Out Of The System

26 Aug 2022 · 8 min

0:00

In this episode of the Practice Profit System podcast, host Matthew Gillogly warns doctors that recent changes in the healthcare reimbursement landscape are deliberately squeezing independent physicians. He outlines three major developments: (1) Medicare announced an 18% increase in premiums, raising out‑of‑pocket costs for patients; (2) insurance carriers are cutting reimbursement rates for solo doctors by an average of 4.5%, effectively shaving $1.50 off a typical office‑visit payment; and (3) hospitals and nursing homes are receiving rate increases of 4% and 2.9% respectively, creating a stark disparity that incentivizes doctors to join large health systems. Gillogly shares anecdotal evidence of urgent‑care closures and family‑practice doctors being forced to sell to hospital groups. He argues the only viable escape is to transition to a cash‑based practice, citing successful conversions across orthopedics, family medicine, functional medicine, anesthesiology, and more. Throughout the episode he promotes his Business Mastery Fellowship (BMF) program—a group coaching initiative designed to help physicians break free from insurance‑based care—and offers a free copy of his book, The Anatomy of a 7‑Figure Medical Practice. The episode ends with a call to action to join the BMF waiting list, emphasizing that insurance companies are posting record profits while providers are being “shafted.”

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