posted on 12/17/25 at 12:04 pm to Eurocat
quote:
Meanwhile the one doc who seems to fit the best doesn't take the right (very major plan, big group) insurance. Why wouldn't every doctor take every insurance plan they possibly could, aren't they just saying "that money is no good here". Why do it, makes no sense.
Most likely your big insurance plan is super shitty and as you've mentioned this doctor is a "Good fit" and therefore sought after so he doesn't have to be in network with plans that have worse reimbursement
quote:
I don't get it. Trying to set something up (nothing of concern, minor skin annoyance) and every Doc seems to be working out of four offices and has admitting privileges at like six hospitals.
This is probably for those guys in net work with every plan who have to be stretched all over because again they don't get paid much by the insurance companies and therefore need to be accessible to more patients to do bigger procedures aka float through many patient pools and be available at many hospitals in order to treat said patients.
Posted on 12/17/25 at 12:06 pm to Eurocat
quote:
Why wouldn't every doctor take every insurance plan they possibly could
Because not all insurance reimbursement contracts are created equal.
Posted on 12/17/25 at 12:09 pm to Eurocat
quote:
Meanwhile the one doc who seems to fit the best doesn't take the right (very major plan, big group) insurance. Why wouldn't every doctor take every insurance plan they possibly could, aren't they just saying "that money is no good here". Why do it, makes no sense.
Because insurance companies are an absolute pain in the arse when it comes to reimbursement and billing. It’s why you’re seeing more concierge services pop up.
Posted on 12/17/25 at 12:16 pm to Eurocat
quote:
Not convinced it is cash, can't they make the same amount of money working in the same place four days a week instead of four different ones?
Maybe there isn't enough demand/patients at each clinic to make the money he wants to make so he has to work at multiple clinics. Just because he shows up to work at the same location 4 days a week doesn't mean there are 4 days worth of patients to charge.
Posted on 12/17/25 at 12:16 pm to Eurocat
How do you not understand the basics of capitalism?
Doctor's run multiple offices to increase their patient base. Most people want a doctor office local, even 10 miles can matter.
They usually have PAs or NPs that are more than enough to maintain each location. Something more serious you wait for doctor to be in office, but even then that can be done with PA or NP in contact with MD remotely.
Doctor's run multiple offices to increase their patient base. Most people want a doctor office local, even 10 miles can matter.
They usually have PAs or NPs that are more than enough to maintain each location. Something more serious you wait for doctor to be in office, but even then that can be done with PA or NP in contact with MD remotely.
Posted on 12/17/25 at 12:18 pm to Eurocat
quote:
can't they make the same amount of money working in the same place four days a week instead of four different ones?
Don't know about four different ones. But, let's say they have two. Maybe the first can get about 24 appt per day for two days. But in that geography, it may lapse a little above that. Say maybe only 10 per day the other two days for a total of 68 appt per week.
But, the other geography may be similar and they can also get 24 appt per day for two days. Now they are getting 96 appt per week. The extra 28 appt per week is probably more than enough to cover the additional overhead and labor.
They are not doing it just to please their patients. It has to make more sense monetarily.
This post was edited on 12/17/25 at 12:19 pm
Posted on 12/17/25 at 12:25 pm to STLDawg
quote:
It’s all about patient access because people don’t want to travel
This.
And you want your doc to have as many admitting privileges as possible as opposed to the one hospital he does procedures at being outside of your insurance network.
Posted on 12/17/25 at 12:26 pm to TigerMan327
Tigerman is right.
Many insurance companies (especially for surgery) require that a physician/clinic take a certain percentage of medicare/medicaid patients in order to carry their plan. And yes, some insurance companies pay very little for care and delay reimbursement to the clinic. It can cost more to track, refile and wait than the payment is worth. They know this and drag shite on purpose. So, doctors get frustrated and drop certain insurance companies.
Multiple offices because of different patient pools etc. And, often, some offices are big but lack a specialty that one doctor can provide. So this doctor rotates offices and can do really well cherry picking exact patient types.
Many insurance companies (especially for surgery) require that a physician/clinic take a certain percentage of medicare/medicaid patients in order to carry their plan. And yes, some insurance companies pay very little for care and delay reimbursement to the clinic. It can cost more to track, refile and wait than the payment is worth. They know this and drag shite on purpose. So, doctors get frustrated and drop certain insurance companies.
Multiple offices because of different patient pools etc. And, often, some offices are big but lack a specialty that one doctor can provide. So this doctor rotates offices and can do really well cherry picking exact patient types.
Posted on 12/17/25 at 12:35 pm to Eurocat
"accessibility for patients".... but basically, you can make more money that way. It's common
Posted on 12/17/25 at 1:25 pm to LSUfanNkaty
Interesting answers thanks.
Posted on 12/17/25 at 1:30 pm to Clames
quote:
Unlike shitty Europe, our doctors are talented and many can work out of more than one location to see patients.
And that way, when they only work four days a week , patients don't realize it. "They find that some offices book fully and if you are willing to travel, you can see him or her two weeks earlier.
It's not for your convenience, and they may own four buildings and get rent from all four, even though they are empty three out of four days. Rent is rent and there may be tax advantages.
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