neurologists want to be primary care docs

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neurologists want to be primary care docs

Postby Cece » Thu Jan 16, 2014 6:13 am

http://www.medpagetoday.com/Washington- ... id=5517461
As nonprocedural specialists, with a lot of their reimbursements coming from management and evaluation codes, neurologists are now paid less than primary care docs for that management of a patient, since the primary care docs get a bonus for such care under the Affordable Care Act. The AAN is lobbying to get neurologists included as primary care docs and get those bonuses.

"A major concern is that designating a sub-specialist as a primary care provider because she or he evaluates and manages that single condition or disease for which that subspecialist has been trained will fragment care at the time we need to break down such silos of care," AAFP President Reid Blackwelder, MD, told MedPage Today in an email. "If an Alzheimer's patient has a heart condition, a skin disease and diabetes, who is the primary care provider: the neurologist, the cardiologist, the dermatologist or the endocrinologist?"

Or if an multiple sclerosis patient has, oh say, hmmmmm, a jugular outflow obstruction, who is the primary care provider?

I think we've experienced what it would be like if our neurologists were our primary care docs, and I am opposed.
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Re: neurologists want to be primary care docs

Postby erinc14 » Thu Jan 16, 2014 10:54 am

I think we've experienced what it would be like if our neurologists were our primary care docs, and I am opposed.
i'll say !
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Re: neurologists want to be primary care docs

Postby blossom » Thu Jan 16, 2014 4:29 pm

Cece wrote:I think we've experienced what it would be like if our neurologists were our primary care docs, and I am opposed.


i agree, and if this happens, they may as well shoot me now, it would be less painful, aggrivating etc. i can't imagine. i've meet up with many so called specialist "especially neurologist" that have an over grown ego, attitude and arrogance. they pretty much have had their way with many "so named diseases" it's been very profitable for them and the drug co.'s. all of which is based on A theory only. and, when there is a neurosurgeon "one of their own" such as the one in chicago that went out on the limb for a tim's member and surgery benefited, the dr. can't be named yet. or, dr. noda, doing ctos surgery and ms and other so named diseases improveing, instead of the other neuro.'s saying WOW we better check this out-they wanna run them out of town on a rail, black ball them. look, at ccsvi, if not for the ir's that went out on the limb for us Where would that have gotten? and dr. flanagan, and dr. rosa and dr . amir.

and, they want neuro.'s to be our primaries.---just shoot me now!! they even turn on their own let alone us.
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Re: neurologists want to be primary care docs

Postby cheerleader » Thu Jan 16, 2014 4:44 pm

What a terrible, horrible idea....neurologists are simply not trained as GPs. They do not deserve the title of primary care, nor the money from the ACA.

Neuros are not trained to look at the big picture. Here's our story from 2 years ago, when Jeff went to the neuro, thinking he was having a flare. Turned out to be shingles. (!!!!) Read some of the comments of the mis-diagnoses given by neuros. Really scary stuff!
https://www.facebook.com/notes/ccsvi-in ... 7400912211

It's not always MS...
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Husband dx RRMS 3/07
dx dual jugular vein stenosis (CCSVI) 4/09
http://ccsviinms.blogspot.com
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Re: neurologists want to be primary care docs

Postby Robnl » Fri Jan 17, 2014 3:26 am

Like a scientist friend told me; Neurology is learning the books, not learning to research
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Re: neurologists want to be primary care docs

Postby Cece » Sat Jan 18, 2014 11:52 am

http://www.medscape.com/features/slides ... /neurology
Considering that physician payments under Medicare have not kept pace with physician costs, neurologists are holding their own in terms of compensation. The median salary for neurologists in 2010 was $200,000. About 22% of neurologist respondents earned $200,000-$249,000, almost 8% earned $250,000-$299,000, and about 15% earned over $300,000.

For employed neurologists, compensation covers salary, bonus, and profit-sharing contributions. For partners, compensation includes earnings after tax-deductible business expenses but before income tax. Compensation excludes non-patient-related activities (eg, expert witness services, speaking engagements, and product sales).

According to this, the median salary for a neurologist was $200,000 in 2010. They get money from Big Pharma on top of that.
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