Many of the psychiatrists I know in private practice don't deal with insurance or managed care at all. Cash-only. If you want to bill your insurance, you do it on your own.
To take insurance, you have to pay someone to take care of that process, and that's at least 30k out of your pocket right there.
Managed care only works in the 15min med check model, which as I have said before, has a place. But not everyone wants to do that (both patients and MDs).
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