« Medicare Physician Signature Requirements | Main | Business Use of Employer-provided Cell Phone – an update »
Back in vogue - private practices, hospitals teaming up again
Faced with economic uncertainty and financial woes, doctors in private practice are increasingly turning to hospitals for employment. I’m hearing more and more of this activity in the past year. I’m sure you have too.
The percentage of hospitals employing private practice physicians has nearly doubled since 1994 and the trend is expected to accelerate in 2010 as those doctors seek greater stability and health systems attempt to extend their geographic reach.
It seems physicians are beginning again (similar to the mid 1990’s) to warm up to the idea of aligning with hospitals, which has long been considered off limits by private practice physicians. In the current state of healthcare economics, physicians are finding it increasingly difficult to practice on their own. For many, joining a health system is looking like a more appealing as a safe haven.
The migration of physician groups to health systems as one of the major health care trends in 2010, particularly as funding models move toward bundled payments or global fee structures. It will require all providers to re-evaluate their relationships, operational infrastructure, payer contracting and overall funding models.
Let’s face it however - When a practice goes over to the hospital, it tends to mean they are looking for security; There’s much less of a headache.
Besides aligning with a hospital, to me the major trend of 2010 will be physician to physician practice mergers. If done right, this model’s benefits far exceed the benefits of the physician/hospital alignment.
No matter what affiliation you are looking at undertaking, always ask yourself this one question before moving forward:
“What can this do for me that I can’t do for myself?”
January 12, 2010 in Practice Mergers | Permalink
TrackBack
TrackBack URL for this entry:
http://www.typepad.com/services/trackback/6a00d83451b7e869e20120a7c952f6970b
Listed below are links to weblogs that reference Back in vogue - private practices, hospitals teaming up again:
Comments
My practice and the doctor I work for, are at this time checking on an employment agreement with a local hospital. Not really common in this area, employment agreements are growing nationwide. The doctor, is not sure especially about hospital management of the practice. The contract offers a buy out chance three years later. He would like to do it, but he doesn't want to get a practice totally destroyed in three years. On something else, he doesn't want to loose independency, but we are having trouble negotiating contracts with insurances as a solo practitioner. Reimbursement in this area doesn't go higher that 85% of medicare 2009. Almost all commercial insurances pay even lower that this. What would be the best way to go? Of course hospital compensation looks much better that the amount of money he is taking home. Hard to decide!
Posted by: Claudia Murillo | Mar 30, 2010 11:30:23 AM
