Addiction LXXIX
08-24-20, 09:53 AM
#3401
serious cyclist
Join Date: Apr 2009
Location: Austin
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It's getting in bed with the devil, possibly.
The company is owned by a big insurance company. The whole thing is a mess but I will do my best to ride it out and hope it works out ok. This is my first job since residency and I have been here for almost 20 years, I don't really want to have to make a big change.
The company is owned by a big insurance company. The whole thing is a mess but I will do my best to ride it out and hope it works out ok. This is my first job since residency and I have been here for almost 20 years, I don't really want to have to make a big change.
08-24-20, 09:54 AM
#3402
Senior Member
Join Date: Dec 2019
Location: 757
Posts: 11,250
Bikes: Madone, Emonda, 5500, Ritchey Breakaway
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08-24-20, 09:54 AM
#3403
Senior Member
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Location: 757
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08-24-20, 09:55 AM
#3404
VFL For Life
Join Date: Feb 2005
Location: Knoxville, TN
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08-24-20, 09:56 AM
#3405
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
Posts: 43,044
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Likes For datlas:
08-24-20, 09:58 AM
#3406
VFL For Life
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Location: Knoxville, TN
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08-24-20, 10:02 AM
#3407
serious cyclist
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Location: Austin
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08-24-20, 10:03 AM
#3408
serious cyclist
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Location: Austin
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08-24-20, 10:04 AM
#3409
VFL For Life
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Location: Knoxville, TN
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A normal person, probably.
08-24-20, 10:19 AM
#3410
Senior Member
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Location: In the foothills of Los Angeles County
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08-24-20, 10:32 AM
#3412
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
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No, it's WAY more convoluted.
I am now a partner and own 1/31st of the practice. The practice is being split into a medical group and a medical services organization or MSO. My group will own 49% of the MSO which is essentially the guts of the practice including all non-billable providers, plus all infrastructure. We retain ownership of the medical group which is what's left after the MSO. The medical group has to pay 20% of its net revenue to the MSO. It's a house of cards and I had to skim over 500 pages of documents to get a sense of the details. But to answer your question, I will NOT be an employee I will be a partner in the medical group which is obligated to work with the MSO. It's the MSO where all the stuff will happen in the future.
I am now a partner and own 1/31st of the practice. The practice is being split into a medical group and a medical services organization or MSO. My group will own 49% of the MSO which is essentially the guts of the practice including all non-billable providers, plus all infrastructure. We retain ownership of the medical group which is what's left after the MSO. The medical group has to pay 20% of its net revenue to the MSO. It's a house of cards and I had to skim over 500 pages of documents to get a sense of the details. But to answer your question, I will NOT be an employee I will be a partner in the medical group which is obligated to work with the MSO. It's the MSO where all the stuff will happen in the future.
08-24-20, 10:39 AM
#3413
Senior Member
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There is a street in L.A. that is 33% and there is an event there every year where people try to climb it. Years ago you just did it on your regular road bike but now it's mountain bikes and even bikes which are purpose built for the event with super low gears.
A friend went straight up it on a 42x23 around 1990. A few years ago I went there (to watch) with a friend who trains juniors and one of his racers went up seemingly effortlessly 3 or 4 times on a 39x23.
A friend went straight up it on a 42x23 around 1990. A few years ago I went there (to watch) with a friend who trains juniors and one of his racers went up seemingly effortlessly 3 or 4 times on a 39x23.
08-24-20, 10:40 AM
#3414
smelling the roses
Join Date: Nov 2010
Location: Tixkokob, Yucatán, México
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Speaking of bonus, my ***hole partners voted to sell the practice down the river (I voted against this but was overruled) and I am quite unhappy about this, but the good news is there is likely to be a decent-sized lump sum coming my way in the 4th quarter of this year....and if that happens I might be able to justify some new bike schwag. Maybe the new Dura-Ace groupset will be announced/out by then and I can get the Habby a new drivetrain!
08-24-20, 10:43 AM
#3415
• —
Join Date: Jun 2015
Location: Land of Pleasant Living
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Speaking of bonus, my ***hole partners voted to sell the practice down the river (I voted against this but was overruled) and I am quite unhappy about this, but the good news is there is likely to be a decent-sized lump sum coming my way in the 4th quarter of this year....and if that happens I might be able to justify some new bike schwag. Maybe the new Dura-Ace groupset will be announced/out by then and I can get the Habby a new drivetrain!
08-24-20, 10:44 AM
#3416
• —
Join Date: Jun 2015
Location: Land of Pleasant Living
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08-24-20, 10:45 AM
#3417
• —
Join Date: Jun 2015
Location: Land of Pleasant Living
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08-24-20, 10:46 AM
#3418
Senior Member
Join Date: Sep 2005
Location: In the foothills of Los Angeles County
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No, it's WAY more convoluted.
I am now a partner and own 1/31st of the practice. The practice is being split into a medical group and a medical services organization or MSO. My group will own 49% of the MSO which is essentially the guts of the practice including all non-billable providers, plus all infrastructure. We retain ownership of the medical group which is what's left after the MSO. The medical group has to pay 20% of its net revenue to the MSO. It's a house of cards and I had to skim over 500 pages of documents to get a sense of the details. But to answer your question, I will NOT be an employee I will be a partner in the medical group which is obligated to work with the MSO. It's the MSO where all the stuff will happen in the future.
I am now a partner and own 1/31st of the practice. The practice is being split into a medical group and a medical services organization or MSO. My group will own 49% of the MSO which is essentially the guts of the practice including all non-billable providers, plus all infrastructure. We retain ownership of the medical group which is what's left after the MSO. The medical group has to pay 20% of its net revenue to the MSO. It's a house of cards and I had to skim over 500 pages of documents to get a sense of the details. But to answer your question, I will NOT be an employee I will be a partner in the medical group which is obligated to work with the MSO. It's the MSO where all the stuff will happen in the future.
My favorite doctor quit his HMO/group and disappeared. I don't know where he ended up but the guy who replaced him is also gone now. A sports medicine doc I saw about my shoulder quit and went to work for the Army.
Is it even possible for a doctor to have a family practice without all the politics and corporate bs?
08-24-20, 10:50 AM
#3419
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
Posts: 43,044
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I hope I can save some of the lump. The problem is most of the lump sum is essentially considered and treated like a "cash advance" on the first 4 years working for the new organization. That means that if, after 1 year, I decide to leave, I have to give back 75% of the lump. And the tax experts say we can't even find a way to put that lump in escrow somehow to minimize taxes.
08-24-20, 10:52 AM
#3420
So it is
Join Date: Sep 2008
Location: Westminster, CO
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I hope I can save some of the lump. The problem is most of the lump sum is essentially considered and treated like a "cash advance" on the first 4 years working for the new organization. That means that if, after 1 year, I decide to leave, I have to give back 75% of the lump. And the tax experts say we can't even find a way to put that lump in escrow somehow to minimize taxes.
08-24-20, 10:53 AM
#3421
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
Posts: 43,044
Bikes: 1986 Alpine (steel road bike), 2009 Ti Habenero, 2013 Specialized Roubaix
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It seems like a doctor shouldn't have to deal with all that. I think a doctor should be able to concentrate on doctoring.
My favorite doctor quit his HMO/group and disappeared. I don't know where he ended up but the guy who replaced him is also gone now. A sports medicine doc I saw about my shoulder quit and went to work for the Army.
Is it even possible for a doctor to have a family practice without all the politics and corporate bs?
My favorite doctor quit his HMO/group and disappeared. I don't know where he ended up but the guy who replaced him is also gone now. A sports medicine doc I saw about my shoulder quit and went to work for the Army.
Is it even possible for a doctor to have a family practice without all the politics and corporate bs?
The newer doctors have no idea that the healthcare organizations are billing the work they do at outrageous inflated rates and then accepting pennies on the dollar from most insurance companies yet harassing the uninsured and out-of-network patients. We don't do that because we own the organization. But the times are changing. I won't say much more for fear of getting into P&R, but the bottom line is that 20+ years ago most doctors went to work for themselves or for a doctor owned group, but now the vast majority are working for a system and have become employees. That solves some problems but creates others.
08-24-20, 10:54 AM
#3422
• —
Join Date: Jun 2015
Location: Land of Pleasant Living
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I hope I can save some of the lump. The problem is most of the lump sum is essentially considered and treated like a "cash advance" on the first 4 years working for the new organization. That means that if, after 1 year, I decide to leave, I have to give back 75% of the lump. And the tax experts say we can't even find a way to put that lump in escrow somehow to minimize taxes.
08-24-20, 11:19 AM
#3423
Silver Comet Fred
Join Date: Jan 2017
Location: NW Metro Atl.
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Good luck you will still be able to beat me and Vol in basketball. The Sharpsville area is not known for its basketball. Just awesome other things...
08-24-20, 11:26 AM
#3424
Senior Member
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Sometimes timing is everything.
I was walking back from lunch today when I saw a woman trying to get change out of the parking kiosk across the street from my building entrance. I think she was not wearing pants, only a long t-shirt that came down mid-thigh. My bike was parked 20' away. Being a savvy city boy, I had good idea of what was likely to happen next. Sure enough, she drifted over to my bike and started to unzip my saddle bag. I quickly put a stop to her actions. You don't **** with a man's saddle bag.
I was walking back from lunch today when I saw a woman trying to get change out of the parking kiosk across the street from my building entrance. I think she was not wearing pants, only a long t-shirt that came down mid-thigh. My bike was parked 20' away. Being a savvy city boy, I had good idea of what was likely to happen next. Sure enough, she drifted over to my bike and started to unzip my saddle bag. I quickly put a stop to her actions. You don't **** with a man's saddle bag.
08-24-20, 11:29 AM
#3425
Administrator
Thread Starter
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