Opportunities in How to Find the Right Job

Physicians pay cuts to take effect?

Physicians pay cuts to take effect!

Several provider groups say the Biden administration needs to reverse a proposed 4.5% pay cut to doctors for next year, noting the agency needs to consider additional financial pressures that practices are facing.

CMS proposed a 2023 conversion factor of $33.08 for each relative unit, which details how a doctor gets paid by Medicare. The conversion factor is a nearly 4.5% decline compared to the 2022 rate of $34.61.

The Medical Group Management Association urged CMS in comments to reach out to Congress and press for a positive update to the Medicare conversion factor.

 

As of now, the payment reductions “will have a detrimental impact on access to care for Medicare beneficiaries and financial sustainability for medical group practices,” the group’s comments said.

For over 30 years Integro has assisted candidates in the market with our popular “Questions To Ask Before You Sign” to assess opportunity stability and ability to withstand market stressors.  Reply today to request your free copy.

Questions to Ask Before You Sign!

Questions to Ask Before You Sign!

Surprises in a new opportunity are never a good thing. Of course, you want to know why they are hiring, how many physicians have left in the past 10 years and if you’re to take over from a retiring physician has that been formalized in writing.

Physicians who have been in practice tend to focus more on issues beyond income guarantee and more on operational aspects such as overhead, support personnel, referral patterns, how patients are assigned, and local medical politics.

If there are retirements in the future you’ll want to know what their exit policy is. Does the group have to “buy-out” a retiring colleague or just pay him their AR? Do they have what a retiring physician is entitled to codified in their partnership agreement? Many groups have run into issues because it was “understood” based on a discussions in years gone by or has never really been discussed at all!

Having a handle on what is expected from you outside of standard hours whether it’s self-marketing, business meetings, or paperwork is all part of the package.
To see all of our “Questions to Ask Before You Sign”, go to our Candidates page.

Location or Job?

There are two primary considerations when you are looking at opportunities.  Where is the job and what is the job?  Notice where the job is comes first and what is the job comes second.  But will you be happy living where you want to live if the job is not fulfilling.  You have spent most of your life developing a skill and expertise.  If the job you accept is frustrating & unfulfilling will you truly be happy?  The majority of physicians leave their job because of practice consideration not geographic considerations.  Consider compromising more on the geography to avoid becoming one of the 30%-40% who change jobs in the first 5 years.

Professionally Speaking, is This the Right Practice For Me?

  1. Is your practice providing you with the clinical volume you want?
  2. Are you provided the opportunity to fulfill your long term professional goals?
  3. Does your practice allow you to have enough time to provide adequate quality of life?
  4. Are you receiving adequate compensation for the work you do?
  5. Do you receive adequate support to maximize your productivity?
  6. Are you doing the amount of procedures or surgery you desire?
  7. Are your opinions regarding practice operations respected and acted upon?
  8. Do you respect your practice associates?
  9. Will the deficiencies of the practice change in a reasonable time frame?
  10. Would I make the same decision to practice where I’m at now if I had it to do over again
  11. If you answered “NO” to 3 or more of the above questions you should consider alternatives and act

Prepare Before You Job Shop

Just like buying a house, know where you want to live and what features are important or just on the wish list.  Saying I’m “open to anywhere for the right job” does not convey what you really want, what is important and will send you off to places that are a waste of your time.  You and your spouse should independently write down the most important criteria and then compare notes before you get on an airplane.

New Job Considerations

Review your current employment or partnership agreement.  What are your notification timelines and your fiduciary obligations for ownership in ASC’s, MOB’s?  How will your departure impact current partners regarding contracts the group is obligated to?  Also contact your malpractice carrier and get a quote on tail coverage, it can be substantial but can often be negotiated into a new package.  If you are divorced but have custody of children verify if you’re allowed to take them out to state or out of reach of your ex.

Husband & Wife Dual Physician Careers

Your and your spouse are both physicians.  The future is so bright you need to wear shades.

You both have that ideal job of course in that ideal location in mind.  Unfortunately, the reality is you or your spouse are going to be disappointed if you both go off on independent searches to find your ideal job and assume then your spouse will find an “acceptable” opportunity in the same area.

Deciding whose job is primary will save time, and frustration down the road.