[oogali]

I’ve been getting exposure to this space and the backend systems that drive it. It is mind-bogglingly dysfunctional.

Aphyr recently provided a limited window[1] into the level of dysfunction that happens with one of these behemoths that are the result of 100+ mergers, acquisitions, spinoffs, and joint ventures.

I feel terrible for the providers who have to try to navigate these antics.

In my opinion, all of this contributes to two primary “bad” things: 1) increased rates of retirement from older physicians who don’t want to deal with this anymore (despite wanting to continue practicing for 5-10 more years), and 2) consolidation of physician practices into larger entities as a way of coping which inevitably leads to the entity being acquired by a hospital and absorbed into another behemoth of an organization.

Both make it hard for individuals to receive consistent, quality care.

1: https://aphyr.com/posts/368-how-to-replace-your-cpap-in-only...