Physicians Advocacy Institute

PAI Newsroom

Coverage Report: Physician Employment Study, February 2019

Updated: March 2019


General Coverage

Healthcare Dive: Physician Practices Not Flocking To CPC+ 

Healthcare Finance: 2018 MACRA Rule Continues Pick-Your-Pace, Will Exempt Even More Clinicians (Updated) 

Modern Healthcare: CMS Looks To Study MIPS Burdens On Clinicians 

Modern Healthcare: Physician Practices Skip Round Two Of Primary-Care Payment Model 

March 2018: National and Regional Changes in Physician Employment

Advisory Board: The Highest-Paid Doctors, Charted 

American Antitrust Institute: Consolidation In Provider And Insurer Markets: Enforcement Issues And Priorities 

American Journal of Managed Care: Hospital Acquisition Of Independent Physician Practices Continues To Increase 

American Journal of Managed Care: This Week In Managed Care: March 23, 2018

Anesthesia Experts: No Slowdown In Consolidation Trend: Hospitals Acquire 5,000 Independent Practices In 1 Year 

BDC Advisors: Building A Magnet Physician Enterprise: A Critical Health System Priority In The Value Market 

Becker’s ASC Review: Health Systems Acquire 5K Independent Practices During 2015-16

Becker’s Hospital Review: Hospitals Employed 42% Of Physicians In 2016: 5 Study Findings

Benchmark International: A Healthy Pipeline Of Deals: M&A Transactions In The Healthcare Industry 

Chicago Medicine: Feel Like Selling Your Practice? You’re Not Alone 

Connecticut Medicine: Keep The Science, Eliminate The Burden 

Crain’s Health Pulse Extra: March 22, 2018

Dark Daily: First Time Ever: Less Than Half Of All Healthcare Practices In America Are Physician Owned—Are Doctors Giving Up Their Independence And Will Independent Clinical Laboratories Lose Test Orders To Hospital Labs? 

Dark Daily: Unitedhealth Group Soon To Be Largest Employer Of Doctors In The US; Clinical Laboratory Outreach More Critical Than Ever Before 

Darwin Research Group: Physicians Increasingly Employed By Health Systems 

Financial Management Conference & Expo 

Fierce Healthcare: Hospitals Are Buying Up Physician Practices At A Record Pace

Fierce Healthcare: No Slowdown In Consolidation Trend: Hospitals Acquire 5,000 Independent Practices In 1 Year

Forbes: Humana Rebrands Clinics Amid Doctor Buyout Wave

Groupdentistrynow.Com: Changing Demographics And Economics Are Leading To A Seismic Shift In How Dental Practices Operate, As Fewer Dentists Run Their Own Business 

Healthcare Dive: Hospitals Acquired 5K Physician Practices In 1-Year Period 

Healthcare Growth Partners: EMR Consolidation – The Haves And The Have-Nots 

Healthcare Weekly: Caring For Patients Outside Hospitals – A Healthcare Network In Illinois Is Getting A Makeover 

Lancasteronline: Lancaster Neuroscience & Spine Associates Will Join Penn Medicine Lancaster General Health 

Lancasteronline: Lancaster Physicians For Women Joins Lancaster General Health Physicians

Lancasteronline: Leola Family Health Center Joins Lancaster General Health Physicians 

LUGPA: Site Neutral Payments: Leveling The Playing Field Between Independent Practices And Hospitals 

LVB.Com: As Networks Gobble Up Practices, Independent Doctors Fight To Survive 

Managed Care: Hospital Ownership Of Doc Practices Continues To Grow 

Medscape: Analysis Shows Hospital Ownership Of Physician Practices Growing Rapidly

Modern Healthcare: As Independent Doc Groups Dwindle, Wilmington Health Bucks The Trend

Modern Healthcare: Rapid Rise In Hospital-Employed Physicians Increases Costs (Also appears in: Shield HealthCare)

Modern Health: Physician Pay Increases May Be Slowing (Also appears in: North Coast Association of Health Underwriters

Newsday: Economics, Demographics Lead Fewer LI Dentists To Own Their Businesses 

News & Observer: Raleigh Pediatric Practice Joins UNC Health’s Network. That’s Bad News For Some Families 

Nuemd: As More Hospitals Buy Practices, Now Might Be A Good Time To Sell 

Revcycle Intelligence: Healthcare Mergers, Increased Access To Boost Medical Costs 6% 

Revcycle Intelligence: How Hospital Merger And Acquisition Activity Is Changing Healthcare 

Sg2: Hospitals Continue Acquiring Physician Practices At Rapid Pace 

Twin Cities Business: Hospital Appetite For Physician Practices Is Waning

Voter Voice: PAI-Avalere Health Release Updated Research Showing Continued Trend In Hospital Employment Of Physicians 

WFAE All Things Considered: Doctors Leaving Atrium Buck The National Trend Of Groups Joining Hospitals (Also appears in:

November 2017: Implications of Hospital Employment of Physicians on Medicare & Beneficiaries

Authentic Medicine: Hospital Employed Physicians Increase Costs?

Becker’s ASC Review: Colonoscopies In Hopds Cost Medicare 164% More Than Physician-Owned Offices (Also appears in: MTI)

Becker’s Hospital Review: 49% Increase In Hospital-Employed Physicians Linked To $3.1B In Medicare Costs, Study Finds 

Best Unimed: Check Out The Top Ten News Events Of The 2016 China Doctor Group! (Translation courtesy: Google Translate)

Capsules QW: Member News & Information 

Careline: Hospital-Employed Physicians Drain Medicare (Also appears in: Free Republic)

The Charlotte Observer: As Nearly 100 Doctors Abandon Atrium Health, Some Experts See The Start Of A Trend 

Colorado Medical Society: Physician Payment

Digestive Health Physicians Association: Comments To RIN 0991-ZA49 

Erdman: The Future Of Demand For Hospitals: A Strategic Perspective 

Health Law Handbook (Pre Publication Draft): Lessons Learned From Leasing: A Blueprint For Hospital-Physician Alignment 

Healthcare Dive: Hospital-Employed Physicians Create More Medicare Costs

Healthcare Purchasing News: Study Says Medicare Paid More For HOPD Versus Independent Physicians Offices For 4 Procedures 

Illinois Cancer Specialists: Letter To Congressman Peter Roskam 

Lehigh Valley Live: Blue Mountain-St. Luke's Merger Will Drive Up Costs 

LUGPA: Site Neutral Payments: Leveling The Playing Field Between Independent Practices And Hospitals 

Medical Association of Georgia Journal: Healthcare Delivery Consolidation: What It Means For Physicians 

Medpage Today: Hospital Consolidation Drives Up Medicare Costs, Study Finds

Medscape: Hospital-Employed Physicians Cost Medicaid More, Study Says (Also appears in:

Modern Healthcare: Hospital-Employed Physicians Drain Medicare (Also appears in: Mother Health Care)

Modern Healthcare: Physicians Decry Consequences Of Consolidation

Modern Healthcare: Reigniting The Physicians Arms Race, Insurers Are Buying Practices 

New York State Hamaspik Association: More Medicare Costs Created By Hospital-Employed Physicians 

Newsday: Dental Group To Acquire 3 More Independent Practices On LI

Northeast Indiana Citizens For Healthcare Excellence: Hospital-Employed Physicians Drain Medicare 

Orlando Medical News: Time For The Florida Senate To Deliver Surgical Savings To Floridians

Patient Daily: Rising Number Of Doctors Employed By Hospitals Leading To Higher Medicare Costs, Study Shows

Physicians News Network: Study: Growing Number Of Employed Physicians Driving Higher Medicare Costs (Also appears in: Partners for Truth in Health Care, Ambulatory Surgery Center Association

Practicing Physicians of America: Saving America From The Four Horsemen Of Health Care 

Psychu: Health System/Insurer Combos Gain Steam—& More To Come With ACO Changes 

Psychu: U.S. National Health Spending Grew At A Rate Of 3.9% In 2017 

Revcycle Intelligence: Hospitals Acquired 5K Independent Practices From 2015 To 2016

Revcycle Intelligence: Medicare Spends $3.1B More On Hospital-Employed Physicians 

South African Medical Association: In Respect Of The HMI Provisional Report (5 July 2018) 

Stopcoloncancernow.Com: Ascs Offer Significant Savings For Colonoscopies 

The Alliance for Site Neutral Payment Reform: Physicians Advocacy Institute: Implications Of Hospital Employment Of Physicians On Medicare & Beneficiaries 

The U.S. Oncology Network Health Policy Report: Physicians Advocacy Institute Study Examines Hospital Employment of Physicians Report: Physician Employment by Hospitals Costs Billions 

September 2016: National and Regional Employment Changes

Advance Healthcare Network: Hospital Ownership of Physician Practices Increases 

American Hospital Association Resource Center Blog: Physician Practice Acquisition And Employment Trends 

American Journal of Managed Care: Physician Practices In Rural Areas Being Acquired By Hospitals At Dramatic Rate (Also appears in: Community Oncology Alliance)

Becker’s Hospital Review: Hospital Ownership Of Physician Practices Up 86% (Also appears in H2R Minutes

Becker’s Hospital Review: Your Hospital's Medical Staff Bylaws May Be Creating Undue Medical Staff Burden — Here's Why 

California Association of Neurological Surgeons: Hospital Ownership Of Medical Practices Balloons 

CN Healthcare: US Hospital Acquires 31,000 Physicians Group in 3 Years (Translation courtesy: Google Translate)

Colorado Medical Society: Physician Payment 

Concierge Medicine Today: Hospital Ownership Of Medical Practices Grows By 86% In Three Years 

Connecticut Medicine: Keep The Science, Eliminate The Burden 

Corporate Finance Associates: Healthcare M&A 

DAS Health: Patients Pay The Price When Hospital Giants Hire Your Private Practitioner 

Diagnostic Imaging Services: Hospital Employment Of Doctors Rising Rapidly (Also appears in: Harlee Medical Technologies Inc.)

Digestive Physicians Health Association: Testimony of Dr. Michael Weinstein

Fierce Healthcare: 1 In 4 Practices Now Hospital-Owned (Also appears in: Medical Practice Improvement News)

FMG Leading: Turning Great Doctors Into Great Leaders

Forbes: Surprise Medical Bills: A Growing Problem Requiring Price Transparency

Global 1: Study: Growing Number Of Employed Physicians Driving Higher Medicare Costs

Hartford Business: Study: Hospital Ownership Of Physician Practices Rises 86% In Three Years

Hcpro: Provider-Based Entities: A Guide To Regulatory And Billing Compliance, Second Edition

Health System Management: Hospital Ownership Of Physician Practices Increases

Healthcare Dive: AMA: Share Of Doctor-Owned Practices Drops Below 50%

Healthcare Dive: Jonathan Bush On Athenahealth's Next Steps – And Why Doctors Should Get On Board 

Healthcare Dive: Surge In Hospital-Owned Physician Practices Poised To Increase Healthcare Costs

Healthcare Finance: Gallery: Percentage Of Hospital-Employed Physicians On The Rise; Many Leaving Private Practices 

Healthexec: Hospitals Now Own 1 In 4 Physician Practices (Also appears in: The Hospital Leader

HealthLeaders: Number Of Hospital-employed Physicians Up 50% Since 2012

Healthlink Dimensions: More Doctors Are Becoming Employees: How Marketers Can Adapt

Independent Institute: Doctors Leaving Private Practice for Hospitals

Kaiser Health News: Guess Who Pays The Price When Hospital Giants Hire Your Private Practitioner? (Also appears in: Chicago Tribune, CNN, MedCity News, Cambridge Management Group, Louisiana Health Insurance Exchange)

Liberty Blitzkrieg: Student Loans And Healthcare – Two Issues That Will Define American Politics Going Forward

LinkedIn: Physician Practice Acquisitions 

Los Angeles Times: Patients Pay The Price When Hospital Giants Buy Up Independent Doctor Practices 

Lund Report: Hospital Ownership Of Physician Practices Increases Nearly 90 Percent In Three Years

Market Watch: This Increasingly Common Hidden Fee Is A Nasty Surprise On Medical Bills

Mckesson: The Business Of Health Care November 2016

Md Edge: Growth In Hospital-Employed Physicians Shows No Signs Of Slowing 

Md News: Weight A Barrier To Thorough Medical Care?

Medical Economics: Hospital Ownership Of Physician Practices On The Rise

Medical Society Of The District Of Columbia: Hospital Ownership Of Physician Practices Increases Nearly 90% In 3 Years 

Medscape: Hospital Employment Of Doctors Rising Rapidly

Minnesota Hospital Association: Session #14: Understanding The Differences Of A County, City Or District Hospital 

Modern Healthcare: Hospital Ownership Of Medical Practices Grows By 86% In Three Years (Also appears in: GZHPHB, Kaiser Health News,

Modern Healthcare: Physicians Decry Consequences Of Consolidation

Morning Call: Study Shows Hospitals Are Gobbling Up Doctors’ Offices

Newsday: Allied Physicians Group Names Kerry Frommer Fierstein CEO

Newsday: Doctor Dilemma: Independence Or Health System

News & Observer: Raleigh Pediatric Practice Joins UNC Health’s Network. That’s Bad News For Some Families 

North Bay Business Journal: Private-Practice Physicians Shift To Groups As Health Care Administrative Burdens Rise

OEIS Fourth Annual National Scientific Meeting: Value-Based Vascular Care: What’s It Gonna Take? 

Peoplesolutions: Hospitals Employing Higher Number Of Doctors As Acquisition Of Practices Grows 

Phoenix Business Journal: Arizona Hospitals Are Gobbling Up Physician Practices At Rapid Rate

Phrma: 340B Spotlight: Trends In Shifting Site Of Care 

PONDER: HFMA Midsouth Institute: Mergers & Acquisitions: What To Expect Doctors’ Group Changes To Medical Groups, Synchronizing Trends In China And The United States (Translation courtesy: Google Translate)

Renal & Urology News: To Divest Or Not To Divest Your Physician Practice? 

Report on Medicare Compliance: OPPS Rule: Provider-Based Space May Bill For New Services; CMS Offers New Method

Revcycle Intelligence: Doctors To HHS: Level The Playing Field For Independent Practices

S&P Global: Hospital Clinics Could Face Payment Cuts Under Trump Drug Plan 

Staff Care: 6 Trends Affecting Physician Jobs: Where Will You Work?

Texas Medical Association: Is Congress Doing Enough To Protect Physician Practices

The Alliance for Site Neutral Payment Reform: Physician Practice Acquisition Study: National And Regional Employment Changes, September 2016 

Tian Jian: Doctors Group Changes To Medical Group, Simultaneous Sino-U.S. Trends (Translation courtesy: Google Translate)

U.S. Health Policy Gateway: Changes In Physician Practice Models 

Valuing Professional Practices And Licenses 

Wolters Kluwer: Hospital-Owned Physician Practices Continue To Grow, But Integration Has Issues

February 2016: Medicare Payment Differentials Across Outpatient Settings of Care

American Council on Science and Health: Location, Location, Location 

Appraisal Economics: The Valuation Of Medical Practices 

CNBC: There Are Better Prices For Health Care—Know Where To Look

Community Oncology Alliance: POHMS Spring Conference Presentation 

Community Oncology Alliance: The Cost Drivers Of Cancer Care 

Digestive Health Network, Inc.: Comprehensive Colonoscopy Advanced Alternative Payment Model For Colorectal Cancer Screening, Diagnosis And Surveillance 

Health Leaders Media: Medicare Payments Higher At Hopds Than Ascs, Doc Officers

Healthcare Dive: Study Challenges Medicare Payment Differential For Outpatient Settings

Hill: Savings To Medicare At Stake As ‘Site Neutral’ Discussions Continue

Hill: Unequal Medicare Payments Fuel Health Care Consolidation Trends 

Journal Of Health Care Finance: Site-Neutrality Among Medical Payments Can Foster Site-Specificity Among Medical Procedures 

Market Watch: Price Your Colonoscopy Like You Would A TV

Medical Association of Georgia: Update 

Medical Society Of New Jersey: Physician Practice Based Services Less Costly Than Hospital Outpatient Department 

Medical Society, State of New York: Email 

Medically Sound: Hospitals Own More Physician Practices

Memorial Sloan Kettering Cancer Center: Hospital Outpatient Versus Physician Office Cost For Physician Administered Cancer Drugs 

Modern Healthcare: Blog: Doctors Say Medicare Pays Three Times More For Care At Hospital Outpatient Departments (Also appears in: Stone Hill National)

North Carolina Medical Journal: A Sea Change In Medicine: Current Shifts In The Delivery And Payment Of Medical Care 

North Carolina Medical Society: PAI Report Outlines Payment Differentials Across Outpatient Settings 

Overcharged: Why Americans Pay Too Much for Health Care  

Texas Medical Association: PAI Backs Medicare Move Toward Site-Neutral Payments 

The Alliance for Site Neutral Payment Reform: Medicare Payment Differentials Across Outpatient Settings Of Care, Avalere, February 2016 

Wolf Street: How Opaque Healthcare Pricing Mechanisms Rip Off Consumers
(Also appears in: Global Glass Onion

Zhuanlan: When Chinese Doctors Are Rebellious As Children, American Doctors Are Turning Their Backs (Also appears in:, (Translation courtesy: Google Translate)