Value-Based Payment and Vanishing Small Independent Practices

Author:

Rooke-Ley Hayden1,Song Zirui2,Zhu Jane M.3

Affiliation:

1. Center for Advancing Health Policy through Research, Brown University School of Public Health, Providence, Rhode Island

2. Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts

3. Division of General Internal Medicine, Oregon Health & Science University, Portland

Abstract

This Viewpoint explores the shift from fee-for-service to value-based payment models and the resulting trend of physician employment moving away from independent practices toward corporate health institutions.

Publisher

American Medical Association (AMA)

Reference10 articles.

1. Small primary care physician practices have low rates of preventable hospital admissions.;Casalino;Health Aff (Millwood),2014

2. Total expenditures per patient in hospital-owned and physician-owned physician organizations in California.;Robinson;JAMA,2014

3. Delivery system integration and health care spending and quality for Medicare beneficiaries.;McWilliams;JAMA Intern Med,2013

4. ACO contracts with downside financial risk growing, but still in the minority.;Peck;Health Aff (Millwood),2019

5. Physicians Advocacy Institute. Physician employment-practice ownership trends 2019-2023. Accessed May 13, 2024. https://www.physiciansadvocacyinstitute.org/PAI-Research/PAI-Avalere-Study-on-Physician-Employment-Practice-Ownership-Trends-2019-2023

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