Some doctors considering a cash only practice

[1:07] ..." pay for these. These things whether it's by our taxes or buy insurance premiums and I think what more more of the data showing is that there's an extraordinary amount of money that's wasted. Simply moving paper around. Patients we've all experiences -- position still with this every day. For example a recent. Study at a Cornell should the US doctor's office assistant twenty to thirty billion dollars a year just trying to get paid. And we as a society can benefit from cutting"...

[1:47] ..." question would be a European Union as a position on the ongoing health care reform debate in apparently. A survey on the part of your organization shows two thirds healthy portion of tutors my dad. It has increased interest on part of participating physicians to. Move in the direction of this cash only practice so your your view on health care reform as it is being proposed."...

[2:16] ..." This similar community has been both active and vocal. In health care reform for over a year and a half now over 11000 positions -- a sign of physician appeal and like all of us patients in the country had high hopes. But it has been the health care reform has turned into more of a -- jousting match between special interest and it's becoming increasingly clear that nothing's gonna happen soon"...

[3:31] ..." do you think that. Not being on board with the parameters of health care reform as it's ultimately decided do you think that. The be ostracized or moved to the margin by drawing a hard line --"...

[3:48] ..." choice. What most patients don't realize is that after they leave the doctor's office that doctors. Have to battle with insurance companies to get paid. An average. Doctors spend sixty to ninety days just trying to get paid for the -- that they've already"...

[4:47] ..." again if you look at how much money. Patients are spending on insurance premiums and physicians to spending an overhead. It's actually not that far apart factor in the survey that several recently did. Over 90% of the positions so that they can reduce the amount they charge by up to 40%. If they simply didn't have to deal with insurance companies. "...

[1:05]" Well ultimately we as a society all pay for these. These things whether it's by our taxes or buy insurance premiums and I think what more more of the data showing is that there's an extraordinary amount of money that's wasted. Simply moving paper around. Patients we've all experiences -- position still with this every day. For example a recent. Study at a Cornell should the US doctor's office assistant twenty to thirty billion dollars a year just trying to get paid. And we as a society can benefit from cutting out all of those middlemen and ultimately have. Better quality care and lower costs that we each pay out of pocket."

[1:47]" Now my next question would be a European Union as a position on the ongoing health care reform debate in apparently. A survey on the part of your organization shows two thirds healthy portion of tutors my dad. It has increased interest on part of participating physicians to. Move in the direction of this cash only practice so your your view on health care reform as it is being proposed."

[2:16]" This similar community has been both active and vocal. In health care reform for over a year and a half now over 11000 positions -- a sign of physician appeal and like all of us patients in the country had high hopes. But it has been the health care reform has turned into more of a -- jousting match between special interest and it's becoming increasingly clear that nothing's gonna happen soon in the looks more more like the status quo. These positions are starting to say. Look we need to find a different model where we can provide great care to our patients while lowering costs. And that's why we've seen this explosion of interest in. -- practice in alternative business models. In fact this has all been building over the last several months and and today. Turmoil launched something -- the practice management exchange where physicians can actually. -- certified course work for free to learn about some of these new alternative business models."

[3:15]" Taking lived on the road here let's say there's a faction of the physician population that decides to go cash only. Do you think that's going to end up nipping them. In the behind. In so far as strong a Lansing -- were taking cash only do you think that. Not being on board with the parameters of health care reform as it's ultimately decided do you think that. The be ostracized or moved to the margin by drawing a hard line -- and cash only the good work against you."

[3:45]" Well I don't think that position to have much of choice. What most patients don't realize is that after they leave the doctor's office that doctors. Have to battle with insurance companies to get paid. An average. Doctors spend sixty to ninety days just trying to get paid for the -- that they've already rendered Q. And while physicians have largely protected. Patients. From this reality for the longest time they can't afford it anymore. Congress' proposing another 21% reduction in physician payments next year that's on top of the declining payment for the last twelve years. So whether or not the the tremendous popular. We're seeing that it's already well under way. That being said all of the statistics show that in these -- practices. The doctors and the patients are far more satisfied with the outcome because the doctor patient and able to spend more time together and less time between paperwork. You and you can sort. Well again if you look at how much money. Patients are spending on insurance premiums and physicians to spending an overhead. It's actually not that far apart factor in the survey that several recently did. Over 90% of the positions so that they can reduce the amount they charge by up to 40%. If they simply didn't have to deal with insurance companies. "