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Physician Relationship Strategy: 18 Questions for Leadership Teams

As health system leaders look at the physician-practice merger and acquisition activity in their local markets and reassess their own physician alignment strategies, they need to answer questions about their strategic physician partnership needs, local market dynamics, their organization’s value proposition and innovative practice arrangements.

Growing List of Competitors Targets Physician Practices

A new AHA Center for Health Innovation Market Insights Report “Evolving Physician-Practice Ownership Models” explores the role of physicians at the center of the health care value equation, analyzes emerging investor types, strategic implications for hospitals and health systems and organizational threats and opportunities.

Market Insights: Evolving Physician-Practice Ownership Models

Physician-practice acquisitions and/or equity investment by such nontraditional players as health plans, private-equity investors, venture capitalists and large employers is an increasing trend. These new entrants give physicians new options for where and how to work. In the shift to value-based care, private-equity firms and new investors can provide physician practices with capital for investments, streamline administrative tasks, use economies of scale for purchasing, improve billing practices, bring in common-practice support tools and analytics, and expand services through digital technology and telehealth. What they promise to deliver is similar to what hospitals and health systems are trying to achieve in the transition to value-based care.

Evolving Physician-Practice Ownership Models

This report provides an overview of current trends in physician–practice ownership models and their driving forces, lessons from nontraditional physician-practice arrangements, and implications for hospitals’/health systems’ organizational strategies, physician relationship strategy and provision of care to patients.

New Investors in Physician-Practice Ownership Models

We profile four major new investor types: private equity, venture capital, health plans and large employers along with a representative sample of recent investments and partnerships. Several of the deals by private-equity firms and health plans are billion-dollar acquisitions. Expect further competition from these investors.

Fact Sheet: The Resident Physician Shortage Reduction Act of 2019

The Balanced Budget Act of 1997 imposed caps on the number of residents for which each teaching hospital is eligible to receive Medicare direct graduate medical education (DGME) and indirect medical education (IME) payments. These caps have remained in place and have generally only been adjusted as a result of certain limited and one-time programs.