Attached a link http://online.wsj.com/article/SB10001424052748703856504575600412716683130.html?KEYWORDS=doctor#printMode to an article published in the November 8th issues of the Wall Street Journal entitled " Fewer Practices are Doctor-Owned."
The authors summarized the trend that the share of responding practices that were hospital-owned last year hit 55%, up from 50% in 2008 and around 30% five years earlier.
"The traditional model of doctors hanging up their own shingles is fading fast, as more go to work directly for hospitals that are building themselves into consolidated health-care providers." No knew revelation that "the trend is tied to the needs of both doctors and hospitals, as well as to emerging changes in how insurers and government programs pay for care. Many doctors have become frustrated with the duties involved in practice ownership, including wrangling with insurers, dunning patients for their out-of-pocket fees and acquiring new technology. Some young physicians are choosing to avoid such issues altogether and seeking the sometimes more regular hours of salaried positions."
What I consider as problematic that doctors are surrendering the autonomy to hospitals which are seeking to position themselves for new methods of payment, including an emerging model known as accountable-care organizations. These entities are supposed to save money and improve quality by better integrating patient care, with the health-care provider sharing in the financial benefits of new efficiencies BUT the consolidation wave is raising red flags among some regulators, researchers and health insurers, who warn that bigger health systems can use their leverage to push for higher rates. So what can doctors do? We need to learn the business of medicine and form collaborative primary care practices, or merge our practices to gain market share and leverage.
Surrendering our practices is not a solution. Salaried physicians can get fired too but their former practices remain in the hand of hospitals.
Yours
Bernd
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Hi Bernd, I am happy to live in Manitoba , Canada where we have very good health covergae and also in some provinces phamacare. Howenr I am on some drugs which we probaly know I will be on for life, thyroid, Blood pressure, cholesterol meds, but to renew these pills I have to go in and see my doctor, no refills without a visit, so I visit and she prescribes, surely over the phone we could have reached the same conclusion; if there was any sense that my meds were out of control she could ask me to come in. It sounds like a complete waste of Med time to have me in to give me a pill that I will probably be on until I croak!
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