http://symtym.disqus.com/...a physician meandering medicine, law and technology...enFri, 24 Mar 2006 07:04:00 -0000http://symtym.com/2006/03/medicare_meaning_lean/#comment-1889809&gt; best solution for emergency physicians is to drop all contracts with insurers<br><br>And don't we wish we could; however, since we are one of the "RAPE" specialties (radiology, anesthesiology, pathology, and emergency medicine) our hospital contracts are almost always linked to contracting with every and any insurer out there that may be looking for a "break" from the "local hospital." In theory, it makes sense -- in reality, never. Especially, in heavily capitated markets -- where competition is severe and it is always based on cost and "discounts."symtymFri, 24 Mar 2006 07:04:00 -0000http://symtym.com/2006/03/medicare_meaning_lean/#comment-1889808Thanks for sorting all that out --- it's important for the average non-physician to know. However, to my mind, the best solution for emergency physicians is to drop all contracts with insurers. You, above any other physicians, have a captive market, and if the insurers want to justify decreasing your reimbursement just because Medicare will, screw 'em. The patients will continue to need to be seen.Aggravated DocSurgFri, 24 Mar 2006 06:57:00 -0000