ER Doc Advisor - Financial Planning & Taxes for Emergency Physicians

EP 274: Federal Health Policy and ER Doc Pay

There’s been a lot of discussion lately around federal health care policy and potential budget cuts, especially related to Medicaid. Rather than speculate or react emotionally, we wanted to step back and look at this through a financial lens specific to emergency physicians.

More importantly, we want to talk about how these kinds of changes tend to show up slowly over time — and what that means for how you plan and position yourself.

Topics Discussed   

  • Why Medicaid cuts affect ER doc pay even when you don't treat Medicaid patients.
  • How uncompensated care flows downhill to hospital margins and RVU rates.
  • The 30-year pay compression.
  • When W-2 stability becomes less stable than 1099 flexibility.
  • How lifestyle fluidity differs from lifestyle instability (and why it matters).
  • Why blending income sources creates leverage when reimbursement models shift.

Resources Mentioned:

Tags:

 

ER docs, emergency medicine, Medicaid, healthcare reimbursement, physician income, W2 vs 1099, locums work, RVU compensation, financial planning, income diversification, lifestyle planning, tax strategy