Medicare Opt-Out a Viable Physician Strategy
"The only way we could do that was to try to get closer to usual and customary reimbursement and not these crazy discounts based on Medicare," he says.
One surprise for Sapega and Sidor was that opting out is not a one-time event. CMS requires physicians to opt out every two years, or else the system will suck them right back in. Sapega's office administrator keeps a reminder on her calendar that prompts her to file the appropriate paperwork every two years. The affidavit signed by Medicare-eligible patients must also be resubmitted every two years. If a physician fails to renew the opt-out, CMS considers the doctor to be participating in Medicare; if that happens, the opt-out process can take two years to complete.
When Sapega and Sidor first opted out 12 years ago, their move was considered radical. But now Sapega says he's hearing of a growing interest in the strategy.
"The government is embarrassed by physicians who opt out, because they can't imagine that Medicare is that bad," he says. "More are considering it as Medicare has gotten worse and our overhead has gotten higher and higher. The sustainable growth rate hanging over our head also has people concerned."
- mHealth Tackles Readmissions
- 'Kafkaesque' Value System Unfairly Penalizes Doctor Pay
- CNO Leads $1M Charge for New Scrubs, Uniforms
- Targeting Self-Insured Populations
- MA an Insurance Proving Ground for Providers
- Sharp HealthCare Leaves Pioneer ACO Program
- Some Cancer Hospitals' Quality Data Will Soon Be Public
- Proton Beam Therapy Poised for Growth in US
- Docs Fret as HHS Addresses Malpractice Reporting 'Loopholes'
- Half of All Primary Care, Internal Medicine Jobs Unfilled in 2013