|June 2006 · Vol. 18, No. 6
Insurers get away with fixed reimbursements, yet raise their own rates
Dr. Robert L. Barbieri’s April editorial, “How many days does it take you to pay for your liability insurance?” is very timely. Our specialty is restricted in its ability to charge appropriately for services rendered, mostly because we foolishly continue to “contract” with insurers. These companies have no problem raising their own rates, but they make sure reimbursements to physicians remain fixed. The result: Our specialty’s reimbursements have actually declined over the years.
Do you receive higher payment for a delivery in 2006 than you did in 1999? I doubt it. We should be charging more than $5,000 for any delivery, and this amount needs to be adjusted with the cost of living. As for malpractice premiums, in the 1990s they were half their current cost, if not less—yet ObGyns’ reimbursement remains static.