Sometimes the general public is not aware of how compensation has dropped for physicians over the last decade. The insurers income has not dropped, but keeps increasing, along with big CEO salaries, such as 10 million for Humana. The doctors are frustrated with having to fight to get claim approvals for patients as the article states, they rarely win and state legitimate claims are still being denied and delayed.
Court battles are in the works and one could go as high as the Supreme Court for appeal and so far Texas doctors are the only ones set to challenge the decisions in court. BD
“While they're unhappy about shrinking reimbursements, Texas doctors are angrier still – more than they've ever been – with insurers because of the jump in denied claims, says Tim Gorski, an Arlington obstetrician and gynecologist. Dr. Gorski said he doesn't get paid for 15 percent to 20 percent of the work he does now.
Jose Rodriguez, a Houston orthopedic surgeon who says his practice's revenue has dwindled from more than $1 million in the mid-1990s to $400,000 last year, blames insurers' greed. Dr. Rodriguez says he earned only $125,000 last year after office expenses, despite seeing more patients today than he did in the '90s. "Why should insurance companies deny treatment that has been authorized by the FDA [the U.S. Food and Drug Administration]?" he asked. "They're not doctors."
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