Umfundi, ngubani ogqirha wexesha elizayo , ebuza imibuzo malunga nomvuzo wegqirha njengoko kuhambelana nobungakanani bommandla ngokubhekiselele kubemi. Ngaba oogqirha bafumana ngaphezulu kwiidolophana ezincinane okanye kwiidolophu ezinkulu, kwaye kutheni?
Xa kuxoxwa ngempembelelo yonyango, ukusetyenziswa kwegama elithi "umvuzo" kungakhohlisa, kuba amaninzi amaninzi awaqeshwanga, kwaye ahlawulwa umvuzo wesiseko.
Uninzi lwagqirha (abangaphezu kwama-50%) basemabhizinisini abo, abanomsebenzi wabucala ngokuzeleyo okanye inxalenye, ngokuchasene nokuqeshwe sisibhedlele okanye iqela. Kwaye oogqirha abaqeshwe, imbuyekezo yabo ilawulwa yimiba emininzi yendawo, ezoqoqosho, kunye nemibandela yabantu, njengokhathalelo olulawulwayo kunye nokuhlawulwa kwe-inshorensi, emiselwe yimibutho yesithathu kunye nemimiselo karhulumente.
Ngokwe-Medical Group Management Association (MGMA) eyenza uphando olunzulu lwangonyaka kunye nohlalutyo lwembuyekezo yonyango, amaninzi amagqirha afumana imali eninzi kwimimandla ephantsi kwesigidi esisodwa kubemi. Kwizinto ezininzi ezizodwa, abafumana umgangatho ophezulu bafumaneke kwiidolophu ezingama-50 000 ukuya kuma-250,000 ngobukhulu, ngokwemibare ye-MGMA.
Ukungafani nokuhlawulelwa kubangelwe kwizinto eziliqela:
Khuphiswano
Kwiindawo ezincinci ukuya kumgangatho ophakathi, ukhuphiswano lwabanye oogqirha aluqhelekanga njengendawo ephakamileyo kwimimandla yamadolophu, edla ukuba "ngaphezulu kweengxelo" ngenxa yokuthambekela koogqirha ukuba baqhube emadolobheni amakhulu ngenxa yobudlelwane beentsapho okanye iinzuzo ezifunyenwe esebenza kwisixeko esikhulu.
Ukubuyiswa kwemali
Ukubuyiselwa kwemali kwiinkampani zomshuwalense zivame ukuphakama kwiindawo ezincinci ukuya kwiindawo eziphakathi. Ngoko ke, ugqirha kwisixeko esikhulu kunye nodokotela kwidolophana encinane unokubona okulinganayo kunye nohlobo lwezigulane, kwaye wenze umlinganiselo ofanayo nomsebenzi, kwaye ugqirha ngamnye unokuhlawulelwa ngokulingana nemali ephantsi kwimivuzo kwindawo yabo , kwaye kaninzi i doc encinane yedolophu ephuma phambili.
Iindleko zokuLawula
Ngokuqhelekileyo, iindleko zokusebenza njengogqirha, njenge-inshurensi yokungasebenzi, kunye ne-office space, ziphakamileyo kwizixeko ezinkulu. Kungenxa yokuba iidolophu ezininzi zivame ukufumana indawo engakumbi kuneendawo ezincinci, kwaye izigwebo eziqhubekayo ziqhuba iindleko ze-inshurensi yokungasebenzi.
U mzekelo
Abagqirha bama- orthopedic Abagqirha bafumana ininzi kwiidolophu ezingama-50 000 okanye ngaphantsi, ngokuqhelekileyo. Ngokomzekelo, ngokweMGMA yeMbuyekezo yeMpilo kunye neNgxelo yoPhulo ka-2009, oogqirha bamazinyo emadolobheni amancinci athabatha umvuzo wonyaka we-$ 502,195 kunye ne-474,359 kuphela ngonyaka kwimimandla yeemitha ezikhudlwana kunezigidi zezigidi zabantu. Ingeniso yabo ephakathi iyancipha ngakumbi kwiidolophu ezinabantu abangama-250,000-1,000,000, ukuya kuma-393 402.
I-Gastroenterologists kwiidolophana ezincinci (ngaphantsi kwe-50,000) zifumana imali engama-467,927. Abo bagqirha kwiidolophu ezingama-50 000 ukuya kuma-250,000 bafumana imali engama-452,195 ngokwemyinge, okuyi-22% engaphezulu kunabo abahlala kwimimandla emikhulu (ngaphezu kwesigidi sabantu), abafumana imali engama-370,673 ngonyaka ngonyaka.
Iidermatologists zifumana ezininzi kwiidolophu ezingama-50,000-250,000 ezineengeniso zomyinge malunga ne-$ 395,159. Kwimimandla emikhulu yedolophu, iidermatologists zifumana malunga ne-50,000 yeepesenti ngaphantsi kwelo, kunye nengeniso yonyaka engama-340,317 kwiidolophu ezinabantu abangaphezu kwesigidi esisodwa.
Kwiidolophu ezingaphantsi kwama-50,000 ngobukhulu, iiderm ziyafumana i-$ 356,624, ngokwemviwo ye-MGMA 2009.
I-Cardiologists kwiidolophana ezincinci ukuya kwi-middle-size zifumana phi ukusuka kwi-17% ukuya kwi-25% ngaphezulu kunezo ziindawo ezinkulu zemitha. Le mivuzo eyongeziweyo inokulinganisa umlinganiselo wee-150,000 zamawaka ngonyaka kwii-cardiologists kwiindawo ezincinci! Iingcali ze-cardiologists ezingenanto zibona iimpembelelo ezinkulu kakhulu zedolophu kwimivuzo, umzekelo, ngokufumana imali engama-609,041 kwiidolophana ezincinci (ngaphantsi kwama-50,000 abantu), kunye ne-462,820 zama-dolophu kwimimandla emikhulu yemitha (abantu abangaphezu kwesigidi esisodwa).
Ngasentla nje imizekelo embalwa.
Uluhlu luqhubeka, kodwa ezi zimbalwa zeempawu ezintle kakhulu. Ayikho yonke into ekhethekileyo ibona umehluko omkhulu, kodwa phantse yonke into ekhethekileyo ibona inzuzo kwimbuyekezo kwiidolophana ezincinci, ngokukodwa ezo ziluhlu oluxhamlayo lwama-50 000 ukuya kuma-250,000 kubemi, eziziindawo ezihlawulelwayo eziphezulu kakhulu. Njengebhonasi eyongeziweyo, ngaphezu kokufumana imali engaphezulu ngonyaka, oogqirha kwimimandla encinci bafumana enye imali yabo, bafumana ukugcinwa okongeziweyo kunye neemeko zemali eziphuculiweyo oogqirha abakwenzayo kwimimandla encinci okanye ephakathi.