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Your per person figures seem low to me, and you're calling it profitability but then taking expenses out of that. Is that an industry term? Where does that numb

by srj 3y ago

Your per person figures seem low to me, and you're calling it profitability but then taking expenses out of that. Is that an industry term? Where does that number come from? I would think at least before expenses it would be quite high as medical visits cost hundreds if not thousands of dollars.

brewdad 3y ago
This person has an argument but confuses so many basic terms that it gets lost. Revenues are not profits and profits don't include expenses. I'd be happy to read a cleaned up version but right now it's just a confusing mess.
- robomartin 3y ago
  > This person has an argument but confuses so many basic terms that it gets lost. Revenues are not profits and profits don't include expenses. No. I think you might be confused. I laid it out clearly. The basic profit has to do with the cost of an MD, PA, medical assistant and front office people interacting with the patient. In other words, the most basic labor cost layer. This is easier to quantify because you can count the minutes each person devotes to that patient. The other costs are different. These are the business, office, insurance and other general operating costs that apply to the entire practice. In a back of the napkin calculation it is much easier to first subtract basic labor costs from the income per patient and then apply the other stuff in bulk. I just tried to run through a ridiculously basic calculation to illustrate the point. That was not intended to be a accurate accounting report. This is a complex multivariate problem. A simple example can't do anything but glace at the problem and, hopefully, inspire people to research and understand. ACA, Medicare, Medicaid and other aspects of our medical system have made things worse over time, not better. Having more people covered isn't equivalent to more people having access to good healthcare. There are so many issues, for example, the fact that Medicare isn't insurance at all after 55, it's a loan! ACA shoved millions of people into Medicare. In a few years, we might start hearing of states seizing people's estates to pay for the money they owe under Medicare. It's crazy --absolutely insane-- that nobody talks about this and the media did not do their job and educate people as to the realities of this horrid system. https://www.dhcs.ca.gov/services/Pages/TPLRD_ER_cont.aspx https://www.dhcs.ca.gov/services/Pages/TPLRD_ER_cont.aspx

by srj 3y ago

brewdad 3y ago

This person has an argument but confuses so many basic terms that it gets lost. Revenues are not profits and profits don't include expenses. I'd be happy to read a cleaned up version but right now it's just a confusing mess.

robomartin 3y ago
> This person has an argument but confuses so many basic terms that it gets lost. Revenues are not profits and profits don't include expenses. No. I think you might be confused. I laid it out clearly. The basic profit has to do with the cost of an MD, PA, medical assistant and front office people interacting with the patient. In other words, the most basic labor cost layer. This is easier to quantify because you can count the minutes each person devotes to that patient. The other costs are different. These are the business, office, insurance and other general operating costs that apply to the entire practice. In a back of the napkin calculation it is much easier to first subtract basic labor costs from the income per patient and then apply the other stuff in bulk. I just tried to run through a ridiculously basic calculation to illustrate the point. That was not intended to be a accurate accounting report. This is a complex multivariate problem. A simple example can't do anything but glace at the problem and, hopefully, inspire people to research and understand. ACA, Medicare, Medicaid and other aspects of our medical system have made things worse over time, not better. Having more people covered isn't equivalent to more people having access to good healthcare. There are so many issues, for example, the fact that Medicare isn't insurance at all after 55, it's a loan! ACA shoved millions of people into Medicare. In a few years, we might start hearing of states seizing people's estates to pay for the money they owe under Medicare. It's crazy --absolutely insane-- that nobody talks about this and the media did not do their job and educate people as to the realities of this horrid system. https://www.dhcs.ca.gov/services/Pages/TPLRD_ER_cont.aspx https://www.dhcs.ca.gov/services/Pages/TPLRD_ER_cont.aspx