“They have either an unwillingness to perform the work or an inability to meet the criteria,” he says.
HEALTH CARE FALLOUT
Dr. Omar Ibrahimi’s dermatology practice needs two more employees, one full-time and one part-time, to run more efficiently. But the rising costs of treating patients and the drop in reimbursement from insurance companies prevent the Stamford, Connecticut, office from hiring, says office manager Saida Ibrahimi.
Because of the changes in insurance under the new health care law, the practice gets 20 percent to 30 percent less revenue from insurers than it did last year, Ibrahimi says. Meanwhile, the practice pays more for medications and supplies.
More staffers would free Ibrahimi to talk to insurance companies to get approvals for procedures, something that Dr. Ibrahimi does. Time he spends talking to insurers is time not spent with patients.
The economic saving grace for the practice is cosmetic procedures like Botox injections and tattoo or scar removals, which are not covered by insurance. Patients pay for those procedures out of their own pockets.
“If we weren’t doing cosmetic work, we’d be in the red,” Saida Ibrahimi says.