Venture Capital In Medicine: The Bad, The Bad, And The Ugly
7 hours ago
- RVUs are the commission structure Stark was written to stop: In the late 1980s it became illegal to pay a physician bonuses and commissions the way you pay a salesperson, for exactly the reason you would expect. Those laws are still law. They are also not enforced, and relative value units do the same job with better branding.
- Ask what a November surgery date is really about: A slight limp, no MRI, no ultrasound, no x-ray, ten minutes of face time, and a hip replacement booked to land before the calendar year closed. Most doctors are not working this way. But once compensation rides on volume, that question stops being cynical and starts being basic diligence.
- The consolidation play is turning on the people who built it: Buying up locations was supposed to create leverage against the payers. The payers set the reimbursement rate, and lowering it is how a hospital becomes a cheap acquisition. Corporate practice of medicine statutes are the lever a few states are finally reaching for.
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