/ en Tue, 29 Apr 2025 04:14:56 -0500 Fri, 18 Sep 20 16:35:41 -0500 /news/headline/2020-09-18-cms-details-financial-methodology-direct-contracting-model <p><span><span><span>The Center for Medicare and Medicaid Innovation yesterday posted </span><a href="https://innovation.cms.gov/innovation-models/direct-contracting-model-options"><span>a series of papers</span></a><span> explaining the financial methodology for the Direct Contracting Model’s global and professional options, set to begin next April. </span></span></span></p> <p><span><span>The payment options are open to hospitals that employ physicians, as well as to critical access hospitals and rural health clinics. CMMI will answer questions about the methodology during a webinar Monday at 1 p.m. ET. </span></span><span><span><a href="https://cms.zoomgov.com/webinar/register/WN_Z3pmk7haQ3Gb2j1VbhdW_A"><span>Register here</span></a></span></span><span><span>.</span></span></p> Fri, 18 Sep 2020 16:35:41 -0500 Physician Employment /aha-center-health-innovation-market-scan/2020-03-03-growing-list-competitors-targets-physician <div class="container row"> <div class="row"> <div class="col-md-8"> <p><img alt="AHA Market Scan Evolving Physician-Practice Ownership Models cover" data-entity-type="file" data-entity-uuid="7fdd650d-e09d-4761-87d6-61b7e05749ae" src="/sites/default/files/inline-images/ms_030320_item1_MD_Ownership_cover_600x400_994996.jpg" width="620" height="400"></p> <p>Hospitals and health systems have a growing list of competitors to concern themselves with as they navigate relationships with physician practices.</p> <p>Nontraditional players, including private equity and venture capital firms, health plans and large employers increasingly are targeting physician practices for investment. Private equity investor deals in the U.S. related to physician practices in 2018 totaled $22 billion. By November 2019, that figure had surged to $60 billion and shows no sign of abating, Medical Economics reports.</p> <p><img alt="Private Equity and Venture Investment in Physician Practices chart. 2017: $15 Billion; 2018: $22 Billion; November 2019: $60 Billion." data-entity-type="file" data-entity-uuid="1ce8a096-caa4-4f03-8b83-6a17d48da786" src="/sites/default/files/inline-images/ms_030320_item1_chart1-618p_994995.jpg" width="618" height="265"></p> <p>This trend has left some hospitals and health systems feeling uncertain as their longtime partners draw investments from organizations that may have divergent interests.</p> <p>A new AHA Center for Health Innovation Market Insights Report <a href="/system/files/media/file/2020/02/Market_Insights_MD_Ownership_Models.pdf">“Evolving Physician-Practice Ownership Models”</a> 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. In addition, several experts from firms that partner with hospitals and health systems and physician practices share their insights on what’s shaping trends in physician-practice ownership models.</p> <p>UnitedHealth Group, Aetna, various Blue Cross Blue Shield entities and others now offer plans built around clinics the insurers or their affiliate companies own, featuring smaller networks with more limited choices of doctors and hospitals. This can reduce premiums, but insurers also benefit because they keep revenues inside their holdings. “Suddenly, the plan you’re relying on for payment is also competing with you at the front end of the delivery system,” Chas Roades, a health care consultant, <a href="https://www.wsj.com/articles/physicians-hospitals-meet-their-new-competitor-insurer-owned-clinics-11582473600" target="_blank">recently told the Wall Street Journal</a>.</p> <p><img alt="Four Emerging Investor Types chart. Private Equity; Venture Capitalists; Health Plans; Large Employers." data-entity-type="file" data-entity-uuid="3c512bb8-2aa5-4b33-9a5f-042e773a21f0" src="/sites/default/files/inline-images/ms_030320_item1_chart2_618p_4types_994994.jpg" width="618" height="316"></p> <h2>Organizational Threats</h2> <p>While the impact of these trends will be highly market dependent, there are some significant business implications for hospitals and health systems to consider. Some include:</p> <ul> <li>Increased competition and cost for physician recruitment, which may hamper a health system’s ability to develop desired services along the care continuum.</li> <li>Physician groups owned by or aligned with insurer, private equity investors or venture capital groups may redirect patient care to those groups away from hospitals and health systems, including surgeries and inpatient admissions.</li> <li>Groups targeting special populations, special services, and subacute and urgent care may further fragment care and create a barrier to health system-driven integrated care models.</li> </ul> <p>If investors are able to execute innovative new models of care, streamline operations and expand the continuum of physician practices, this also could create opportunities to partner or affiliate.</p> <p>With this in mind, hospitals and health systems need to develop thoughtful and targeted physician alignment strategies based on organizational goals, available resources, practice management competencies and local market conditions. Regardless of the options for physician alignment, strong physician leadership and integration into practice governance models are key ingredients for success.</p> <h2>Organizational opportunities</h2> <p>For hospitals and health systems evaluating their strategies related to physician alignment, the report cites five organizational opportunities to consider, including:</p> <ul> <li><strong>Explore clinical integration and affiliation models:</strong> Affiliating with well-run, established physician practices on clinical integration programs may yield better returns on investment than traditional employment models.</li> <li><strong>Fill gaps in the care continuum:</strong> New practice models provide hospitals and health systems with access to a more robust continuum of care (telehealth, digital health services, specialty services, hospital-based physician services) that otherwise would be difficult to recruit and staff adequately.</li> <li><strong>Divest costly management services organization functions:</strong> These opportunities allow the hospital to divest costly MSO functions while allowing the hospital to maintain affiliation with physicians.</li> </ul> <h2>New AHA resources to Set Physician Alignment Strategies</h2> <p>As companion pieces to the new <a href="/system/files/media/file/2020/02/Market_Insights_MD_Ownership_Models.pdf">“Evolving Physician-Practice Ownership Models”</a> report, the AHA Center for Health Innovation has launched the following new resources:</p> <ul> <li><strong><a href="/center/emerging-issues/market-insights/physician-practice-ownership/18-questions">Physician Relationship Strategy: 18 Questions for Leadership Teams:</a></strong> Available exclusively to AHA members, this report will help hospital leaders as they review their strategies, consider their local market dynamics and strive to achieve clinical and financial objectives.</li> <li><strong><a href="/system/files/media/file/2020/02/Market_Insights_MD_Ownership_New_Investors_graphic.pdf">New Investors in Physician-Practice Ownership Models:</a></strong> This report profiles four major new investor types: private equity, venture capitalists, health plans and large employers along with a representative sample of recent investments and partnerships.</li> </ul> </div> <div class="col-md-4"> <p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img alt="AHA Center for Health Innovation logo" data-entity- data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" type="file" class="align-center"></a></p> <a href="/center/form/innovation-subscription"><img alt data-entity-type data-entity-uuid src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png"></a></div> </div> </div> .field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 03 Mar 2020 13:12:33 -0600 Physician Employment /center/emerging-issues/market-insights/physician-practice-ownership/infographic <div></div> <div> /* Site overrides - Start */ p, ul, ol { font-size: 16px; color: #555 } h2, h4{ text-transform: uppercase; color: #253b80 } h3, h5{ color: #4579bc } .lead, .field_lead p { color: #63666A; font-weight: 300; line-height: 1.4; font-size: 19px; } a:hover{ text-decoration: none } .container .jumbotron.styled { margin-bottom:20px;} /* Site overrides - End*/ .vcenter { display: inline-block; vertical-align: middle; float: none; } #ci_footer-social { font-size: 1.5em; padding-top: 0px; width: 100%; text-align: right; } @media (max-width:991px){ .ci_logo{ margin-top:25px } .marketInsightResource .col-md-6 { padding: 0; margin-bottom: 20px } .jumbotron.styled .content { position: relative; } .hero, .jumbotron { background-color: #fff; } .ci_social p{ text-align: center !important; } #ci_footer-social { text-align: center } } .field_access_level{ display:none } .field_topics{ margin-top:25px } .download_icon{ font-weight: 700; margin-bottom:15px; margin-top:10px } .download_icon img{ width: 25px !important; } </div> <div class="container-fluid"> <div class="row marketInsightResource"> <div class="col-md-9"> <div class="col-md-6"> <div> <div class="download_icon"><a href="/system/files/media/file/2020/02/Market_Insights_MD_Ownership_New_Investors_graphic.pdf" target="_blank"><img alt="" src="/sites/default/files/2018-12/pdf-download-icon.png" /> Download a PDF</a> of the infographic</div> <a href="/system/files/media/file/2020/02/Market_Insights_MD_Ownership_New_Investors_graphic.pdf" target="_blank"><img alt="ownership model graphic" src="/sites/default/files/2020-02/MD_Ownership_models_graphic_700x532.jpg" /></a></div> </div> <p>The chart profiles 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 when it comes to recruiting new physicians and purchasing existing practices.</p> </div> <div class="col-md-3"> <div id="block-centerinnovationlogosocial"> <div class="body"><div> <div class="ci_logo"> <a href="/center"><img alt="AHA Center for Health Innovation logo" src="/sites/default/files/2018-08/logo-aha-innovation-center-color-1000px.jpg" /></a> </div> <div class="ci_social"> <p><strong>Follow us to learn more.</strong></p> <ul class="list-inline pull-right" id="ci_footer-social"> <li><a href="https://www.facebook.com/ahahospitals" target="_blank"><i class="fa fa-facebook fa-fw"><span class="sr-only">Facebook</span></i></a></li> <li><a href="http://twitter.com/ahahospitals" target="_blank"><i class="fa fa-twitter fa-fw"><span class="sr-only">Twitter</span></i></a></li> <li><a href="http://www.youtube.com/user/AHAhospitals" target="_blank"><i class="fa fa-youtube-play fa-fw"><span class="sr-only">Youtube</span></i></a></li> <li><a href="https://www.instagram.com/ahahospitals/" target="_blank"><i class="fa fa-instagram fa-fw"><span class="sr-only">Instagram</span></i></a></li> <li><a href="https://www.linkedin.com/showcase/center-for-health-innovation/" target="_blank"><i class="fa fa-linkedin-square fa-fw"><span class="sr-only">LinkedIn</span></i></a></li> </ul> </div> </div></div> </div> <div id="block-centerinnovationmenucss"> <div class="body"> /*VERTICAL MENU*/ nav#block-centerforhealthinnovation{ position:relative; 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} } </div> </div> <nav role="navigation" aria-labelledby="block-centerforhealthinnovation-menu" id="block-centerforhealthinnovation"> <h2 class="visually-hidden" id="block-centerforhealthinnovation-menu">Center for Health Innovation</h2> <ul class="menu"> <li class="menu-item"> <a href="/center/about-center-health-innovation" data-drupal-link-system-path="node/579927">About</a> </li> <li class="menu-item"> <a href="/center/discover" data-drupal-link-system-path="node/624957">Discover</a> </li> <li class="menu-item"> <a href="/center/engage" data-drupal-link-system-path="node/624940">Engage</a> </li> <li class="menu-item"> <a href="/center/explore" data-drupal-link-system-path="node/606460">Explore All Center Programs</a> </li> </ul> </nav> <div> <h4><a href="/center/emerging-issues/market-insights">Market Insights</a></h4> <ul> <li><a href="/center/emerging-issues/market-insights/physician-practice-ownership">Physician-Practice Ownership</a></li> <li><a href="/center/emerging-issues/market-insights/ai">AI’s Impact</a></li> <li><a href="/center/emerging-issues/evolving-care-models">Evolving Care Models</a></li> <li><a href="/center/emerging-issues/market-insights/telehealth">Telehealth Strategy</a></li> <li><a href="/center/emerging-issues/market-insights/year-in-review">Disruptive Innovation</a></li> </ul> </div> </div> </div> </div> Fri, 21 Feb 2020 15:02:28 -0600 Physician Employment <div></div> <div> /* Site overrides - Start */ p, ul, ol { font-size: 16px; color: #555 } h2, h4{ text-transform: uppercase; color: #253b80 } h3, h5{ color: #4579bc } .lead, .field_lead p { color: #63666A; font-weight: 300; line-height: 1.4; font-size: 19px; } a:hover{ text-decoration: none } .container .jumbotron.styled { margin-bottom:20px;} /* Site overrides - End*/ .vcenter { display: inline-block; vertical-align: middle; float: none; } #ci_footer-social { font-size: 1.5em; padding-top: 0px; width: 100%; text-align: right; } @media (max-width:991px){ .ci_logo{ margin-top:25px } .jumbotron.styled .content { position: relative; } .hero, .jumbotron { background-color: #fff; } .marketInsightResource .col-md-6 { padding: 0; margin-bottom: 20px } .ci_social p{ text-align: center !important; } #ci_footer-social { text-align: center } } .field_access_level{ display:none } .field_topics{ margin-top:25px } .download_icon{ font-weight: 700; margin-bottom:15px; margin-top:10px } .download_icon img{ width: 25px !important; } </div> <div class="container-fluid"> <div class="row marketInsightResource"> <div class="col-md-9"> <div class="col-md-6"> <div> <div class="download_icon"><a href="/system/files/media/file/2020/03/Market_Insights_MD_Ownership_18Qs.pdf" target="_blank"><img alt="" src="/sites/default/files/2018-12/pdf-download-icon.png" /> Download a PDF</a> of the discussion guide</div> <a href="/system/files/media/file/2020/03/Market_Insights_MD_Ownership_18Qs.pdf" target="_blank"><img alt="business man shaking hands with doctor" src="/sites/default/files/2020-02/MD_Ownership_18Qs_700x532.jpg" /></a></div> </div> <p>The accelerating trend toward acquisition of and investment in physician practices by such nontraditional players as health plans, private-equity investors, venture capitalists and large employers raises the stakes for hospitals and health systems to develop effective physician alignment strategies based on organizational goals, resources available, practice management competencies and market conditions. As hospital leaders and their teams review their physician relationship strategies, they need to answer these 18 questions to achieve their clinical and financial objectives.</p> </div> <div class="col-md-3"> <div id="block-centerinnovationlogosocial"> <div class="body"><div> <div class="ci_logo"> <a href="/center"><img alt="AHA Center for Health Innovation logo" src="/sites/default/files/2018-08/logo-aha-innovation-center-color-1000px.jpg" /></a> </div> <div class="ci_social"> <p><strong>Follow us to learn more.</strong></p> <ul class="list-inline pull-right" id="ci_footer-social"> <li><a href="https://www.facebook.com/ahahospitals" target="_blank"><i class="fa fa-facebook fa-fw"><span class="sr-only">Facebook</span></i></a></li> <li><a href="http://twitter.com/ahahospitals" target="_blank"><i class="fa fa-twitter fa-fw"><span class="sr-only">Twitter</span></i></a></li> <li><a href="http://www.youtube.com/user/AHAhospitals" target="_blank"><i class="fa fa-youtube-play fa-fw"><span class="sr-only">Youtube</span></i></a></li> <li><a href="https://www.instagram.com/ahahospitals/" target="_blank"><i class="fa fa-instagram fa-fw"><span class="sr-only">Instagram</span></i></a></li> <li><a href="https://www.linkedin.com/showcase/center-for-health-innovation/" target="_blank"><i class="fa fa-linkedin-square fa-fw"><span class="sr-only">LinkedIn</span></i></a></li> </ul> </div> </div></div> </div> <div id="block-centerinnovationmenucss"> <div class="body"> /*VERTICAL MENU*/ nav#block-centerforhealthinnovation{ position:relative; 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} } </div> </div> <nav role="navigation" aria-labelledby="block-centerforhealthinnovation-menu" id="block-centerforhealthinnovation"> <h2 class="visually-hidden" id="block-centerforhealthinnovation-menu">Center for Health Innovation</h2> <ul class="menu"> <li class="menu-item"> <a href="/center/about-center-health-innovation" data-drupal-link-system-path="node/579927">About</a> </li> <li class="menu-item"> <a href="/center/discover" data-drupal-link-system-path="node/624957">Discover</a> </li> <li class="menu-item"> <a href="/center/engage" data-drupal-link-system-path="node/624940">Engage</a> </li> <li class="menu-item"> <a href="/center/explore" data-drupal-link-system-path="node/606460">Explore All Center Programs</a> </li> </ul> </nav> <div> <h4><a href="/center/emerging-issues/market-insights">Market Insights</a></h4> <ul> <li><a href="/center/emerging-issues/market-insights/physician-practice-ownership">Physician-Practice Ownership</a></li> <li><a href="/center/emerging-issues/market-insights/ai">AI’s Impact</a></li> <li><a href="/center/emerging-issues/evolving-care-models">Evolving Care Models</a></li> <li><a href="/center/emerging-issues/market-insights/telehealth">Telehealth Strategy</a></li> <li><a href="/center/emerging-issues/market-insights/year-in-review">Disruptive Innovation</a></li> </ul> </div> </div> </div> </div> Fri, 21 Feb 2020 14:44:10 -0600 Physician Employment /center/emerging-issues/market-insights/physician-practice-ownership/report <div></div> <div> /* Site overrides - Start */ p, ul, ol { font-size: 16px; color: #555 } h2, h4{ text-transform: uppercase; color: #253b80 } h3, h5{ color: #4579bc } .lead, .field_lead p { color: #63666A; font-weight: 300; line-height: 1.4; font-size: 19px; } a:hover{ text-decoration: none } .container .jumbotron.styled { margin-bottom:20px;} /* Site overrides - End*/ .vcenter { display: inline-block; vertical-align: middle; float: none; } #ci_footer-social { font-size: 1.5em; padding-top: 0px; width: 100%; text-align: right; } @media (max-width:991px){ .ci_logo{ margin-top:25px } .jumbotron.styled .content { position: relative; } .hero, .jumbotron { background-color: #fff; } .ci_social p{ text-align: center !important; } .marketInsightResource .col-md-6 { padding: 0; margin-bottom: 20px } #ci_footer-social { text-align: center } } .field_access_level{ display:none } .field_topics{ margin-top:25px } .download_icon{ font-weight: 700; margin-bottom:15px; margin-top:10px } .download_icon img{ width: 25px !important; } </div> <div class="container-fluid"> <div class="row marketInsightResource"> <div class="col-md-9"> <div class="col-md-6"> <div> <div class="download_icon"><a href="/system/files/media/file/2020/02/Market_Insights_MD_Ownership_Models.pdf" target="_blank"><img alt="" src="/sites/default/files/2018-12/pdf-download-icon.png" /> Download a PDF</a> of the repot</div> <a href="/system/files/media/file/2020/02/Market_Insights_MD_Ownership_Models.pdf" target="_blank"><img alt="evolving physician practice ownership models cover" src="/sites/default/files/2020-02/MD_Ownership_cover_700x532.jpg" /></a></div> </div> <p>Hospitals and health systems and physician groups increasingly have hired physicians and acquired practices critical to their core operations. Recently, nontraditional players like health plans, large employers, private-equity and venture-capital firms have been acquiring and investing in physician practices. These players understand the central role physicians play in directing large portions of health care dollars and believe that tighter management, technology, data analytics tools and practice innovation can result in better care, better outcomes, better care experience and profitability.</p> <p>While these physician-practice acquisition trends vary by market, they do not appear to be slowing and, in fact, have been accelerating significantly over the last three years. Consequently, they potentially present both a threat and an opportunity for hospitals and health systems that should be considered.</p> </div> <div class="col-md-3"><div id="block-centerblank"> </div> <div id="block-centerinnovationlogosocial"> <div class="body"><div> <div class="ci_logo"> <a href="/center"><img alt="AHA Center for Health Innovation logo" src="/sites/default/files/2018-08/logo-aha-innovation-center-color-1000px.jpg" /></a> </div> <div class="ci_social"> <p><strong>Follow us to learn more.</strong></p> <ul class="list-inline pull-right" id="ci_footer-social"> <li><a href="https://www.facebook.com/ahahospitals" target="_blank"><i class="fa fa-facebook fa-fw"><span class="sr-only">Facebook</span></i></a></li> <li><a href="http://twitter.com/ahahospitals" target="_blank"><i class="fa fa-twitter fa-fw"><span class="sr-only">Twitter</span></i></a></li> <li><a href="http://www.youtube.com/user/AHAhospitals" target="_blank"><i class="fa fa-youtube-play fa-fw"><span class="sr-only">Youtube</span></i></a></li> <li><a href="https://www.instagram.com/ahahospitals/" target="_blank"><i class="fa fa-instagram fa-fw"><span class="sr-only">Instagram</span></i></a></li> <li><a href="https://www.linkedin.com/showcase/center-for-health-innovation/" target="_blank"><i class="fa fa-linkedin-square fa-fw"><span class="sr-only">LinkedIn</span></i></a></li> </ul> </div> </div></div> </div> <div id="block-centerinnovationmenucss"> <div class="body"> /*VERTICAL MENU*/ nav#block-centerforhealthinnovation{ position:relative; 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} } </div> </div> <nav role="navigation" aria-labelledby="block-centerforhealthinnovation-menu" id="block-centerforhealthinnovation"> <h2 class="visually-hidden" id="block-centerforhealthinnovation-menu">Center for Health Innovation</h2> <ul class="menu"> <li class="menu-item"> <a href="/center/about-center-health-innovation" data-drupal-link-system-path="node/579927">About</a> </li> <li class="menu-item"> <a href="/center/discover" data-drupal-link-system-path="node/624957">Discover</a> </li> <li class="menu-item"> <a href="/center/engage" data-drupal-link-system-path="node/624940">Engage</a> </li> <li class="menu-item"> <a href="/center/explore" data-drupal-link-system-path="node/606460">Explore All Center Programs</a> </li> </ul> </nav> <div> <h4><a href="/center/emerging-issues/market-insights">Market Insights</a></h4> <ul> <li><a href="/center/emerging-issues/market-insights/physician-practice-ownership">Physician-Practice Ownership</a></li> <li><a href="/center/emerging-issues/market-insights/ai">AI’s Impact</a></li> <li><a href="/center/emerging-issues/evolving-care-models">Evolving Care Models</a></li> <li><a href="/center/emerging-issues/market-insights/telehealth">Telehealth Strategy</a></li> <li><a href="/center/emerging-issues/market-insights/year-in-review">Disruptive Innovation</a></li> </ul> </div> </div> </div> </div> Fri, 21 Feb 2020 14:08:58 -0600 Physician Employment /center/emerging-issues/market-insights/physician-practice-ownership <div> </div> <div> /* Site overrides - Start */ .page-maincontent p, .page-maincontent ul, #page-content p{ font-size: 16px; color: #555 } .page-maincontent h2, .page-maincontent h4{ text-transform: uppercase; color: #253b80 } .page-maincontent h3, .page-maincontent h5{ color: #4579bc; text-transform: uppercase; } .lead, .field_lead { color: #63666A; font-weight: 300; line-height: 1.4; font-size: 19px !important; } a:hover{ text-decoration: none } a:hover img{ opacity:.7 } .container .jumbotron.styled { margin-bottom:30px;} /* Site overrides - End*/ .vcenter { display: inline-block; vertical-align: middle; float: none; } #ci_footer-social { font-size: 1.5em; padding-top: 0px; width: 100%; text-align: right; } @media (max-width:991px){ .ci_logo{ margin-top:25px } .ci_social p{ text-align: center !important; } #ci_footer-social { text-align: center } .jumbotron.styled .content { position: relative; } .hero, .jumbotron { background-color: #fff; } } </div> <div class="container-fluid"> .container.spacer{ padding-top:0px } .t_menu{ margin-bottom:25px; font-size:1.5em; padding-bottom: 25px; border-bottom: solid 2px lightgray; } .t_menu .col-sm-2, .t_menu .col-sm-10{ padding:0px } .t_menu span{ padding:0 5px 0 15px } .t_menu .t_menu_child{ padding-top:3px; color: #818285 } @media(max-width: 500px) { .t_menu{ font-size:1em; } } </div> <div class="row t_menu"> <div class="col-sm-2 col-xs-6"> <a href="/center"><img alt="" src="/sites/default/files/2018-09/logo-aha-innovation-center-color-1000px.jpg"></a> </div> <div class="col-sm-10 col-xs-6 t_menu_child"> <span>></span> <a href="/center/emerging-issues/market-insights">Market Insights</a> <img src="/sites/default/files/2019-02/Market_Insights_logo.jpg"></a> --> </div> </div> .jumbotron.styled h1{ text-align: center !important; } .y-highlight{ padding:0px; } <div class="row y-highlight"> <div class="col-md-12"> <p>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.</p> </div> </div> <div class="row y-hr3"> <div class="col-md-3">   </div> <div class="col-md-6">   </div> <div class="col-md-3">   </div> </div> <div class="row y-highlight"> <div class="col-md-6"> <a href="/system/files/media/file/2020/02/Market_Insights_MD_Ownership_Models.pdf" target="_blank"><img alt="evoling physician-practice ownership models" src="/sites/default/files/2020-02/MD_Ownership_cover_700x532.jpg"></a> </div> <div class="col-md-6"> <h2><a href="/system/files/media/file/2020/02/Market_Insights_MD_Ownership_Models.pdf" target="_blank">Evolving Physician-Practice Ownership Models</a></h2> <p>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.</p> <div class="external-link spacer"> <a class="btn btn-wide btn-primary" data-view-context="top-level-view" href="/system/files/media/file/2020/02/Market_Insights_MD_Ownership_Models.pdf" target="_blank">Download Report</a> </div> </div> </div> <div class="row y-hr3"> <div class="col-md-3">   </div> <div class="col-md-6">   </div> <div class="col-md-3">   </div> </div> .y-hr div:nth-child(2){ border-bottom: solid 2px lightgrey; margin-top: 25px } .download_icon img{ width: 25px !important; } .download_icon{ font-weight: 700 } .y-sections .y-padding{ padding:10px; margin:0px 0 15px 0 } .y-sections h2:nth-child(1){ text-align: center; margin: 0px } .y-sections h4{ color: #9d2235; font-size: } .y-padding img{ -webkit-box-shadow: -13px 13px 10px -7px rgba(99,102,106,0.66); -moz-box-shadow: -13px 13px 10px -7px rgba(99,102,106,0.66); box-shadow: -13px 13px 10px -7px rgba(99,102,106,0.66); } .y-lock::before { background: url("/sites/default/files/2018-11/lock-img.gif") no-repeat top left; background-size: 20px 20px; display: inline-block; content: ""; width: 20px; height: 20px; position: relative; top: 0px; left: 0px; margin-right:10px } .y-nolock:before{ display: inline-block; content: ""; height: 20px; } <div class="row y-sections"> <div class="col-md-12"> <h2>Resources</h2> </div> <div class="col-md-2">   </div> <div class="row y-sections"> <div class="col-md-4"> <div class="y-padding"> <h4 class="y-lock">Discussion Guide</h4><a href="/center/emerging-issues/market-insights/physician-practice-ownership/18-questions" target="_blank"><img alt="business man shaking hands with doctor" class="y-locked" src="/sites/default/files/2020-02/MD_Ownership_18Qs_700x532.jpg"></a> <h3><a href="/center/emerging-issues/market-insights/physician-practice-ownership/18-questions" target="_blank">Strategic Questions for Leadership Teams</a></h3> <p>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.</p> </div> </div> <div class="col-md-4"> <div class="y-padding"> <h4 class="y-nolock">New Investor Landscape</h4><a href="/system/files/media/file/2020/02/Market_Insights_MD_Ownership_New_Investors_graphic.pdf" target="_blank"><img alt="" class="y-locked" src="/sites/default/files/2020-02/MD_Ownership_models_graphic_700x532.jpg"></a> <h3><a href="/system/files/media/file/2020/02/Market_Insights_MD_Ownership_New_Investors_graphic.pdf" target="_blank">New Investors in Physician-Practice Ownership Models</a></h3> <p>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.</p> </div> </div> <div class="col-md-2">   </div> </div> </div> .y-hr3 div:nth-child(2){ border-top: solid 2px lightgrey; margin: 25px 0px } <div class="row y-hr3"> <div class="col-md-3">   </div> <div class="col-md-6">   </div> <div class="col-md-3">   </div> </div> .t-data { margin-bottom: 25px } .row.t-data { margin-left: 0; margin-right: 0; } .t-data h2{ margin-bottom:25px } .t-data .t-dataBar-1 > div{ border-top: solid 25px #253b80; border-left:solid 3px #9d2235; padding-left:10px; padding-top:10px; padding-bottom:10px; min-height: ; margin-bottom: 10px; padding-right: ; } .t-dataBar-1 { margin-bottom: 25px } .t-data .t-dataBar-1 img{ width: 140px; padding-bottom:10px; margin:auto; display: block; } .t-data .t-dataBar-1 span{ display: block; clear: both; font-size: 1.1em; color: #5fa1d0; font-weight: 700; line-height: 1em; margin-bottom: 0px; /* If not Data # */ } .t-data .t-dataBar-1 p{ font-size: smaller; } .t-data .t-dataBar-1 span.t-source:before{ content:"Source: "; } .t-data .t-dataBar-1 span.t-source { font-weight: 700; font-size: 0.7em; line-height: 1em; color: #555 } .rowEqual { display: -webkit-box; display: -webkit-flex; display: -ms-flexbox; display: flex; flex-wrap: wrap; padding: 0; } .rowEqual>[class*='col-'] { display: flex; } <div class="row"> <h2>New Investors in Physician-Practice Ownership Models</h2> <div class="rowEqual row t-data"> <div class="t-dataBar-1 col-md-3 col-sm-3 col-xs-6"> <div> <img alt="graph icon" src="/sites/default/files/2020-02/icon_private_equity.jpg"> <span>Private Equity</span> <p>Private equity (PE) firms typically acquire controlling stakes in established high-potential specialty practices with physicians as minority shareholders. PE investors focus on providing efficient practice management, practice expansion, income growth and infrastructure investments.</p> </div> </div> <div class="t-dataBar-1 col-md-3 col-sm-3 col-xs-6"> <div> <img alt="rocket ship icon" src="/sites/default/files/2020-02/icon_venture_capital.jpg"> <span>Venture Capital</span> <p>Venture capitalist (VC) investors look for innovative companies and practices with the potential for breakaway success. VC investments have spurred the development of telehealth and technology-enabled practice models that offer more flexible patient access and physician work environments.</p> </div> </div> <div class="t-dataBar-1 col-md-3 col-sm-3 col-xs-6"> <div> <img alt="health plan illustrated icon" src="/sites/default/files/2020-02/icon_health_plans.jpg"> <span>Health Plans</span> <p>Health plans are shifting their focus to vertical integration with providers to achieve better care management and resource utilization. Some look to expand care venues (retail, post-acute care, ambulatory surgery) and to offer practice management, analytics and care management capabilities.</p> </div> </div> <div class="t-dataBar-1 col-md-3 col-sm-3 col-xs-6"> <div> <img alt="factory illustrated icon" src="/sites/default/files/2020-02/icon_large_employeers.jpg"> <span>Large Employers</span> <p>Large employers are moving toward directly contracting or employing physicians to ensure more efficient access to care for their employees. Digitally enabled virtual care has been an expanding interest for large employers.</p> </div> </div> </div> </div> .y-resources{ margin:25px 0; padding-bottom:15px } .y-resources h4{ color: #9d2235; font-size: } .y-resources h4 span { color: #003087; } .bootnon-margin{ padding: 0px !important; } .y-resources a.y-link{ color: #9d2235; font-weight: 700; } <div class="row y-resources"> .y-hr2 div{border-bottom: solid 2px lightgrey; margin: 20px 0} <div class="row y-hr2"> <div class="col-md-12">   </div> </div> <div class="row"> <div class="col-md-4">   </div> <div class="col-md-4"> <a href="/center"><img alt="AHA Center for Health Innovation logo" src="/sites/default/files/2018-09/logo-aha-innovation-center-color-1000px.jpg"></a> </div> <div class="col-md-4">   </div> </div> </div> Fri, 21 Feb 2020 11:38:47 -0600 Physician Employment /news/headline/2019-09-09-hospitals-add-8800-jobs-august <p>Employment at the nation's hospitals increased by 0.17% in August to a seasonally adjusted 5,253,200 people, the Bureau of Labor Statistics <a href="https://www.bls.gov/news.release/empsit.t17.htm">reported</a> Friday. That's 8,800 more people than in July and 97,400 more than a year ago. Without the seasonal adjustment, which removes the effect of fluctuations due to seasonal events, hospitals employed 5,256,000 people in August – 7,800 more than in July and 97,500 more than a year ago. The nation's overall unemployment rate was unchanged in August at 3.7%.<br />  </p> Mon, 09 Sep 2019 14:45:47 -0500 Physician Employment /fact-sheets/2019-04-05-fact-sheet-resident-physician-shortage-reduction-act-2019 <h2>The Issue</h2> <p><strong>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.</strong> These caps have remained in place and have generally only been adjusted as a result of certain limited and one-time programs.</p> <h2>AHA Position</h2> <p>The AHA supports the Resident Physician Shortage Reduction Act of 2019 (H.R. 1763/S. 348), which would increase the number of residency positions eligible for Medicare DGME and IME support by 15,000 slots above the current caps.</p> Fri, 05 Apr 2019 15:10:48 -0500 Physician Employment