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http://www.oregonrn.org/?page=670

 

 

So I know this is over a year old, but it doesn't make much sense to me. Are PAs/NPs in Oregon really getting reimbursed the same as FM docs? So if I go work FM in Oregon I should expect 180k-220k?

 

I get that this applies more to NPs since they can practice independently. So those that live in Oregon, are our NP counterparts really getting paid ~200k for FM?

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You still have to be "supervised".  It just means that the insurance companies (but not Medicare) have to reimburse your services to the practice (not to you personally) at the same rate as they give the docs.  So for any given encounter the rate would be the same, but of course the practice takes off supervision cost, overhead, etc. etc.  

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This means that PAs get reimbursed 15% more than before. PAs typically earn 33-45% of collections. So, a PA moving to OR would see about 6.5% increase in income. That's how it shakes out.

 

This should be a universal bill as the increase of 15% makes a PA much more viable.

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This means that PAs get reimbursed 15% more than before. PAs typically earn 33-45% of collections. So, a PA moving to OR would see about 6.5% increase in income. That's how it shakes out.

 

This should be a universal bill as the increase of 15% makes a PA much more viable.

 

From my understanding FM docs get ~45-50% of collections. So if PAs are getting 45% (only ~5% less than MDs) then why is it that we make 50% of FM salary?

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http://www.oregonrn.org/?page=670

 

 

So I know this is over a year old, but it doesn't make much sense to me. Are PAs/NPs in Oregon really getting reimbursed the same as FM docs? So if I go work FM in Oregon I should expect 180k-220k?

 

I get that this applies more to NPs since they can practice independently. So those that live in Oregon, are our NP counterparts really getting paid ~200k for FM?

 

This kind of reg is fool's gold.  To comply with the law, insurance companies don't increase NP/PA reimbursement, they decrease physician reimbursement.  So now everybody makes 100k instead of the PAs making 100k and the docs making 200k

 

Oregon HB 2902 was interesting in that they tried to block this practice by making it illegal to pay physicians less for these services.  However, there is a major loophole -- all the insurance companies have to do is certify that the reimbursement changes are related to "cost factors" rather than educational status and bingo they have a justification to lower rates.

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From my understanding FM docs get ~45-50% of collections. So if PAs are getting 45% (only ~5% less than MDs) then why is it that we make 50% of FM salary?

I don't know about the typical FM situation for pay. When I had to crunch numbers as a practice owner, I found physician compensation from 45% to 55%. I found the typical PA closer to 33-35%, but 40-45% the exception. I required 50% to close my practice and return to my previous practice.

 

However, from my 35 years in medicine, I've observed too often the other factors of physician-centric practice where the best paying insurances are steered towards the physician's schedule, Medicaid, Medicare to the NP/ PA,where keeping the physician's schedule full is a higher priority than the PAs, where the physician gets the first claim to high paying procedures. For example, when EMG / NVC studies were being reimbursed really high, it was off limits to me. So those things add up to make the MD's pay almost double ours.

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