Keeping your practice independent in the age of big medicine

January 10, 2011

The healthcare world has seen major changes in the past 30 years that have led Wall Street and hospital systems to impose paradigm shifts on medical practices willing to accept their premises and terms.

Key Points

Recall (or ask your older colleagues about) when hospitals were buying practices in the 1980s, or when the practice management companies were buying medical groups in the 1990s, or when the hospital physician organizations and state-sponsored medical plan purchasing groups were going to control healthcare, and "800-pound gorilla medical groups" were going to survive. The vast majority of the structures built around the above "accepted conclusions" are gone now.