Thursday, October 4, 2012
I'll admit to being a little (okay a lot) upset about the pending Physicians Plus and UW Hospital divorce. While I was thinking about my denial to continue to see a specialist it occurred to me that Physicians Plus has a brilliant strategy. They are denying referrals, hiring a few specialists, out sourcing the rest to doctors that 90+ miles away so that they will piss off the people seeking specialty care. And here's why, those patients are certainly big users of the system, they also have pre-existing conditions so they are your most expensive patients. I would probably be safe to say that even with the high premium prices they are probably making very little or negative money on these patients. So, those who work for an employer that offers a choice of plans will leave for Unity, Dean (have to change doctors as well), or some other insurance and overnight Physicians Plus becomes profitable because they just got rid of their high cost patients.