Some, a few, physicians had already opted out of the government system (Medicare) and out of the insurance system as well, going into “concierge” medicine. They were criticized as somehow being “less than” for not wanting to be a public utility. For not wanting to be sheep.
The hospital approaches you and says that they are building an ACO – won’t you join with them and become an employee of their sponsored foundation or medical group?
Running a hospital based group as a “service” for the hospital, functioning as a sort of clearing house for income and expense, severely limits your group’s future.
The is no real security in depending upon a pseudo-parent employer.
Paying your “fair share.”
Efforts treating patients don’t create value between a medical group and a facility.
It’s not too late to see that unless physicians plot their own future, the hospitals (and the government and, to the extent they will long exist…that’s another topic…health insurers) have a future planned for you.
There’s nothing glorious in financial failure.
I recently heard a news story announcing that General Motors was, per its agreement with the Auto Workers Union, making bonus distributions of, as I recall, $8,300 per worker. Asked to comment, the union spokesperson said that although the workers appreciated the bonus money, it did make up for the fact that they had not…
How unlikely is it that in twenty years, the only physician actually in the O.R. will be the anesthesiologist?