Late Night With Chip & Paulie 11 (October 27, 2022)

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Late Night With Chip & Paulie 11 (October 27, 2022)

Chip & Paulie discussed various issues affecting pediatric practices, including the increasing costs of healthcare and the financial challenges faced by hospitals in maintaining pediatric units. Dr. Scott Krugman highlighted the trend of hospitals closing pediatric beds and the impact this has on communities, stressing the need for greater advocacy and systemic changes in healthcare delivery for children. Additionally, practical tips were provided for managing financial matters such as employee bonuses, health insurance rate increases, and end-of-year distributions for pediatric practices.

Guest: Dr. Scott Krugman

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Summary

1. **Utilization of Pediatric Sick Visits**: Chip highlights the increase in modified sick visits during well-visits, attributing it to mental health issues in older kids. Common diagnoses during well visits include ADHD, common cold, asthma, anxiety, and related mental health concerns.

2. **National Pediatric Health Expenditure**: Discussion on New York’s investment in addressing social determinants of health, employee retention credit warnings from the IRS, and the significant cost burden of employed physicians on hospitals.

3. **Impact of Hospital Bed Closures**: Dr. Krugman elaborates on the closures of pediatric units across the U.S., due to financial pressures on hospitals, leading to fewer beds for children and the strain on pediatric practices. The importance of advocacy and community involvement in addressing these gaps is emphasized.

 

Picture of Paul Vanchiere, MBA

Paul Vanchiere, MBA

For over 15 years, Paul has dedicated himself exclusively to addressing the financial management, strategic planning, and succession planning needs of pediatric practices. His background includes working for a physician-owned health network and participating in physician practice acquisitions for Texas's largest not-for-profit hospital network, giving him a distinctive insight into the healthcare sector. Paul is adept at conducting comprehensive financial analysis, physician compensation issues, and managed care contract negotiations. He established the Pediatric Management Institute to offer a wide range of services tailored to pediatric practices of all sizes and stages of development, with a focus on financial and operational challenges. Additionally, Paul is actively involved in advocacy efforts to ensure healthcare access and educational opportunities for children with special needs.

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