So what if one were to set up shop in a medium size area....not too big, not too small.
Let's say a place like fayetville, nc. Or even a little bigger in Greensboro, nc. You know....200-350k in the city limits, but if you go 50 mins in any direction you get
an area of 650k...maybe a little more. Not those places in particular since I have no idea what the MH scene is like there, but you get the point.
Then you just come in and bust up the whole MH scene by taking on contracts promising services at ridiculous rates/stipends(in terms of how low they are). Like there is a fairly big psych hospital and the stipend has always floated around 700k, but you come in and say "I'll do it for 150k". And the hospital is like....sure. Same thing for cmhcs in the
area. just come in and offer to take over things for absurdly low rates.
Ok, so then you are holding the bag with all these crappy contracts. But you have *a lot* of the available work for psychs in the area. At least with the inpatient and community systems. And so then with this power you go to the local providers and say "this is what the deal is....take it or leave it? I don't give a damn"......
well the natural thought will be that all these psychs will leave it and try going to another area. The reality is that a lot of people don't have geographic flexibility. A lot of the psychs(and definately the psych nps) have established ties in that area which makes it impossible to leave. Maybe they have a spouse with a high powered job. Maybe they are divorced and share custody in such a way that neither parent can leave. And on and on.....
So your providers may not like the situation.....but hey, people take what they can get. If you have gobbled up a critical mass of available work, you can go a long way in setting the market. The providers don't like it? F them....they can take their ball and go home and not work. Or do telepsych or some crap.
I think this could work for a motivated psych looking to muck things up....remember it's not even important what the contract numbers are. What matters is that you just have exclusive access to the beds and community setup, and once you have muscled your way in there it's all downhill.....
I couldn't do it because it's just not me, but......
Let's say a place like fayetville, nc. Or even a little bigger in Greensboro, nc. You know....200-350k in the city limits, but if you go 50 mins in any direction you get
an area of 650k...maybe a little more. Not those places in particular since I have no idea what the MH scene is like there, but you get the point.
Then you just come in and bust up the whole MH scene by taking on contracts promising services at ridiculous rates/stipends(in terms of how low they are). Like there is a fairly big psych hospital and the stipend has always floated around 700k, but you come in and say "I'll do it for 150k". And the hospital is like....sure. Same thing for cmhcs in the
area. just come in and offer to take over things for absurdly low rates.
Ok, so then you are holding the bag with all these crappy contracts. But you have *a lot* of the available work for psychs in the area. At least with the inpatient and community systems. And so then with this power you go to the local providers and say "this is what the deal is....take it or leave it? I don't give a damn"......
well the natural thought will be that all these psychs will leave it and try going to another area. The reality is that a lot of people don't have geographic flexibility. A lot of the psychs(and definately the psych nps) have established ties in that area which makes it impossible to leave. Maybe they have a spouse with a high powered job. Maybe they are divorced and share custody in such a way that neither parent can leave. And on and on.....
So your providers may not like the situation.....but hey, people take what they can get. If you have gobbled up a critical mass of available work, you can go a long way in setting the market. The providers don't like it? F them....they can take their ball and go home and not work. Or do telepsych or some crap.
I think this could work for a motivated psych looking to muck things up....remember it's not even important what the contract numbers are. What matters is that you just have exclusive access to the beds and community setup, and once you have muscled your way in there it's all downhill.....
I couldn't do it because it's just not me, but......