When Doctors Sell Their Practices

Doctors are selling their practices!  In some areas, it feels like no practices are doctor owned.  It’s depressing.  The days of private practice seem to be dying.

Big multispecialty groups are the future!  Everyone works with the same Electronic Health Record.  Efficiencies of scale allow us all to work smarter. No one gets lost in the system.  Bigger is better! Aligned incentives!
Except…. What I’m seeing is not going so well.  

The new owners  simply cannot manage it all.  It’s a mess.  Patients don’t see the same “provider” twice.  Facility fees drive up the cost of care.  Doctor salaries start low and don’t get higher.  The doctor is interchangeable.  Turnover is high….and patients hate it!

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