Wednesday, September 2, 2009

Ok, going on the 3% of income per month payment by household (using median household income) - each household would be required to pay $313 monthly.

Hiring a general family doctor- who can also do pediatric work- would cost approx. $135,000/annum. Also, hiring 1/3 of a surgeon and 1/3 of an anesthesiologist (explained later), would cost approximately $154,000/ annum. Also, hiring 3 registered nurses would cost approximately $150,000/annum. The cost of 1/3 of 3 nursed to accompany the surgeon and anesthesiologist would come to another $50,000.

So, total we have $489,000 per year in salary costs.

Previously, I have shown that salary costs are 40.5% of all hospital costs. (http://www.solucient.com/articles/07_MTM_Solucient.pdf ) So, this would put the total cost of operating this doctor’s office (using hospital figures) at $1,207,407/ annum- or $100,617/month.

To maintain the $313 monthly cost, there would need to be 323 households that contribute to this office. The average size of the US household is 2.59 people. Using this, that would mean that this office would support an average of 813 people. Now, if every one of these people went to the doctor every other month that would be an average of fewer than 19 patient visits a day.

These patients would directly employ one general family doctor- he would answer to them directly. These patients would directly employ 3 full time RNs. 3 groups of this size would employ- together, an anesthesiologist, a surgeon, and 3 nurses tied to these doctors.

Likewise, they could share the cost of owning other medical equipment- pooling the remaining 58.5% of the annual budget to accomplish this.

Membership doctors offices. Medical Professionals are employed by the members.

I know this is simplistic here, but I think this could work with roughly these numbers.

What do you guys think?