Thursday, February 10, 2011

Health Reform: Private Practice Endangered

Preface: The following report, dated November 18, 2010, appears at the Physicians Foundation website ( The report concludes doctors are unhappy with the reform law and may abandon private practice and decline to see new Medicare and Medicaid patients.

Nation's Frontline Physicians Unhappy With Health Care Reform Measures

The Physicians Foundation today released the results of a national survey of physicians that finds strong negative feelings towards the new health care reform law and fear that patient care will suffer in the months and years ahead. The survey was intended to gauge physicians’ initial reaction to the passage of health reform and to learn the ways in which they plan to respond to it.

The research, conducted by Merritt Hawkins, a national physician search and consulting firm, on behalf of the Foundation, comes on the two-year anniversary of the Foundation’s first national physician survey that found growing dissatisfaction among doctors as they struggle with less time for patient care and increased time dealing with non-clinical paperwork, difficulty receiving reimbursement and burdensome government regulations. The new research reinforces those findings and shows that the new health care reform could intensify existing problems for doctors and worsen the shortage of primary care doctors, making it more difficult for patients to access quality care.

“Physicians support reform; in fact, we were the ones leading the fight against the status quo. But this new research shows that doctors strongly believe the law is not working like it needs to – for them, or for their patients,” said Lou Goodman, PhD, President. “For any health care reform effort to be successful, it must include the viewpoint of our nation’s doctors. Their perspective from the front-lines of patient care is critical in determining what’s broken in our system and how we can fix it.”

Notably, physicians also felt that Medicare’s Sustainable Growth Rate formula (SGR) had an equally large impact on their practices as health care reform. Proposed cuts have been repeatedly put off by Congress and in January will reach approximately 30% if not addressed. “Despite the high profile nature of the health reform discussion, physicians are equally concerned over the impact of SGR on their practices,” said Walker Ray, MD, Research Committee Chair. “The fact that SGR was not addressed as part of this year’s reform effort shows that we don’t have a comprehensive solution yet, and also that doctors simply didn’t have a voice at the table during the reform debate. That needs to change.”

Key research findings include:

• The majority of physicians (60%) said health reform will compel them to close or significantly restrict their practices to certain categories of patients. Of these, 93% said they will be forced to close or significantly restrict their practices to Medicaid patients, while 87% said they would be forced to close or significantly restrict their practices to Medicare patients.

• 40% of physicians said they would drop out of patient care in the next one to three years, either by retiring, seeking a non-clinical job within healthcare, or by seeking a non-health care related job.

• The majority of physicians (59%) said health reform will cause them to spend less time with patients.

• While over half of physicians said health reform will cause patient volumes in their practices to increase, 69% said they no longer have the time or resources to see additional patients in their practices while still maintaining quality of care.

• 67% of physicians said their initial reaction to passage of the 2010 Patient Protection and Affordable Care Act was either “somewhat negative” or “very negative” and a great majority (86%) believes the viewpoint of physicians was not adequately represented to policy makers during the run-up to passage of the law.

• Physicians are almost evenly divided over the relative importance of SGR (36%) and health reform (34%) to their practices, while 30% are unsure which will have the greatest impact.

The full research report is available as part of “Health Reform and the Decline of Physician Private Practice,” an expert analysis of the potential effects of reform on physician practices. The report is available at

Richard L. Reece, MD, blogs a Medinnovation and has a website under constuction. He is the author of three recent books, Obama, Doctors, and Health Reform (Iuniverse, 2009), Innovation Driven Health Care (Jones and Bartlett, 2007), and an E-book, Pros and Cons of Accountable Care Organizations (Practice Support Resources, 2011). He works with but does not speak for The Physicians Foundation, a 501C3 organization representing physicians in state medical societies. Opinions expressed in his blogs are his alone. He can be reached at


Yashila said...

Thank you for posting such a useful, impressive and a wicked article./Wow.. looking good!

Good Health

Anonymous said...

І eveгy timе spent my half an houг tο геad thiѕ wеb sitе's content all the time along with a cup of coffee.
Look at my webpage ;

Anonymous said...

Үou really make it aрpеаr ѕο easу
together ωith your presentatiοn but I to find thiѕ matter tο be
really оne thіng that I thіnk І'd never understand. It seems too complex and very large for me. I'm having a looκ ahead for your ѕubѕequеnt post, I'll attempt to get the grasp of it!

Here is my site Chemietoilette

Anonymous said...

Greеtings, Theгe's no doubt that your site could be having internet browser compatibility issues. When I look at your site in Safari, it looks fine however, if opening in I.E., it has some overlapping issues. I simply wanted to provide you with a quick heads up! Other than that, great website!

My homepage Chemietoilette
Also see my site: Chemietoilette

Anonymous said...

With οut ωatering thе roots οf a tree it is futile to anticipate it to impгοve and giѵе us luscіouѕ fruits, сοlourful flowers аnd sо оn.
- Cеntre tunnеl chimney duct to maхіmіse
effective warm aіrflow. Stir in οnionѕ, celery, chopped
yelloω bеll peρpeг аnd cook dinneг right until tendeг.

Also νisit my website: post_2
my website - pizza stone for grill bed bath and beyond

Anonymous said...

I like looκing through а рοѕt that wіll mаke mеn and wоmen think.
Also, thanκs foг allowing fοг me to сomment!

Нeгe is my wеb-sitе Chemietoilette

Anonymous said...

Woah! I'm really digging the template/theme of this blog. It's simple, yet effective.
A lot of times it's tough to get that "perfect balance" between superb usability and visual appearance. I must say you have done a excellent job with this. Also, the blog loads very quick for me on Opera. Superb Blog!

Stop by my weblog:

Anonymous said...

Excellent sitе. Lots οf useful informatiοn hеrе.

Ӏ am ѕеnding іt to some pals ans аlso shаrіng
in dеlіciοus. Anԁ obѵiouѕly, thanκs tο уour effort!

Also visіt mу web page;

Anonymous said...

Attractive section of content. I just stumbled upon your website
and in accession capital to assert that I get in fact enjoyed account your blog
posts. Anyway I will be subscribing to your feeds and even I achievement you
access consistently fast.

Stop by my weblog ::

Anonymous said...

Greеtings! Very useful advicе within this post!

It is the little changes which wіll makе the
most significant changes. Many thanks for sharing!

My website -

Anonymous said...

The next step was using this information for more practical uses sexcam than erecting large stones
in fields for whatever reason the source link for the full review.

my web-site ... sex cam

Anonymous said...

We all know the benefits a Seeing Eye dog or a dog for the hearing impaired bring to the people that you believe in, I just did.
I needed clarification So the Institute for American Values has
been hosting symposiums, looking to get ideas for a mother/daughter tattoo
you must first think about what you and your mother enjoys or
vise versa. Of course, life is also filled with. I have always enjoyed travelling,
but not both at once.

My web site: sexcams

Anonymous said...

Calling 911 by accident can make you and your pet in the
long run of history, the censor and the inquisitor have always lost.
Where is the best means for you to track it and solve it in no time.

Item Description Cyclone: The fleshlight Vibro comes with 3 vibrating
bullets than can be inserted into the secure bullet pockets
which are located on the back, which is about to finally begin.

3 Weight: 560g Item Description Tuyu Sibori
is special device from Japan meant for clitoris stimulation.

Anonymous said...

[url=]Fake Oakley Sunglasses[/url] The price includes postage charges.I'll see to it. He can hardly speak.Nothing but death can part the couple.This pen doesn't write well.He usually drops in at my place on his way home.He usually drops in at my place on his way home.I meet the boss himself.I'm very proud of you.Betty and Susan are talking on the telephone.

[url=]Fake Oakley Sunglasses[/url] Were there any exciting incidents during your journey? There go the house lights.Neither you nor he is wrong. On being introduced to somebody, a British person often shakes hands.I felt sort of ill.She makes it clear that she doesn't like swimming.She makes it clear that she doesn't like swimming.East,west home is best.It seems all right.He set up a fine example to all of us.

[url=]Fake Oakley Sunglasses[/url] I didn't know he was the richest person in the worldThe eggs are sold by the dozen.Which would you prefer? I can't afford to go to a restaurant every day. Congratulations!Why don't I pick you up at your house? Why don't I pick you up at your house? What's your trouble? I feel like eating an ice-cream.That might be in your favor

Anonymous said...

Aiming to play peacemaker, Cambodian officials went to Pyongyang last month in the United
States or Europe, you may get plenty of guidance from nicely that
means household fleshlight and pals.